Evidence map›Paper›PMID 26680013›Full record

ArticleJournal of biomechanics2016

A clinical method for mapping and quantifying blood stasis in the left ventricle.

Lorenzo Rossini, Pablo Martinez-Legazpi, Vi Vu, Leticia Fernández-Friera, Candelas Pérez Del Villar, Sara Rodríguez-López, Yolanda Benito, María-Guadalupe Borja, David Pastor-Escuredo, Raquel Yotti and 7 more

3 registry-linked trialsOpen access · greenAbstract read
In one paragraph

Article in Journal of biomechanics, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 3 registered trials, which are not on this map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
2.5field-weighted citation impact, top 11% 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.

NCT02917213 completednot on this map

A Prospective, Observational Study to Assess the Efficacy of New Quantitative Imaging Methods to Assess the Risk of Acute and Subacute Thromboembolic Complications of Myocardial Infarction

TypeobservationalSponsorHospital General Universitario Gregorio MarañonRan2016 to 2022Enrolled92ConditionsMyocardial Infarction, Acute Disease, Thrombosis, Heart DiseasesArmsDoppler echocardiogram exam, Carotid duplex ultrasound exam, Cardiac MRI, Brain MRI, Reveal LINQ insertable cardiac monitoring system
NCT03415789 completednot on this mapstarted 2018, after this paper: background citation

Quantification of Intraventricular Stasis and Thromboembolic Risk With New Imaging Methods in Patients With Non Ischemic Dilated Myocardiopathy

TypeobservationalSponsorHospital General Universitario Gregorio MarañonRan2018 to 2020Enrolled80ConditionsDilated Cardiomyopathy, Thrombosis, StrokeArmsDoppler echocardiogram exam, Cardiac Magnetic Resonance, Brain Magnetic Resonance, Coagulation blood test
NCT04649034 completednot on this mapstarted 2020, after this paper: background citation

Personalizing The Risk Of Stroke And Silent Brain Infarct In Cardiovascular Disease

TypeobservationalSponsorHospital General Universitario Gregorio MarañonRan2020 to 2024Enrolled258ConditionsDilated Cardiomyopathy, Thrombosis Cardiac, Stroke, Hypertrophic CardiomyopathyArmsDoppler echocardiogram exam, Cardiac magnetic resonance, Brain magnetic resonance, Coagulation blood test, Holter monitoring
3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 67 citations in OpenAlex.

  1. Beyond CHAAnnals of biomedical engineering · 2026
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  16. Non-Newtonian blood rheology impacts left atrial stasis in patient-specific simulations.International journal for numerical methods in biomedical engineering · 2022
    Article
  17. Article
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  20. Prothrombotic activity of cytokine-activated endothelial cells and shear-activated platelets in the setting of ventricular assist device support.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2019
    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

17 authors at 7 institutions in 2 countries.

Lorenzo RossiniMechanical and Aerospace Engineering Department, University of California San Diego, La Jolla, CA 92093, United States.
Pablo Martinez-LegazpiMechanical and Aerospace Engineering Department, University of California San Diego, La Jolla, CA 92093, United States; Department of Cardiology, Hospital General Universitario Gregorio Marañón and Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; Department of Mechanical Engineering, San Diego State University, San Diego, CA 92182, United States. Electronic address: legazpi.pablo@gmail.com.
Vi VuDepartment of Mechanical Engineering, San Diego State University, San Diego, CA 92182, United States.
Leticia Fernández-FrieraCentro Nacional de Investigaciones Cardiovasculares, Madrid, Spain.
Candelas Pérez Del VillarDepartment of Cardiology, Hospital General Universitario Gregorio Marañón and Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
Sara Rodríguez-LópezBiomedical Image Technologies, Universidad Politécnica de Madrid & CIBER-BBN, Spain.
Yolanda BenitoDepartment of Cardiology, Hospital General Universitario Gregorio Marañón and Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
María-Guadalupe BorjaMechanical and Aerospace Engineering Department, University of California San Diego, La Jolla, CA 92093, United States.
David Pastor-EscuredoBiomedical Image Technologies, Universidad Politécnica de Madrid & CIBER-BBN, Spain.
Raquel YottiDepartment of Cardiology, Hospital General Universitario Gregorio Marañón and Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain.
María J Ledesma-CarbayoBiomedical Image Technologies, Universidad Politécnica de Madrid & CIBER-BBN, Spain.
Andrew M KahnDepartment of Medicine, University of California San Diego, La Jolla, CA 92037, United States.
Borja IbáñezCentro Nacional de Investigaciones Cardiovasculares, Madrid, Spain.
Francisco Fernández-AvilésDepartment of Cardiology, Hospital General Universitario Gregorio Marañón and Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
Karen May-NewmanDepartment of Mechanical Engineering, San Diego State University, San Diego, CA 92182, United States.
Javier BermejoDepartment of Cardiology, Hospital General Universitario Gregorio Marañón and Instituto de Investigación Sanitaria Gregorio Marañón, Madrid, Spain; Facultad de Medicina, Universidad Complutense de Madrid, Madrid, Spain.
Juan C Del ÁlamoMechanical and Aerospace Engineering Department, University of California San Diego, La Jolla, CA 92093, United States; Institute for Engineering in Medicine, University of California San Diego, La Jolla, CA 92093, United States.
University of California, San Diego · USHospital General Universitario Gregorio Marañón · ESSan Diego State University · USSpanish National Centre for Cardiovascular Research · ESUniversidad Politécnica de Madrid · ESBiomedical Research Networking Center in Bioengineering, Biomaterials and Nanomedicine · ESUniversidad Complutense de Madrid · ES

Funding

Characterization of intraventricular filling vortices in the clinical settingR21HL108268 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI DEL ALAMO, JUAN CARLOS, KAHN, ANDREW · 2011 to 2012
$415k
NHLBI NIH HHS R21 HL108268
6 · The paper itself

Abstract

In patients at risk of intraventrcular thrombosis, the benefits of chronic anticoagulation therapy need to be balanced with the pro-hemorrhagic effects of therapy. Blood stasis in the cardiac chambers is a recognized risk factor for intracardiac thrombosis and potential cardiogenic embolic events. In this work, we present a novel flow image-based method to assess the location and extent of intraventricular stasis regions inside the left ventricle (LV) by digital processing flow-velocity images obtained either by phase-contrast magnetic resonance (PCMR) or 2D color-Doppler velocimetry (echo-CDV). This approach is based on quantifying the distribution of the blood Residence Time (TR) from time-resolved blood velocity fields in the LV. We tested the new method in illustrative examples of normal hearts, patients with dilated cardiomyopathy and one patient before and after the implantation of a left ventricular assist device (LVAD). The method allowed us to assess in-vivo the location and extent of the stasis regions in the LV. Original metrics were developed to integrate flow properties into simple scalars suitable for a robust and personalized assessment of the risk of thrombosis. From a clinical perspective, this work introduces the new paradigm that quantitative flow dynamics can provide the basis to obtain subclinical markers of intraventricular thrombosis risk. The early prediction of LV blood stasis may result in decrease strokes by appropriate use of anticoagulant therapy for the purpose of primary and secondary prevention. It may also have a significant impact on LVAD device design and operation set-up.

Indexed as

AnimalsHeart-Assist DevicesHeart VentriclesMaleSwineThrombosisBlood stasisEchocardiographyIntraventricular thrombosisLeft ventricular assist devicesPhase contrast magnetic resonanceResidence time

Identifiers

PMID26680013
PMCPMC4885799
OpenAlexW2261175747

What OpenQuestion holds

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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.