Evidence map›Paper›PMID 32851127›Full record

ArticleTransplantation direct2020

Nontraditional Transesophageal Echocardiographic Views to Evaluate Hepatic Vasculature in Orthotopic Liver Transplantation and Liver Resection Surgery.

Mitchell T Seman, Jeremy M Alvord, Andrew W Gorlin, Karl A Poterack, Peter E Frasco, Ricardo E Verdiner, David M Rosenfeld, Narjeet S Khurmi

Open access · goldAbstract read
In one paragraph

Article in Transplantation direct, 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
0.1field-weighted citation impact, top 52% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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 1 institution in 1 country.

Mitchell T SemanDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
Jeremy M AlvordDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
Andrew W GorlinDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
Karl A PoterackDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
Peter E FrascoDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
Ricardo E VerdinerDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
David M RosenfeldDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
Narjeet S KhurmiDepartment of Anesthesiology and Perioperative Medicine, Mayo Clinic Hospital, Phoenix, AZ.
Mayo Clinic Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundUtilization of intraoperative transesophageal echocardiography (TEE) during orthotopic liver transplantation (OLT) is expanding annually in high-volume transplant centers. During OLT intraoperative TEE is used to gather real-time information on cardiovascular function and intravascular volume status. Although standardized TEE views exist, there are nontraditional views described in the literature which have the potential to diagnose evolving pathology and define normal variants of hepatic vasculature.

methodsA literature review was completed utilizing the PubMed database for English-only, peer-reviewed publications discussing nontraditional use of intraoperative TEE during OLT and hepatic vascular-related surgeries from 2009 to 2019. Both case reports and review articles were considered.

resultsThe PubMed literature search offered 8 publications for analysis, including 7 case reports and 1 article review, revealing several nontraditional TEE views not included in a comprehensive transesophageal echocardiographic examination. These nontraditional views were generally obtained using modifications to the transgastric and bicaval views to visualize liver vasculature. We present the various techniques for obtaining these views from the 8 articles identified.

conclusionsAt high-volume transplant centers, TEE use during OLT is increasing. Intraoperative TEE is a valuable tool to assess hepatic vascular structures critical to allograft/organ function without interruption of the surgical procedure. Nontraditional use of TEE to diagnose intraoperative noncardiac pathology in OLT appears underutilized and underreported. The modified hepatic and modified transgastric views we describe can be used to evaluate hepatic vasculature, influence surgical decision-making and ultimately improve patient care.

Identifiers

PMID32851127
PMCPMC7423919
OpenAlexW3081317680

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.