Evidence map›Paper›PMID 26617953›Full record

ReviewEplasty2015

Anticoagulants and Statins As Pharmacological Agents in Free Flap Surgery: Current Rationale.

Adnan Pršić, Elizabeth Kiwanuka, Stephanie A Caterson, Edward J Caterson

Open access · greenAbstract readReview
In one paragraph

Review in Eplasty, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 1 pooled it
1.8field-weighted citation impact, top 15% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 20 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Review
  4. Article
  5. Article
  6. Article
  7. Thromboprophylaxis in Head and Neck Microvascular Reconstruction.Craniomaxillofacial trauma & reconstruction · 2018
    Review
  8. Review
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

4 authors at 2 institutions in 1 country.

Adnan PršićDepartment of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence.
Elizabeth KiwanukaDepartment of Plastic Surgery, Rhode Island Hospital, Brown University School of Medicine, Providence.
Stephanie A Catersonthe Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Edward J Catersonthe Division of Plastic Surgery, Brigham and Women's Hospital, Harvard Medical School, Boston, Mass.
Brigham and Women's Hospital · USRhode Island Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Microvascular free flaps are key components of reconstructive surgery, but despite their common use and usual reliability, flap failures still occur. Many pharmacological agents have been utilized to minimize risk of flap failure caused by thrombosis. However, the challenge of most antithrombotic therapy lies in providing patients with optimal antithrombotic prophylaxis without adverse bleeding effects. There is a limited but growing body of evidence suggesting that the vasoprotective and anti-inflammatory actions of statins can be beneficial for free flap survival. By inhibiting mevalonic acid, the downstream effects of statins include reduction of inflammation, reduced thrombogenicity, and improved vasodilation. This review provides a summary of the pathophysiology of thrombus formation and the current evidence of anticoagulation practices with aspirin, heparin, and dextran. In addition, the potential benefits of statins in the perioperative management of free flaps are highlighted.

Indexed as

anticoagulants pharmacologyfree flapmicrosurgerystatins

Identifiers

PMID26617953
PMCPMC4660317
OpenAlexW2199373272

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.