Evidence map›Paper›PMID 31401843›Full record

ArticleCirculation2019

Perfusion Assessment in Critical Limb Ischemia: Principles for Understanding and the Development of Evidence and Evaluation of Devices: A Scientific Statement From the American Heart Association.

Sanjay Misra, Mehdi H Shishehbor, Edwin A Takahashi, Herbert D Aronow, Luke P Brewster, Matthew C Bunte, Esther S H Kim, Jonathan R Lindner, Kathleen Rich, American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; and Council on Cardiovascular and Stroke Nursing

Registry-linked trialOpen access · bronzeAbstract read
In one paragraph

Article in Circulation, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06782100 (MRI Guided Management of Occlusive Peripheral Arterial Disease), which is not on this map. Cited by 69 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
69citing papers in PubMed, 3 pooled it
14.6field-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.

NCT06782100 recruitingnot on this mapstarted 2024, after this paper: background citation

MRI Guided Management of Occlusive Peripheral Arterial Disease

Typeobservational_patient_registrySponsorThe Methodist Hospital Research InstituteRan2024 to 2029Enrolled175ConditionsPeripheral Vascular Diseases
3 · Its place in the literature

Who cites it

69 citing papers in PubMed, 3 syntheses or guidelines pooled it, 137 citations in OpenAlex.

  1. Pooled it
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  12. Maximal Systolic Acceleration and Near-Infrared Fluorescence Imaging With Indocyanine Green as Predictors for Successful Lower Extremity Revascularization.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2026
    Article
  13. Early Improvement in Wound, Ischaemia, and foot Infection (WIfI) Ischaemia Grade Lowers Risk of Major Amputation following Revascularisation for Chronic Limb Threatening Ischaemia.European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery · 2026
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  14. Review
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9 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

10 authors at 4 institutions in 3 countries.

Sanjay Misra
Mehdi H Shishehbor
Edwin A Takahashi
Herbert D Aronow
Luke P Brewster
Matthew C Bunte
Esther S H Kim
Jonathan R Lindner
Kathleen Rich
American Heart Association Council on Peripheral Vascular Disease; Council on Clinical Cardiology; and Council on Cardiovascular and Stroke Nursing
Brewster Place · USLindner Center of HOPE · USSt. Matthew's University · KYTakahashi Industrial and Economic Research Foundation · JP

Funding

The Role of Hypoxia In Venous Neointimal Hyperplasia In Hemodialysis GraftsR01HL098967 · NHLBI · MAYO CLINIC ROCHESTER · PI Sanjay Misra · 2010 to 2026
$10.4M
Molecular Mechanisms of Flow-dependent Arterial Remodeling in Peripheral Arterial DiseaseR01HL143348 · NHLBI · EMORY UNIVERSITY · PI BREWSTER, LUKE PACKARD · 2018 to 2022
$3.6M
Molecular Mechanism of Disturbed Flow in Arterial StiffeningK08HL119592 · NHLBI · EMORY UNIVERSITY · PI BREWSTER, LUKE PACKARD · 2014 to 2018
$690k
Regulatory gene-chemokine networks in the formation of hemodialysis AVF stenosisR56DK107870 · NIDDK · MAYO CLINIC ROCHESTER · PI KUMAR, RAJIV, MISRA, SANJAY · 2020 to 2020
$103k
BLRD VA I01 BX004707NHLBI NIH HHS K08 HL119592NHLBI NIH HHS R01 HL098967NHLBI NIH HHS R01 HL143348NIDDK NIH HHS R56 DK107870RRD VA I21 RX003188
6 · The paper itself

Abstract

There are >12 million patients with peripheral artery disease in the United States. The most severe form of peripheral artery disease is critical limb ischemia (CLI). The diagnosis and management of CLI is often challenging. Ethnic differences in comorbidities and presentation of CLI exist. Compared with white patients, black and Hispanic patients have higher prevalence rates of diabetes mellitus and chronic renal disease and are more likely to present with gangrene, whereas white patients are more likely to present with ulcers and rest pain. A thorough evaluation of limb perfusion is important in the diagnosis of CLI because it can not only enable timely diagnosis but also reduce unnecessary invasive procedures in patients with adequate blood flow or among those with other causes for ulcers, including venous, neuropathic, or pressure changes. This scientific statement discusses the current tests and technologies for noninvasive assessment of limb perfusion, including the ankle-brachial index, toe-brachial index, and other perfusion technologies. In addition, limitations of the current technologies along with opportunities for improvement, research, and reducing disparities in health care for patients with CLI are discussed.

Indexed as

American Heart AssociationAnkle Brachial IndexEquipment and SuppliesEthnicityEvidence-Based MedicineExtremitiesHealthcare DisparitiesHumansIschemiaPeripheral Arterial DiseaseRegional Blood FlowUnited StatesAHA Scientific Statementsischemia, lower extremityperfusion imagingperipheral arterial disease

Identifiers

PMID31401843
PMCPMC7372288
OpenAlexW2968307850

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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.