Evidence map›Paper›PMID 30545979›Full record

ReviewThe European respiratory journal2019

Intensive care, right ventricular support and lung transplantation in patients with pulmonary hypertension.

Marius M Hoeper, Raymond L Benza, Paul Corris, Marc de Perrot, Elie Fadel, Anne M Keogh, Christian Kühn, Laurent Savale, Walter Klepetko

Open access · hybridAbstract readReview
In one paragraph

Review in The European respiratory journal, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
73citing papers in PubMed, 1 pooled it
21.3field-weighted citation impact, top 1% 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

73 citing papers in PubMed, 1 synthesis or guideline pooled it, 209 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Journal of preventive medicine and hygiene · 2026
    Article
  5. Review
  6. Article
  7. Evaluation and Management of Sepsis in Pulmonary Hypertension.Journal of intensive care medicine · 2025
    Review
  8. Extended Use of Central Veno-Arterial Extracorporeal Membrane Oxygenation in Lung Transplantation for Patients with Pulmonary Arterial Hypertension.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025
    Article
  9. Article
  10. Observational
  11. Review
  12. Article
  13. Article
  14. Article
  15. Review
  16. Review
  17. Article
  18. Review
  19. Article
  20. Article

13 more citing papers are in PubMed but not listed here.

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 7 institutions in 7 countries.

Marius M HoeperDept of Respiratory Medicine, Hannover Medical School and Member of the German Center for Lung Research (DZL), Hannover, Germany.
Raymond L BenzaThe Cardiovascular Institute, Allegheny General Hospital, Pittsburgh, PA, USA.
Paul CorrisInstitute of Cellular Medicine, Newcastle University and Newcastle Hospitals NHS Foundation Trust, Newcastle upon Tyne, UK.
Marc de PerrotDivision of Thoracic Surgery, Toronto General Hospital, University of Toronto, Toronto, ON, Canada.
Elie FadelDept of Thoracic and Vascular Surgery and Heart-Lung Transplantation, Hôpital Marie Lannelongue and Université Paris-Sud, Paris, France.
Anne M KeoghHeart Transplant Unit, St Vincent's Public Hospital, Darlinghurst, Australia.
Christian KühnDept of Cardiothoracic, Vascular and Transplantation Surgery, Hannover Medical School and Member of the German Center for Lung Research (DZL), Hannover, Germany.
Laurent SavaleUniversité Paris-Sud, Faculté de Médecine, Université Paris-Saclay, Le Kremlin-Bicêtre, France.ORCID 0000-0002-6862-8975
Walter KlepetkoDept of Thoracic Surgery, Medical University of Vienna, Vienna, Austria.
Medizinische Hochschule Hannover · DEUniversité Paris-Sud · FRAllegheny General Hospital · USMedical University of Vienna · ATNewcastle upon Tyne Hospitals NHS Foundation Trust · GBUniversity of Toronto · CAUNSW Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intensive care of patients with pulmonary hypertension (PH) and right-sided heart failure includes treatment of factors causing or contributing to heart failure, careful fluid management, and strategies to reduce ventricular afterload and improve cardiac function. Extracorporeal membrane oxygenation (ECMO) should be considered in distinct situations, especially in candidates for lung transplantation (bridge to transplant) or, occasionally, in patients with a reversible cause of right-sided heart failure (bridge to recovery). ECMO should not be used in patients with end-stage disease without a realistic chance for recovery or for transplantation. For patients with refractory disease, lung transplantation remains an important treatment option. Patients should be referred to a transplant centre when they remain in an intermediate- or high-risk category despite receiving optimised pulmonary arterial hypertension therapy. Meticulous peri-operative management including the intra-operative and post-operative use of ECMO effectively prevents graft failure. In experienced centres, the 1-year survival rates after lung transplantation for PH now exceed 90%.

Indexed as

Extracorporeal Membrane OxygenationLung TransplantationAnimalsAntihypertensive AgentsCardiac OutputDisease ManagementEchocardiographyHeart FailureHumansHypertension, PulmonaryIntensive Care UnitsVentricular Dysfunction, RightAntihypertensive Agents

Identifiers

PMID30545979
PMCPMC6351385
OpenAlexW2904085911

What OpenQuestion holds

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LicenceCC BY-NC
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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.