Evidence map›Paper›PMID 32185222›Full record

ArticleBioMed research international2020

Diagnosis of Patent Foramen Ovale: The Combination of Contrast Transcranial Doppler, Contrast Transthoracic Echocardiography, and Contrast Transesophageal Echocardiography.

Xiaoxue Yang, Hua Wang, Yajuan Wei, Nina Zhai, Baomin Liu, Xiaopeng Li

Open access · hybridAbstract read
In one paragraph

Article in BioMed research international, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
2.3field-weighted citation impact, top 10% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  18. Stroke Prevention After Cryptogenic Stroke.Current cardiology reports · 2021
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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

6 authors at 2 institutions in 1 country.

Xiaoxue YangDepartment of Ultrasound, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.ORCID https://orcid.org/0000-0002-3091-7085
Hua WangDepartment of Ultrasound, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.ORCID https://orcid.org/0000-0001-5278-5274
Yajuan WeiDepartment of Ultrasound, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.ORCID https://orcid.org/0000-0003-1562-859X
Nina ZhaiTranscranial Doppler Sonography Laboratory, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.ORCID https://orcid.org/0000-0001-5009-439X
Baomin LiuDepartment of Ultrasound, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.ORCID https://orcid.org/0000-0002-8943-8548
Xiaopeng LiDepartment of Ultrasound, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710004, China.ORCID https://orcid.org/0000-0002-8377-8322
Second Affiliated Hospital of Xi'an Jiaotong University · CNNorthwest Women's and Children's Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo access the distinct values of contrast transcranial Doppler (cTCD), contrast transthoracic echocardiography (cTTE), and contrast transesophageal echocardiography (cTEE) in the diagnosis of right-to-left shunt (RLS) due to patent foramen ovale (PFO) and to define the most practical strategy for the diagnosis of PFO.

methods102 patients with a high clinical suspicion for PFO had simultaneous cTCD, cTTE, and cTEE performed. The agitated saline mixed with blood was used to detect right-to-left shunt (RLS).

resultsIn all 102 patients, the shunt was detected at rest by cTCD in 60.78% of cases, by cTTE in 42.16%, and by cTEE in 47.06%. The positive results of all 3 techniques with Valsalva maneuver (VM) were significantly improved. cTCD showed higher pick-up rate than cTTE (98.04% vs. 89.22%;

conclusionsThe best method to diagnose PFO should be the combination of cTCD, cTTE, and cTEE. And cTCD should be applied as the first choice for screening RLS. Then, cTTE should be performed to quantify the severity of the shunt. Last but not least, cTEE should be performed to assess the morphologies of PFO when the closure is planned. The study provides for clinicians the most practical strategy for diagnosing PFO in the future. However, further trials with a large sample size are required to confirm this finding.

Indexed as

AdolescentAdultAgedContrast MediaEchocardiographyEchocardiography, TransesophagealFemaleForamen Ovale, PatentHumansMaleMiddle AgedUltrasonography, Doppler, TranscranialValsalva ManeuverYoung AdultContrast Media

Identifiers

PMID32185222
PMCPMC7060853
OpenAlexW3008398462

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.