Evidence map›Paper›PMID 32394042›Full record

ArticleAbdominal radiology (New York)2020

Impact of PTFE-covered stent position and extension on TIPS patency.

Joshua K Cho, Juan Serna, Timothy W I Clark, Mandeep Dagli, Jeffrey I Mondschein, Richard D Shlansky-Goldberg, Scott O Trerotola, Michael C Soulen, S William Stavropoulos, Gregory J Nadolski

Abstract read
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In one paragraph

Article in Abdominal radiology (New York), 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–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.

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

2 citing papers in PubMed.

  1. Article
  2. Applying Principles of Regenerative Medicine to Vascular Stent Development.Frontiers in bioengineering and biotechnology · 2022
    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

10 authors.

Joshua K ChoRadiology, Hospital of the University of Pennsylvania, 3400 Spruce Street 1 Silverstein, Philadelphia, PA, 19104, USA. Joshua.cho@pennmedicine.upenn.edu.ORCID http://orcid.org/0000-0003-0893-306X
Juan SernaPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Timothy W I ClarkPenn Presbyterian Medical Center, 51 N 39th St 4 Wright-Saunders, Philadelphia, PA, 19104, USA.
Mandeep DagliPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Jeffrey I MondscheinPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Richard D Shlansky-GoldbergPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Scott O TrerotolaPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Michael C SoulenPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
S William StavropoulosPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.
Gregory J NadolskiPerelman School of Medicine - University of Pennsylvania, 3400 Civic Center Blvd, Philadelphia, PA, 19104, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe objectives of this study were to determine the effects of expanded polytetrafluoroethylene (PTFE)-covered stent location and TIPS extension on primary patency.

methodsThis retrospective cohort study examined patients with PTFE-covered TIPS creation between 07/2002 and 06/2016. Clinical information and patency outcomes at 24 months were extracted. At TIPS creation, extension was performed at the discretion of the operator. Kaplan-Meier curves of primary patency were generated with conditional variables of HVO-HCJ distance, extension status, and covered versus uncovered extensions. Additional logistic regression analyses of distances were performed.

resultsOf 393 patients, 115 patients (29%) underwent stent extension, 79 (20% of total cohort) of which were at the HVO end alone. Primary patency for all TIPS was 75%, 68%, and 54% at 3, 6, and 12 months. The data endpoint were transplant or death in 92 (23%) and 116 (30%). Kaplan-Meier curves showed no statistically significant difference between the variables and primary patency at 12 and 24 months: distance up to versus greater than 10 mm (p = 0.32, 0.81); extension versus no extension (p = 0.83, 0.85); uncovered versus covered extensions (p = 0.58, 0.70). Logistic regression analyses showed a trend toward statistical significance.

conclusionIn the setting of PTFE-covered TIPS creation, extended TIPSs and unextended well-positioned TIPSs have no difference in primary patency rates. Stent position and extension length may have an effect on primary patency, but were likely obscured by "user recognition" effects.

Indexed as

PolytetrafluoroethylenePortasystemic Shunt, Transjugular IntrahepaticHumansRetrospective StudiesStentsTreatment OutcomePolytetrafluoroethyleneExtensionPatencyTIPSTransjugular intrahepatic portosystemic shunt

Identifiers

PMID32394042

What OpenQuestion holds

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Registered trials

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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.