Evidence map›Paper›PMID 31983322›Full record

Trial reportJournal of the American Heart Association2020

Ultrasound-Accelerated Thrombolysis and Venoplasty for the Treatment of the Postthrombotic Syndrome: Results of the ACCESS PTS Study.

Mark J Garcia, Keith M Sterling, Susan R Kahn, Anthony J Comerota, Michael R Jaff, Kenneth Ouriel, Ido Weinberg, ACCESS PTS Investigators

Registry-linked trialOpen access · goldAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06198816 (Inflow Improve for Deep Vein ThrombOsis with Ultrasound AcceLerated ThrombOlysis and Venoplasty), which is not on this map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 7% 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.

NCT06198816 recruitingnot on this mapstarted 2024, after this paper: background citation

Inflow Improve for Deep Vein ThrombOsis with Ultrasound AcceLerated ThrombOlysis and Venoplasty: a Monocentric, Observational and Prospective Study.

TypeobservationalSponsorIRCCS San RaffaeleRan2024 to 2027Enrolled50ConditionsPost-Thrombotic Syndrome of Both LegsArmsultrasound accelerated thrombolysis and venoplasty
3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 33 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Article
  4. Acute and Chronic Ilio-Femoral Venous Reconstruction.Cardiovascular and interventional radiology · 2024
    Review
  5. DETECT-DVT: Detroit Evaluation of Thrombectomy and Evaluation of Intravascular Ultrasound in Deep Vein Thrombosis.Journal of the Society for Cardiovascular Angiography & Interventions · 2024
    Article
  6. Interventional treatment for post-thrombotic chronic venous obstruction: Progress and challenges.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    Review
  7. Article
  8. Review
  9. Article
  10. Article
  11. Does ATTRACT change our DVT management practice?The British journal of radiology · 2021
    Review
  12. Chronic Venous Disease of the Lower Extremities: A State-of-the Art Review.Journal of the Society for Cardiovascular Angiography & Interventions
    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

8 authors at 5 institutions in 3 countries.

Mark J GarciaEndoVascular Consultants Wilmington DE.
Keith M SterlingDepartment of Cardiovascular and Interventional Radiology Inova Alexandria Hospital Alexandria VA.
Susan R KahnDivision of Internal Medicine and Center for Clinical Epidemiology Jewish General Hospital Department of Medicine McGill University Montreal Quebec Canada.
Anthony J ComerotaInova Heart and Vascular Institute Inova Alexandria Hospital Alexandria VA.
Michael R JaffNewton-Wellesley Hospital Newton MA.
Kenneth OurielSyntactx New York NY.
Ido WeinbergVasCore The Vascular Ultrasound Core Laboratory Massachusetts General Hospital Boston MA.
ACCESS PTS Investigators
Inova Alexandria Hospital · USJewish General Hospital · CAMassachusetts General Hospital · USNewton Wellesley Hospital · USSpace Syntax (United Kingdom) · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Postthrombotic syndrome is a common complication of deep vein thrombosis, with limited treatment options. Methods and Results ACCESS PTS (Accelerated Thrombolysis for Post-Thrombotic Syndrome Using the Acoustic Pulse Thrombolysis Ekosonic Endovascular System) is a multicenter, single-arm, prospective study evaluating patients with chronic deep vein thrombosis and postthrombotic syndrome (Villalta score ≥8) who received minimum 3 months of anticoagulation. Patients underwent percutaneous transluminal venoplasty and ultrasound-accelerated thrombolysis, with data collected on clinical characteristics, postthrombotic syndrome, imaging, and quality of life to 1 year. The primary efficacy outcome was a reduction of ≥4 points in the Villalta score 30 days after procedure. The primary safety outcomes were major bleeding episodes within 72 hours and symptomatic pulmonary embolism during the index hospitalization. A total of 82 limbs (78 patients) were treated (age, 54.6±12.7 years; 32.1% women; mean Villalta score, 15.5±5.2). The primary end point was met in 64.6% (51/79). At 1 year, 77.3% (51/66) of limbs continued with a Villalta reduction ≥4. At 365 days, >90% of segments had patency with ultrasound flow present. Baseline to 1-year Physical Component Summary mean score of the Short Form-36 increased from 38.9±9.5 to 45.2±9.8 (

Indexed as

Endovascular ProceduresMechanical ThrombolysisUltrasonic TherapyAdultAgedFemaleHumansMaleMiddle AgedPostthrombotic SyndromeProspective StudiesQuality of LifeSeverity of Illness IndexTime FactorsTreatment OutcomeUnited Statesdeep vein thrombosispharmacomechanical thrombectomypostthrombotic syndromeultrasound‐accelerated thrombolysis

Identifiers

PMID31983322
PMCPMC7033890
OpenAlexW3000929351

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.