Evidence map›Paper›PMID 32904502›Full record

ArticleJournal of interventional cardiology2020

Continuous Aspiration Thrombectomy in High- and Intermediate-High-Risk Pulmonary Embolism in Real-World Clinical Practice.

Aleksander Araszkiewicz, Sylwia Sławek-Szmyt, Stanisław Jankiewicz, Bartosz Żabicki, Marek Grygier, Tatiana Mularek-Kubzdela, Zbigniew Krasiński, Maciej Lesiak

Open access · goldAbstract read
In one paragraph

Article in Journal of interventional cardiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
2.7field-weighted citation impact, top 6% 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

13 citing papers in PubMed, 33 citations in OpenAlex.

  1. Observational
  2. Observational
  3. Clinical Outcomes of Catheter-Directed Thrombolysis versus Mechanical Aspiration in Patients with Acute Pulmonary Embolism.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2025
    Article
  4. Article
  5. Review
  6. Article
  7. Article
  8. Review
  9. Percutaneous Management of High-Risk Pulmonary Embolism.Circulation. Cardiovascular interventions · 2023
    Review
  10. Review
  11. Article
  12. Review
  13. 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 2 institutions in 1 country.

Aleksander Araszkiewicz1 Department of Cardiology, Poznan University of Medical Sciences, 61-848 Poznan, Poland.ORCID https://orcid.org/0000-0001-6409-6441
Sylwia Sławek-Szmyt1 Department of Cardiology, Poznan University of Medical Sciences, 61-848 Poznan, Poland.ORCID https://orcid.org/0000-0003-1143-2485
Stanisław Jankiewicz1 Department of Cardiology, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Bartosz ŻabickiDepartment of Vascular Surgery, Collegium Medicum of Zielona Gora University, 65-417 Zielona Gora, Poland.
Marek Grygier1 Department of Cardiology, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Tatiana Mularek-Kubzdela1 Department of Cardiology, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Zbigniew KrasińskiDepartment of Vascular, Endovascular Surgery, Angiology and Phlebology, Poland.
Maciej Lesiak1 Department of Cardiology, Poznan University of Medical Sciences, 61-848 Poznan, Poland.
Poznan University of Medical Sciences · PLUniversity of Zielona Góra · PL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesWe sought to assess the technical and clinical feasibility of continuous aspiration catheter-directed mechanical thrombectomy (CDT) in patients with high- or intermediate-high-risk pulmonary embolism (PE). METHODS AND

resultsFourteen patients (eight women and six men; age range: 29-71 years) with high- or intermediate-high-risk PE and contraindications to or ineffective systemic thrombolysis were prospectively enrolled between October 2018 and February 2020. The Indigo Mechanical Thrombectomy System (Penumbra, Inc., Alameda, California) was used as CDT device. Low-dose local thrombolysis (alteplase, 3-12 mg) was additionally applied in three patients. Technical and procedural success was achieved in 14 patients (100%). Complete or nearly complete clearance of pulmonary arteries was achieved in nine patients (64.3%), whereas partial clearance was achieved in five (35.7%). A significant improvement in the pre- and postprocedural patients' clinical status was observed in the following fields (median; interquartile range): heart rate (110; 100-120/min vs. 85; 80-90/min;

conclusionsCDT is a feasible and promising technique for management of high- or intermediate-high-risk PE to decrease thrombus burden, reduce right heart strain, and improve hemodynamic and clinical status. Some patients may benefit from simultaneous local low-dose thrombolytic therapy. Nevertheless, its criteria and role in CTD-managed patients require further elucidation.

Indexed as

Fibrinolytic AgentsHemorrhagePulmonary EmbolismThrombectomyFemaleHemodynamicsHumansMaleMiddle AgedPulmonary ArteryTreatment OutcomeFibrinolytic Agents

Identifiers

PMID32904502
PMCPMC7456496
OpenAlexW3080324673

What OpenQuestion holds

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LicenceCC BY
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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.