Evidence map›Paper›PMID 27896414›Full record

SynthesisCardiovascular and interventional radiology2017

Closure Devices for Iatrogenic Thoraco-Cervical Vascular Injuries.

Gregory C Makris, Rafiuddin Patel, Mark Little, Carina Tyrrell, James Sutcliffe, Kader Allouni, Mark Bratby, Susan Anthony, Raman Uberoi

Open access · hybridAbstract readSystematic Review
In one paragraph

Synthesis in Cardiovascular and interventional radiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact, top 78% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Review
  3. 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

9 authors at 1 institution in 1 country.

Gregory C MakrisInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK. g.makris09@doctors.org.uk.
Rafiuddin PatelInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
Mark LittleInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
Carina TyrrellInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
James SutcliffeInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
Kader AllouniInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
Mark BratbyInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
Susan AnthonyInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
Raman UberoiInterventional Radiology Department, Oxford University Hospitals, NHS Foundation Trust, Oxford, UK.
Oxford University Hospitals NHS Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe unintentional arterial placement of a central venous line can have catastrophic complications. The purpose of this systematic review is to assess and analyse the available evidence regarding the use of the various vascular closure devices (VCDs) for the management of iatrogenic thoraco-cervical arterial injuries (ITCAI).

methodsA systematic review was performed according to PRISMA guidelines.

resultsThirty-two relevant case series and case reports were identified with a total of 69 patients having being studied. In the majority of the studies, plug-based VCDs were used (81%) followed by suture-based devices (19%). The majority of studies reported successful outcomes from the use of VCDs in terms of achieving immediate haemostasis without any acute complications. Long-term follow-up data were only available in nine studies with only one case of carotid pseudoaneurysm being reported after 1-month post-procedure. All other cases had no reported long-term complications. Five studies performed direct or indirect comparisons between VCDs and other treatments (open surgery or stent grafting) suggesting no significant differences in safety or effectiveness.

conclusionAlthough there is limited evidence, VCDs appear to be safe and effective for the management of ITCAIs. Further research is warranted regarding the effectiveness of this approach in comparison to surgery and in order to identify those patients who are more likely to benefit from this minimally invasive approach.

Indexed as

Iatrogenic DiseaseVascular Closure DevicesAgedArteriesCatheterization, Central VenousFemaleHumansMaleVascular System InjuriesClosure deviceIatrogenicInterventional radiologyVascular injury

Identifiers

PMID27896414
PMCPMC5288421
OpenAlexW2557728003

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.