Evidence map›Paper›PMID 33229856›Full record

ArticleJournal of atherosclerosis and thrombosis2021

In-Hospital Outcomes after Endovascular Therapy for Acute Limb Ischemia: A Report from a Japanese Nationwide Registry [J-EVT Registry].

Takuya Tsujimura, Mitsuyoshi Takahara, Osamu Iida, Shun Kohsaka, Yoshimitsu Soga, Masahiko Fujihara, Toshiaki Mano, Masanobu Ohya, Toshiro Shinke, Tetsuya Amano and 1 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of atherosclerosis and thrombosis, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 14% 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

7 citing papers in PubMed, 12 citations in OpenAlex.

  1. Article
  2. Article
  3. Clinical outcomes of acute limb ischaemia caused by femoropopliteal stent thrombosis.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2024
    Article
  4. Article
  5. Article
  6. Observational
  7. Endovascular Therapy for Acute Limb Ischemia.Journal of atherosclerosis and thrombosis · 2021
    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

11 authors at 9 institutions in 1 country.

Takuya TsujimuraCardiovascular Center, Kansai Rosai Hospital.
Mitsuyoshi TakaharaDepartment of Metabolic Medicine, Osaka University Graduate School of Medicine.
Osamu IidaCardiovascular Center, Kansai Rosai Hospital.
Shun KohsakaDepartment of Cardiology, Keio University School of Medicine.
Yoshimitsu SogaDepartment of Cardiology, Kokura Memorial Hospital.
Masahiko FujiharaDepartment of Cardiology, Kishiwada Tokushukai Hospital.
Toshiaki ManoCardiovascular Center, Kansai Rosai Hospital.
Masanobu OhyaDepartment of Cardiology, Kurashiki Central Hospital.
Toshiro ShinkeDepartment of Cardiology, Showa University School of Medicine.
Tetsuya AmanoDepartment of Cardiology, Aichi medical University.
Yuji IkariDivision of Cardiovascular Medicine, Tokai University Hospital.
Kansai Rosai Hospital · JPAichi Medical University · JPKeio University · JPKishiwada Tokushukai Hospital · JPKokura Memorial Hospital · JPKurashiki Central Hospital · JPOsaka University · JPShowa University · JPTokai University Hospital · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimThe aim of the current study was to describe the clinical profile, frequency of in-hospital complications, and predictors of adverse events in patients undergoing endovascular therapy (EVT) for acute limb ischemia (ALI), and to compare them with those of patients undergoing EVT for chronic symptomatic peripheral artery disease (PAD).

methodsThe current study compared 2,398 cases of EVT for ALI with 74,171 cases of EVT for chronic symptomatic PAD performed between January 2015 and December 2018 in Japan. We first compared the clinical profiles of ALI patients with those of PAD patients. We then evaluated the proportion of in-hospital complications and investigated their risk factors in the ALI patients. The association of clinical characteristics with the risk of in-hospital complications was analyzed via logistic regression modeling.

resultsPatients with ALI were older and had a higher prevalence of female sex, impaired mobility, and history of cerebrovascular disease, but a lower prevalence of cardiovascular risk factors and history of coronary artery disease. The proportion of in-hospital EVT-related complications in ALI was 6.1% and was significantly higher compared with those in chronic symptomatic PAD patients (2.0%, P<0.001). Bedridden status (adjusted odds ratio [aOR], 1.74 [1.14 to 2.66]; P=0.010), history of coronary artery disease (aOR, 1.80 [1.21 to 2.68]; P=0.004), and a suprapopliteal lesion (aOR, 1.70 [1.05 to 2.74]; P=0.030) were identified as independent risk factors for in-hospital complications.

conclusionThe current study demonstrated that ALI patients with significant comorbidities show a higher proportion of in-hospital complications after EVT.

Indexed as

AgedEndovascular ProceduresFemaleFollow-Up StudiesHospitalizationHumansIschemiaJapanLower ExtremityMalePeripheral Arterial DiseaseRegistriesRisk FactorsTreatment OutcomeAcute limb ischemiaEndovascular therapyIn-hospital outcomesPeripheral artery disease

Identifiers

PMID33229856
PMCPMC8592702
OpenAlexW3108127513

What OpenQuestion holds

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LicenceCC BY-NC-SA
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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.