Evidence map›Paper›PMID 32198356›Full record

ArticleScientific reports2020

The distinctive structure and composition of arterial and venous thrombi and pulmonary emboli.

Irina N Chernysh, Chandrasekaran Nagaswami, Sofia Kosolapova, Alina D Peshkova, Adam Cuker, Douglas B Cines, Carolyn L Cambor, Rustem I Litvinov, John W Weisel

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 155 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
155citing papers in PubMed, 3 pooled it
18.7field-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

155 citing papers in PubMed, 3 syntheses or guidelines pooled it, 250 citations in OpenAlex.

  1. Statins for adults with a first episode of venous thromboembolic disease.The Cochrane database of systematic reviews · 2026
    Pooled it
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  3. Shell Versus Core Architecture and Biology of Thrombi in Acute Ischemic Stroke: A Systematic Review.Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
    Pooled it
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95 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 2 institutions in 2 countries.

Irina N ChernyshUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Chandrasekaran NagaswamiUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Sofia KosolapovaUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Alina D PeshkovaKazan Federal University, Kazan, Russian Federation.
Adam CukerUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Douglas B CinesUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Carolyn L CamborUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Rustem I LitvinovUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA.
John W WeiselUniversity of Pennsylvania School of Medicine, Philadelphia, PA, USA. weisel@pennmedicine.upenn.edu.
University of Pennsylvania · USKazan Federal University · RU

Funding

Multiscale modeling and empirical study of a mechanism limiting blood clot growthU01HL116330 · NHLBI · UNIVERSITY OF NOTRE DAME · PI ALBER, MARK · 2014 to 2018
$3.5M
Urokinase-type plasminogen activator (uPA) in pathogenesis of lymphangioleiomyomatosis (LAM)R01HL141462 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI KRYMSKAYA, VERA P, STEPANOVA, VICTORIA · 2019 to 2022
$1.8M
Experiment-based multi-scale modeling of the tensile and compressive deformations of fibrinR01HL135254 · NHLBI · UNIVERSITY OF PENNSYLVANIA · PI PUROHIT, PRASHANT KISHORE · 2017 to 2020
$1.6M
NHLBI NIH HHS R01 HL135254NHLBI NIH HHS R01 HL141462NHLBI NIH HHS U01 HL116330
6 · The paper itself

Abstract

Although arterial and venous thromboembolic disorders are among the most frequent causes of mortality and morbidity, there has been little description of how the composition of thrombi and emboli depends on their vascular origin and age. We quantified the structure and composition of arterial and venous thrombi and pulmonary emboli using high-resolution scanning electron microscopy. Arterial thrombi contained a surprisingly large amount of fibrin, in addition to platelets. The composition of pulmonary emboli mirrored the most distal part of venous thrombi from which they originated, which differed from the structure of the body and head of the same thrombi. All thrombi and emboli contained few biconcave red blood cells but many polyhedrocytes or related forms of compressed red blood cells, demonstrating that these structures are a signature of clot contraction in vivo. Polyhedrocytes and intermediate forms comprised the major constituents of venous thrombi and pulmonary emboli. The structures within all of the thrombi and emboli were very tightly packed, in contrast to clots formed in vitro. There are distinctive, reproducible differences among arterial and venous thrombi and emboli related to their origin, destination and duration, which may have clinical implications for the understanding and treatment of thrombotic disorders.

Indexed as

ArteriesBlood CoagulationBlood PlateletsErythrocytesFibrinHumansMicroscopy, Electron, ScanningPulmonary EmbolismThromboembolismVeinsVenous ThrombosisFibrin

Identifiers

PMID32198356
PMCPMC7083848
OpenAlexW3012198233

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.