Evidence map›Paper›PMID 30258303›Full record

ArticleOchsner journal2018

Emergent Surgical Embolectomy for Massive Pulmonary Embolism Causing Intraoperative Cardiac Arrest.

Best Anyama, Omar Viswanath, Carolina De La Cuesta, Murlikrishna Kannan, Michael Wittels, Steve Xydas, Alan David Kaye, David A Farcy

Open access · diamondAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Ochsner journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
0.2field-weighted citation impact, top 42% 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

0 citing papers in PubMed, 1 citations in OpenAlex.

No citing paper in PubMed yet.

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 4 institutions in 2 countries.

Best AnyamaDepartment of Surgery, Mount Sinai Medical Center, Miami Beach, FL.
Omar ViswanathDepartment of Anesthesia, Critical Care, and Pain Medicine, Beth Israel Deaconess Medical Center, Boston, MA.
Carolina De La CuestaDivision of Critical Care, Mount Sinai Medical Center, Miami Beach, FL.
Murlikrishna KannanIntegrated Anesthesia Medical Group, Manhattan Beach, CA.
Michael WittelsDivision of Orthopedic Surgery, Mount Sinai Medical Center, Miami Beach, FL.
Steve XydasDepartment of Cardiac and Thoracic Surgery, Mount Sinai Medical Center, Miami Beach, FL.
Alan David KayeDepartment of Anesthesiology, Louisiana State University Health Sciences Center, New Orleans, LA.
David A FarcyDivision of Critical Care, Mount Sinai Medical Center, Miami Beach, FL.
Mount Sinai Medical Center · USLouisiana State University Health Sciences Center New Orleans · USBeth Israel Deaconess Medical Center · USWPL (United States) · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA massive pulmonary embolism (PE) is associated with high mortality once cardiac arrest occurs. Surgical embolectomy is indicated in patients who have massive PE. CASE REPORT: A 62-year-old male emergently underwent surgical embolectomy after sustaining an intraoperative cardiac arrest caused by a massive PE during an open reduction with internal fixation of a closed comminuted midshaft tibia fracture. Postoperatively, the patient developed pulmonary hypertension and acute renal failure. He was treated with aerosolized epoprostenol for right ventricular strain secondary to pulmonary hypertension. He survived the hospital course and was discharged without any other major complications.

conclusionSurgical embolectomy is a viable option for massive PE, and aerosolized epoprostenol can be used as adjuvant treatment for right ventricular strain secondary to acute pulmonary hypertension.

Indexed as

Embolectomyheart arresthypertension–pulmonaryvenous thrombosis

Identifiers

PMID30258303
PMCPMC6135277
OpenAlexW2890798443

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.