Evidence map›Paper›PMID 25269682›Full record

ArticleAnnals of vascular surgery2015

Ferumoxytol-enhanced magnetic resonance angiography is a feasible method for the clinical evaluation of lower extremity arterial disease.

Joy P Walker, Emily Nosova, Monica Sigovan, Joseph Rapp, Marlene S Grenon, Christopher D Owens, Warren J Gasper, David A Saloner

2 registry-linked trialsOpen access · greenAbstract readComparative StudyEvaluation Study
In one paragraph

Article in Annals of vascular surgery, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.8field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06136806 unknown statusnot on this mapstarted 2024, after this paper: background citation

Diagnostic Performance of a Novel Ferumoxytol-Enhanced Coronary Magnetic Resonance Angiography/ Venography on Panvascular Disease: a Single-center Clinical Study.

Typeobservational_patient_registrySponsorThe First Affiliated Hospital with Nanjing Medical UniversityRan2024 to 2025Enrolled200ConditionsPanvascular DiseaseArmsFerumoxytol Enhanced Magnetic Resonance Angiography( FE-MRA);Coronary/Renal /Lower artery Arteriography, Ferumoxytol Enhanced Magnetic Resonance Venography( FE-MRV), Computed Tomography Pulmonary Angiography, Ultrasound for Lower Extremity Deep Vein.
NCT06551805 recruitingnot on this mapstarted 2024, after this paper: background citation

Clinical Research Protocol of Ferumoxytol for Magnetic Resonance Enhancement Imaging in Patients With Atherosclerosis.

TypeobservationalSponsorThe Affiliated Nanjing Drum Tower Hospital of Nanjing University Medical SchoolRan2024 to 2026Enrolled100ConditionsAtherosclerosisArmsSafety assessment of Ferumoxytol., Assessment of the diagnostic value of Ferumoxytol for MR angiography.
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Trial
  2. Article
  3. Review
  4. Clinical physiology: the crucial role of MRI in evaluation of peripheral artery disease.American journal of physiology. Heart and circulatory physiology · 2024
    Review
  5. Nanomedicine for Diagnosis and Treatment of Atherosclerosis.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2023
    Review
  6. Review
  7. Article
  8. Article
  9. Review
  10. Review
  11. 4D MUSIC CMR: value-based imaging of neonates and infants with congenital heart disease.Journal of cardiovascular magnetic resonance : official journal of the Society for Cardiovascular Magnetic Resonance · 2017
    Article
  12. Article
  13. Review
  14. Imaging of venous compression syndromes.Cardiovascular diagnosis and therapy · 2016
    Review
  15. Cardiovascular MRI with ferumoxytol.Clinical radiology · 2016
    Review
  16. Vascular Imaging With Ferumoxytol as a Contrast Agent.AJR. American journal of roentgenology · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 1 institution in 1 country.

Joy P WalkerDepartment of Vascular and Endovascular Surgery, San Francisco, CA. Electronic address: joy.walker@ucsfmedctr.org.
Emily NosovaDepartment of Vascular and Endovascular Surgery, San Francisco, CA.
Monica SigovanDepartment of Radiology, University of California, San Francisco, CA.
Joseph RappDepartment of Vascular and Endovascular Surgery, San Francisco, CA.
Marlene S GrenonDepartment of Vascular and Endovascular Surgery, San Francisco, CA.
Christopher D OwensDepartment of Vascular and Endovascular Surgery, San Francisco, CA.
Warren J GasperDepartment of Vascular and Endovascular Surgery, San Francisco, CA.
David A SalonerDepartment of Radiology, University of California, San Francisco, CA.
University of California, San Francisco · US

Funding

MRI of Structure and Function in Assessing Hemodynamic Impact on AAA EvolutionR01HL114118 · NHLBI · NORTHERN CALIFORNIA INSTITUTE/RES/EDU · PI SALONER, DAVID A · 2014 to 2017
$1.8M
NHLBI NIH HHS R01 HL114118
6 · The paper itself

Abstract

backgroundRenal toxicity from conventional, iodinated, intravenous contrast agents is a common complication in patients with peripheral artery disease (PAD). Similarly, the potential for serious side effects prevents the use of gadolinium-based agents in many patients with depressed renal function. Ferumoxytol-enhanced magnetic resonance angiography (Fe-MRA) is a novel technique that uses an intravenous, ultrasmall, superparamagnetic, iron oxide preparation, currently approved by the Food and Drug Administration for the treatment of iron deficiency anemia in adults with chronic kidney disease. Our objective was to determine the feasibility of Fe-MRA for clinical decision making in PAD patients.

methodsThis was a prospective pilot study assessing 10 patients with suspected arterial occlusive disease with contrast-enhanced MRA of the aorta and lower extremities. Of those, 5 had renal insufficiency and were imaged with Fe-MRA, whereas the remainder underwent gadolinium-enhanced MRA. Qualitative and quantitative evaluations of deidentified images at each arterial station were independently performed by 4 blinded vascular surgeons.

resultsAll patients were men, with an average age of 68 ± 4 years. The 2 groups had similar incidences of diabetes, hypertension, hyperlipidemia, and coronary artery disease. Patients undergoing Fe-MRA had significantly decreased renal function (estimated glomerular filtration rate, 35.4 vs. 77.6; P = 0.02). There were no adverse events during contrast administration in either group. No difference was found in the overall quality of the ferumoxytol versus the gadolinium studies (7.1 ± 2.0 vs. 7.4 ± 2.4, P = 0.67). Similarly, reviewers felt comfortable basing clinical decisions on the images 89% of the time with both the ferumoxytol and gadolinium groups (P = 1.00).

conclusionsThis is the first report of an important alternative to conventional computed tomography angiography and MRA in PAD patients, particularly in the setting of renal insufficiency. Fe-MRA provides a useful tool in patients with suspected lower extremity PAD without the potential risks of gadolinium.

Indexed as

Contrast MediaFerrosoferric OxideGadolinium DTPAAgedFeasibility StudiesGlomerular Filtration RateHumansKidneyLower ExtremityMagnetic Resonance AngiographyMaleMiddle AgedPeripheral Arterial DiseasePilot ProjectsPredictive Value of TestsProspective StudiesContrast MediaFerrosoferric OxidegadodiamideGadolinium DTPA

Identifiers

PMID25269682
PMCPMC7425181
OpenAlexW2098679547

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.