Evidence map›Paper›PMID 33777352›Full record

ArticleJournal of surgical case reports2021

Steal syndrome from a superficial circumflex iliac perforator artery flap in a patient with a hypoplastic posterior tibial artery and severe diabetic peripheral artery disease.

Grant A Murphy, Rajinder P Singh-Moon, Vincent L Rowe, Ketan M Patel, Amaan Mazhar, David J Cuccia, David G Armstrong

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of surgical case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 37% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. 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

7 authors at 2 institutions in 1 country.

Grant A MurphySouthwestern Academic Limb Salvage Alliance (SALSA), Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.ORCID https://orcid.org/0000-0002-9775-9325
Rajinder P Singh-MoonDepartment of Research and Development, Modulim, Irvine, CA, USA.ORCID https://orcid.org/0000-0001-6098-9322
Vincent L RoweDivision of Vascular Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Ketan M PatelDivision of Plastic and Reconstructive Surgery, Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
Amaan MazharDepartment of Research and Development, Modulim, Irvine, CA, USA.
David J CucciaDepartment of Research and Development, Modulim, Irvine, CA, USA.
David G ArmstrongSouthwestern Academic Limb Salvage Alliance (SALSA), Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.
University of Southern California · USModulim (United States) · US

Funding

Improving the science of adherence reinforcement and safe mobility in people with diabetic foot ulcers using smart offloadingR01DK124789 · NIDDK · UNIVERSITY OF SOUTHERN CALIFORNIA · PI ARMSTRONG, DAVID GEORGE, NAJAFI, BIJAN · 2021 to 2025
$2.0M
Modulated Imaging in Comprehensive Assessment of Diabetic Foot Ulcer Development and HealingR44DK094625 · NIDDK · MODULATED IMAGING, INC. · PI CUCCIA, DAVID J, MAZHAR, AMAAN · 2016 to 2017
$1.8M
Infrared Eyes(iREyes)R44DK102244 · NIDDK · EDEN MEDICAL, INC. · PI ARMSTRONG, DAVID GEORGE, SCHOESS, JEFFREY NORMAN · 2018 to 2020
$1.7M
NIDDK NIH HHS R01 DK124789NIDDK NIH HHS R44 DK094625NIDDK NIH HHS R44 DK102244
6 · The paper itself

Abstract

The use of free flaps in lower extremity reconstructive surgery has seen growing adoption for treating tissue loss in patients with diabetes mellitus and peripheral artery disease as a means for limb preservation. The superficial circumflex iliac perforator artery (SCIP) flap is one of the most commonly utilized flaps in foot reconstruction and has demonstrated benefits over amputation. Patients with impaired vascular and neurologic function are predisposed to complications following lower extremity reconstructive surgery, particularly ischemia in the angiosomes of the arteries used for flap anastomosis. We present the case of a patient who underwent successful SCIP flap reconstruction of the calcaneus but developed gangrene in the forefoot region supplied by a hypoplastic posterior tibial artery in subsequent months. The changes in tissue oxygenation and hemoglobin distribution of the foot are shown using spatial frequency domain imaging throughout the flap healing process and eventual tissue necrosis.

Identifiers

PMID33777352
PMCPMC7984850
OpenAlexW3136164211

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.