Evidence map›Paper›PMID 29611173›Full record

Observational studyCardiology journal2020

The relationship between pulse waveform analysis indices, endothelial function and clinical outcomes in patients with peripheral artery disease treated using percutaneous transluminal angioplasty during a one-year follow-up period.

Paweł Kaczmarczyk, Paweł Maga, Rafał Niżankowski, Rafał Januszek, Marzena Frołow, Mikołaj Maga, Jolanta Kościelniak, Andrzej Belowski

Open access · goldAbstract readComparative StudyObservational Study
In one paragraph

Observational study in Cardiology journal, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
0.2field-weighted citation impact, top 43% 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

12 citing papers in PubMed, 14 citations in OpenAlex.

  1. Observational
  2. Cardiovascular endpoints in relation to the central arterial pressure-time indexes.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  3. Observational
  4. Article
  5. Review
  6. Article
  7. Article
  8. Research Progress and Clinical Value of Subendocardial Viability Ratio.Journal of the American Heart Association · 2024
    Review
  9. Article
  10. Stimulation of the Vascular Endothelium and Angiogenesis by Blood-Flow-Restricted Exercise.International journal of environmental research and public health · 2022
    Article
  11. Review
  12. 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

8 authors at 2 institutions in 1 country.

Paweł KaczmarczykAngio-Medicus Treatment Facility, Krakow, Poland. kaczmarczyk_pawel@wp.pl.
Paweł MagaAngio-Medicus Treatment Facility, Krakow, Poland.
Rafał NiżankowskiDepartment of Angiology, Jagiellonian University Medical College, Krakow, Poland.
Rafał Januszek2nd Department of Cardiology and Cardiovascular Interventions, University Hospital, Krakow, Poland.
Marzena FrołowDepartment of Angiology, Jagiellonian University Medical College, Krakow, Poland.
Mikołaj MagaDepartment of Angiology, Jagiellonian University Medical College, Krakow, Poland.
Jolanta KościelniakAngio-Medicus Treatment Facility, Krakow, Poland.
Andrzej BelowskiAngio-Medicus Treatment Facility, Krakow, Poland.
Jagiellonian University · PLUniversity School of Physical Education in Kraków · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSeveral predictors of clinical outcomes after percutaneous transluminal angioplasty (PTA) interventions in patients with peripheral arterial disease (PAD) have been investigated. Indices of endothelial function, arterial pulse waveform analysis (aPWA) and markers of peripheral artery ischemia were among the most commonly examined. The aim of the current study was to assess the relationship between potential predictors of clinical outcomes after peripheral artery PTA during a 1-year follow-up period.

methodsThe study included 72 individuals with PAD at a mean age of 66.3 ± 7.2 (79.1% males). All patients underwent PTA of the peripheral arteries. Among them, 42.8% presented critical limb ischemia (CLI). During the first visit and at 1 month and 6 months after PTA, endothelial function and aPWA measurements were taken. Ankle-brachial index (ABI), toe-brachial index (TBI) and physical evalu-ation of the limbs took place during the first visit and at 1, 6 and 12 months after the PTA. The study endpoints included myocardial infarction, amputation, death, stroke and reintervention. All subjects included in the study were observed for 386 days after the PTA.

resultsA significant improvement was noted in walking distance after PTA at the following time points, as well as transient improvement of ABI and flow-mediated dilatation (FMD) and no significant change in aPWA indices and reactive-hyperaemia index (RHI). The mean ABI, TBI, FMD and RHI values did not correlate with each other at baseline. There were 25 study endpoints which occurred in 16 patients during the follow-up period (22.2%). Patients with CLI, hypercholesterolemia, lower dias-tolic blood pressure, higher subendocardial viability ratio, a greater number of pack-years and lower TBI at baseline presented significantly poorer clinical outcomes in terms of endpoint events.

conclusionsEndothelial function assessed as FMD and reactive hyperemia-peripheral arterial tonometry (RH-PAT) before PTA in patients with advanced PAD do not predict clinical outcomes during the 1-year follow-up.

Indexed as

AngioplastyPulse Wave AnalysisVascular StiffnessVasodilationAgedAnkle Brachial IndexEndothelium, VascularExercise ToleranceFemaleFollow-Up StudiesHumansHyperemiaIntermittent ClaudicationIschemiaMaleManometryarterial pulse waveform analysisclinical outcomesendothelial functionpercutaneous transluminal angioplasty

Identifiers

PMID29611173
PMCPMC8016031
OpenAlexW2796015124

What OpenQuestion holds

Textmetadata
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.