Evidence map›Paper›PMID 33047296›Full record

ArticleLa Radiologia medica2021

Renal artery embolization of non-functioning graft: an effective treatment for graft intolerance syndrome.

Matteo Fantoni, Carla Marcato, Andrea Ciuni, Carlo Pellegrino, Umberto Russo, Riccardo Zannoni, Ilaria Paladini, Andrea Andreone, Massimo De Filippo

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In one paragraph

Article in La Radiologia medica, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
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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

9 authors at 1 institution in 1 country.

Matteo FantoniDepartment of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
Carla MarcatoDepartment of Medicine and Surgery, Unit of Interventional Radiology, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
Andrea CiuniDepartment of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy. ciuni@me.com.ORCID http://orcid.org/0000-0002-4988-6354
Carlo PellegrinoDepartment of Medicine and Surgery, Unit of General Surgery, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
Umberto RussoDepartment of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
Riccardo ZannoniDepartment of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
Ilaria PaladiniDepartment of Medicine and Surgery, Unit of Interventional Radiology, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
Andrea AndreoneDepartment of Medicine and Surgery, Unit of Interventional Radiology, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
Massimo De FilippoDepartment of Medicine and Surgery, Unit of Radiologic Science, University of Parma, Maggiore Hospital, Via Gramsci 14, Parma, Italy.
University of Parma · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPercutaneous renal artery embolization is a valid non-invasive technique alternative to nephrectomy for patients with symptomatic non-functioning allograft (graft intolerance syndrome-GIS). The purpose of this article is to report the experience of our centre.

methodsWe analysed retrospectively 15 patients with symptomatic non-functioning renal allograft treated with percutaneous embolization from 2003 to 2017. Occlusion was obtained with the injection of calibrated microspheres of increasing size (from 100 to 900 μm) and completed with 5 to 8 mm metal coils placement in the renal artery.

resultsTechnical success was achieved in all cases at the end of the procedure. Clinical success was obtained in 11 patients (73%). In four cases, nephrectomy was necessary: in one case because of septic fever and in three cases because of GIS persistence. In one case, it was possible to perform another procedure to embolize a perirenal collateral from a lumbar artery. Four patients (27%) reported minor complications which spontaneously resolved during the hospital stay.

conclusionsAccording to the scientific literature, we believe that, in selected patients, percutaneous renal artery embolization is a valid treatment option for GIS thanks to its efficacy, repeatability, minimal invasiveness and the absence of severe complications.

Indexed as

MicrospheresRenal ArteryStentsAdolescentAdultEmbolization, TherapeuticFemaleGraft RejectionHumansKidney TransplantationMaleMiddle AgedNephrectomyPostoperative ComplicationsRetrospective StudiesSyndromeEmbolizationGraft intolerance syndromeKidneyRenal artery

Identifiers

PMID33047296
OpenAlexW3092168071

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.