Evidence map›Paper›PMID 30850238›Full record

SynthesisInternational journal of cardiology2019

Meta-analysis of use of balloon pulmonary angioplasty in patients with inoperable chronic thromboembolic pulmonary hypertension.

Muhammad Shahzeb Khan, Emaan Amin, Muhammad Mustafa Memon, Naser Yamani, Tariq Jamal Siddiqi, Safi U Khan, Mohammad Hassan Murad, Farouk Mookadam, Vincent M Figueredo, Rami Doukky and 2 more

Registry-linked trialAbstract readMeta-Analysis
In one paragraph

Synthesis in International journal of cardiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05110066 (Balloon Pulmonary anGiOplasty Versus Pulmonary Endarterectomy in Patients With Chronic ThromboEmbolic Pulmonary Hypertension), which is not on this map. Cited by 20 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 3 pooled it
–field-weighted citation impact
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.

NCT05110066 narecruitingnot on this mapstarted 2024, after this paper: background citation

Balloon Pulmonary anGiOplasty Versus Pulmonary Endarterectomy in Patients With Chronic ThromboEmbolic Pulmonary Hypertension: a Non-inferiority Randomized Trial

TypeinterventionalSponsorUniversity of AarhusRan2024 to 2028Enrolled139ConditionsChronic Thromboembolic Pulmonary HypertensionArmsPulmonary endarterectomy, Balloon pulmonary angioplasty
3 · Its place in the literature

Who cites it

20 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Article
  5. Treatment algorithm for pulmonary arterial hypertension.The European respiratory journal · 2024
    Review
  6. Article
  7. Article
  8. Article
  9. Review
  10. Article
  11. A multiscale model of vascular function in chronic thromboembolic pulmonary hypertension.American journal of physiology. Heart and circulatory physiology · 2021
    Article
  12. Article
  13. Review
  14. Review
  15. Review
  16. Balloon Pulmonary Angioplasty: State of the Art.Interventional cardiology (London, England) · 2020
    Review
  17. Review
  18. Article
  19. Article
  20. 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.

Muhammad Shahzeb KhanDepartment of Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA. Electronic address: shahzebkhan@gmail.com.
Emaan AminDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Muhammad Mustafa MemonDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Naser YamaniDepartment of Internal Medicine, John H. Stroger, Jr. Hospital of Cook County, Chicago, IL, USA.
Tariq Jamal SiddiqiDepartment of Internal Medicine, Dow University of Health Sciences, Karachi, Pakistan.
Safi U KhanDepartment of Internal Medicine, Robert Packer Hospital, Sayre, PA, USA.
Mohammad Hassan MuradEvidence-based Practice Center, Mayo Clinic, Rochester, MN, USA.
Farouk MookadamDepartment of Cardiovascular Diseases, Mayo Clinic, Scottsdale, AZ, USA.
Vincent M FigueredoSidney Kimmel College of Medicine at Thomas Jefferson University, Philadelphia, PA, USA.
Rami DoukkyDivision of Cardiology, Cook County Health and Hospitals System, Chicago, IL, USA.
Raymond L BenzaCardiovascular Institute, Allegheny Health Network, Pittsburgh, PA, USA.
Richard A KrasuskiDepartment of Cardiovascular Medicine, Duke University Health System, Durham, NC, USA.

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Laura F. Gibson · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundCurrent guidelines give balloon pulmonary angioplasty (BPA) a Class IIb recommendation for use in inoperable chronic thromboembolic pulmonary hypertension (CTEPH), as its safety and efficacy remain poorly defined. We conducted a systematic review and meta-analysis to evaluate BPA effectiveness.

methodsMedline, Cochrane Library and Scopus were searched for original studies from database inception dates until 24th May 2018. Prospective studies reporting outcomes before and after BPA in inoperable CTEPH patients were included. Studies with <20 patients were excluded. Data were pooled using a random effects model represented as weighted mean differences with 95% confidence intervals (CIs).

resultsSeventeen noncomparative studies comprising 670 CTEPH patients (mean age 62 years; 68% women) were included. Meta-analysis showed significantly decreased mean pulmonary artery pressure (-14.2 mm Hg [95% CI -18.9, -9.5]), pulmonary vascular resistance (-303.5 dyn·s/cm

conclusionThis systematic review and meta-analysis suggests mildly improved hemodynamics and overall low mortality rates following BPA in inoperable CTEPH patients. This non-comparative evidence can be used to facilitate decision making until the results of larger, controlled studies become available.

Indexed as

Angioplasty, BalloonHumansHypertension, PulmonaryObservational Studies as TopicProspective StudiesPulmonary EmbolismBalloon pulmonary angioplastyChronic thromboembolic pulmonary hypertensionMeta-analysis

Identifiers

PMID30850238
PMCPMC7489461

What OpenQuestion holds

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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.