Evidence map›Paper›PMID 28233825›Full record

ArticleScientific reports2017

Optical coherence tomography evaluation of pulmonary arterial vasculopathy in Systemic Sclerosis.

Johannes P Schwaiger, Christopher D Loder, David Dobarro, Thomas Kaier, Sally Reddecliffe, Benjamin E Schreiber, Clive Handler, Christopher P Denton, John G Coghlan

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Scientific reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04410549 (Optical Coherence Tomography for Microvascular Lung Vessels Obstructive Thromboinflammatory Syndrome Assessment in Patients With COVID-19), which is not on this map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.4field-weighted citation impact, top 35% 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.

NCT04410549 nacompletednot on this mapstarted 2020, after this paper: background citation

Optical Coherence Tomography for Microvascular Lung Vessels Obstructive Thromboinflammatory Syndrome Assessment in Patients With COVID-19: an Exploratory Study

TypeinterventionalSponsorIRCCS San RaffaeleRan2020 to 2021Enrolled13ConditionsCovid19, Pulmonary EmbolismArmsOptical Coherence Tomography (OCT)
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Paraclinical Aspects in Systemic Sclerosis.International journal of general medicine · 2022
    Review
  4. Major lung complications of systemic sclerosis.Nature reviews. Rheumatology · 2018
    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

9 authors at 1 institution in 1 country.

Johannes P SchwaigerDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
Christopher D LoderDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
David DobarroDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
Thomas KaierDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
Sally ReddecliffeDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
Benjamin E SchreiberDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
Clive HandlerDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
Christopher P DentonDepartment of Rheumatology. Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
John G CoghlanDepartment of Cardiology, Royal Free London NHS Foundation Trust, Pond Street, London, NW3 2QG, United Kingdom.
Royal Free London NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Our current understanding of the pathophysiology of pulmonary vascular disease is incomplete, since information about alterations of the pulmonary vasculature in pulmonary arterial hypertension (PAH) is primarily provided by autopsy or tissue specimens. The aim of this study was to compare the distal pulmonary vasculature of <2 mm in diameter in Systemic Sclerosis (SSc) patients with (n = 17) and without (n = 5) associated PAH using Optical Coherence Tomography during Right Heart catheterization. SSc-PAH patients showed significant thickening of Intima Media Thickening Area compared to patients without PAH (27 +/- 5.8% vs. 21 +/- 1.4%, p = 0.024). A good haemodynamic response to previous targeted PAH treatment was associated with a significantly greater number of small pulmonary artery side branches <300 μm per cm vessel (3.8 +/- 1.1 vs. 1.8 +/- 1.1; p = 0.010) and not associated with Intima Media thickening Area (26 +/- 5.4% vs. 28 +/- 6.7%; p = 0.6). Unexpected evidence of pulmonary artery thrombus formation was found in 19% of SSc-PAH patients. This is the first in-vivo study demonstrating a direct link between a structural abnormality of pulmonary arteries and a response to targeted treatment in PAH. Intravascular imaging may identify subgroups that may benefit from anticoagulation.

Indexed as

Tomography, Optical CoherenceAgedFemaleHemodynamicsHumansHypertension, PulmonaryMaleMiddle AgedPulmonary ArteryScleroderma, SystemicVascular Diseases

Identifiers

PMID28233825
PMCPMC5324107
OpenAlexW2590051573

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.