Evidence map›Paper›PMID 32945973›Full record

ReviewCurrent atherosclerosis reports2020

Therapeutic Apheresis for Management of Lp(a) Hyperlipoproteinemia.

Sergei N Pokrovsky, Olga I Afanasieva, Marat V Ezhov

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current atherosclerosis reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 1 pooled it
2.5field-weighted citation impact, top 10% 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, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Cytosine base editing of LPA in transgenic mice averts large deletions.Molecular therapy : the journal of the American Society of Gene Therapy · 2026
    Article
  3. Review
  4. Review
  5. Article
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  7. Article
  8. Review
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  10. Supporting evidence for lipoprotein(a) measurements in clinical practice.Best practice & research. Clinical endocrinology & metabolism · 2023
    Review
  11. Article
  12. Review
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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

3 authors at 1 institution in 1 country.

Sergei N Pokrovsky"National Medical Research Center of Cardiology" of Ministry of Health of the Russian Federation, Institute of Clinical Cardiology, 15A, 3d Cherepkovskaya street, Moscow, 121552, Russia. Dr.Pokrovsky@mail.ru.ORCID 0000-0001-5944-6427
Olga I Afanasieva"National Medical Research Center of Cardiology" of Ministry of Health of the Russian Federation, Institute of Clinical Cardiology, 15A, 3d Cherepkovskaya street, Moscow, 121552, Russia.
Marat V Ezhov"National Medical Research Center of Cardiology" of Ministry of Health of the Russian Federation, Institute of Clinical Cardiology, 15A, 3d Cherepkovskaya street, Moscow, 121552, Russia.
National Medical Research Center of Cardiology · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewHigh lipoprotein(a) (Lp(a)) level is an independent cardiovascular risk factor with higher prevalence among patients with atherosclerotic cardiovascular disease (ASCVD). The actual problem is that most currently available lipid-lowering drugs are unable to abolish Lp(a) pathogenicity. Lipoprotein apheresis (LA) is an effective method for elimination of atherogenic lipoproteins, but it is approved only in some countries for treatment of elevated Lp(a) level in the presence of progressive ASCVD. In recent years, new studies on LA were published and the purpose of this review is to present the information on optimal management of Lp(a) hyperlipoproteinemia by LA in the modern era. RECENT

findingsMost clinical studies designed to treat Lp(a) hyperlipoproteinemia with different LA systems are small in size but demonstrate that the elimination of Lp(a) from bloodstream leads to reduction of inflammatory and prothrombotic process in a few months and to atherosclerotic plaques regression in 1.5 years. Treatment with LA for 2 to 5 years in terms of clinical trials and in real-world setting provides further evidence that Lp(a) reduction by 60-80% is associated with proportional decreasing of rate and risk of cardiovascular events. Specific Lp(a) apheresis is the only possible method that solely targets Lp(a). In most countries, non-specific LA is used for treatment Lp(a) hyperlipoproteinemia in very high-risk subjects with progressive ASCVD. PCSK9 inhibitors have only modest effect on significantly elevated Lp(a), whereas large population-based studies requested sustained and prolonged reduction of Lp(a) levels by 50-100 mg/dL to gain proportional decreasing of major adverse cardiovascular events.

Indexed as

AdultAtherosclerosisBlood Component RemovalFemaleHumansHyperlipoproteinemiasHypolipidemic AgentsLipoprotein(a)MalePCSK9 InhibitorsProprotein Convertase 9Risk FactorsTreatment OutcomeHypolipidemic AgentsLipoprotein(a)PCSK9 InhibitorsPCSK9 protein, humanProprotein Convertase 9AtherosclerosisCardiovascular eventsLipoprotein(a)Lipoprotein apheresisSpecific Lp(a) apheresis

Identifiers

PMID32945973
OpenAlexW3087698651

What OpenQuestion holds

Texttitle and abstract
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.