Three-dimensional intracardiac echocardiography and pulmonary embolism.

Konstantin Yastrebov, Laurencie Brunel, Hugh S Paterson, Zoe A Williams, Paul G Bannon

Open access · goldAbstract read

In one paragraph

Article in Cardiovascular ultrasound, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it

0cells of the map it votes in

3citing papers in PubMed

0.7field-weighted citation impact, top 25% 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

3 citing papers in PubMed, 6 citations in OpenAlex.

A Proposed Approach for the Management of Clot-in-Transit.Cureus · 2022
Review
Three-dimensional and catheter-based intracardiac echocardiographic characterization of the interatrial septum in 2 horses with suspicion of a patent foramen ovale.Journal of veterinary internal medicine · 2022
Article
Intracardiac Echocardiography for Point-of-Care Guided Left Ventricular Assist Device Implantation: Surgical Implications for COVID-19.Surgical innovation · 2022
Article

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

5 authors at 1 institution in 1 country.

Konstantin YastrebovSydney Core Research Facility, University of Sydney, Hybrid Theatre, Charles Perkins Building, Johns Hopkins Dr, Camperdown, Sydney, NSW, 2006, Australia. syastrebov@y7mail.com.ORCID http://orcid.org/0000-0002-6668-1545

Laurencie BrunelSydney Core Research Facility, University of Sydney, Hybrid Theatre, Charles Perkins Building, Johns Hopkins Dr, Camperdown, Sydney, NSW, 2006, Australia.

Hugh S PatersonSydney Core Research Facility, University of Sydney, Hybrid Theatre, Charles Perkins Building, Johns Hopkins Dr, Camperdown, Sydney, NSW, 2006, Australia.

Zoe A WilliamsSydney Core Research Facility, University of Sydney, Hybrid Theatre, Charles Perkins Building, Johns Hopkins Dr, Camperdown, Sydney, NSW, 2006, Australia.

Paul G BannonSydney Core Research Facility, University of Sydney, Hybrid Theatre, Charles Perkins Building, Johns Hopkins Dr, Camperdown, Sydney, NSW, 2006, Australia.

The University of Sydney · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-dimensional intracardiac echocardiography (3D ICE) with wide azimuthal elevation is a novel technique performed for assessment of cardiac anatomy and guidance of intracardiac procedures, being able to provide unique views with good spatial and temporal resolution. Complications arising from this invasive procedure and the value of 3D ICE in the detection and diagnosis of acute cardiovascular pathology are not comprehensively described. This case illustrates a previously unreported iatrogenic complication of clot displacement from the intra-vascular sheath upon insertion of a 3D ICE catheter and the value of 3D ICE in immediate diagnosis of clot in transit through the heart with pulmonary embolism. CASE PRESENTATION: We conducted a translational study of 3D ICE with wide azimuthal elevation to guide implantation of a left ventricular assist device (Impella CP®) in eight adult sheep. A large-bore 14 Fr central venous sheath was used to enable right atrial and right ventricular access for the intracardiac catheter. Insertion of the 3D ICE catheter was accompanied by a sudden severe cardiorespiratory deterioration in one animal. 3D ICE revealed a large highly mobile mass within the right heart chambers, determined to be a clot-in-transit. The diagnosis of pulmonary clot embolism resulting from the retrograde blood entry into the large-bore sheath introducer, rapid clot formation and consequent displacement into venous circulation by the ICE catheter was made. The sheep survived this life-threatening event following institution of cardiovascular support allowing completion of the primary research protocol.

conclusionThis report serves as a serious warning to the researchers and clinicians utilizing long large-bore sheath introducers for 3D ICE and illustrates the value of 3D ICE in detecting clot-in-transit within right heart chambers.

Indexed as

AnimalsCoronary ThrombosisDisease Models, AnimalEchocardiography, Three-DimensionalFemalePulmonary EmbolismSheep, DomesticPulmonary embolismThree dimensional intracardiac echocardiography

Identifiers

PMID32819376

DOI10.1186/s12947-020-00220-3

PMCPMC7441699

OpenAlexW3080282495

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.