Evidence map›Paper›PMID 28469497›Full record

ArticleClinical medicine insights. Case reports2017

Performing Anticoagulation: A Puzzling Case of Cholesterol Embolization Syndrome.

Yusuke Igarashi, Tetsu Akimoto, Takahisa Kobayashi, Yoshitaka Iwazu, Takuya Miki, Naoko Otani-Takei, Toshimi Imai, Taro Sugase, Takahiro Masuda, Shin-Ichi Takeda and 2 more

Open access · goldAbstract readCase Reports
In one paragraph

Article in Clinical medicine insights. Case reports, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 20% 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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. 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

12 authors at 1 institution in 1 country.

Yusuke IgarashiDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Tetsu AkimotoDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Takahisa KobayashiDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Yoshitaka IwazuDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Takuya MikiDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Naoko Otani-TakeiDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Toshimi ImaiDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Taro SugaseDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Takahiro MasudaDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Shin-Ichi TakedaDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Shigeaki MutoDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Daisuke NagataDivision of Nephrology, Department of Internal Medicine, Jichi Medical University, Shimotsuke-Shi, Japan.
Jichi Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The avoidance of any form of anticoagulation is advised in cases of cholesterol embolization syndrome (CES). We herein describe a case of CES in a man with a history of unprovoked pulmonary embolism for which warfarinization was performed. Despite anecdotal reports of successful anticoagulation in CES patients with certain indications, irreversible renal failure, which was sufficiently severe to require chronic hemodialysis, eventually developed in our patient. Our results emphasize the pitfalls of this procedure, which imply its limited feasibility and safety. Several therapeutic concerns associated with this case are also discussed.

Indexed as

Cholesterol crystal embolizationend-stage kidney diseasehemodialysispulmonary embolismwarfarin

Identifiers

PMID28469497
PMCPMC5398301
OpenAlexW2593112442

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.