Evidence map›Paper›PMID 33805334›Full record

ArticleJournal of clinical medicine2021

Percutaneous Transhepatic Electrohydraulic Lithotripsy for the Treatment of Difficult Bile Stones.

Anna Maria Ierardi, Giovanni Maria Rodà, Letizia Di Meglio, Giuseppe Pellegrino, Paolo Cantù, Daniele Dondossola, Giorgio Rossi, Gianpaolo Carrafiello

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
0.7field-weighted citation impact, top 29% 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

6 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
  6. The Role of Cholangioscopy in Biliary Diseases.Diagnostics (Basel, Switzerland) · 2023
    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.

Anna Maria IerardiRadiology Department, Fondation IRCCS Cà Granda Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122 Milan, Italy.ORCID 0000-0002-4160-8018
Giovanni Maria RodàPostgraduation School in Radiodiagnostics, University of Milan, via Festa del Perdono, 20122 Milan, Italy.ORCID 0000-0002-4201-3147
Letizia Di MeglioPostgraduation School in Radiodiagnostics, University of Milan, via Festa del Perdono, 20122 Milan, Italy.
Giuseppe PellegrinoPostgraduation School in Radiodiagnostics, University of Milan, via Festa del Perdono, 20122 Milan, Italy.
Paolo CantùGastroenterology and Endoscopy Unit, Fondation IRCCS Cà Granda Ospedale Maggiore Policlinico, Department of Pathophysiology and Transplantation, University of Milan Via F. Sforza 35, 20122 Milan, Italy.
Daniele DondossolaGeneral and Liver Transplant Surgery Unit, Fondation IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Giorgio RossiGeneral and Liver Transplant Surgery Unit, Fondation IRCCS Cà Granda, Ospedale Maggiore Policlinico, 20122 Milan, Italy.
Gianpaolo CarrafielloRadiology Department, Fondation IRCCS Cà Granda Ospedale Maggiore Policlinico, Via Francesco Sforza, 35, 20122 Milan, Italy.
University of Milan · ITFondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo evaluate the efficacy and safety of percutaneous transhepatic lithotripsy (PTL) using an electro-hydraulic (EH) system for difficult bile stones.

methodsWe retrospectively evaluated two patients with recurrent cholangitis, jaundice and fever for the presence of difficult bile stones, inaccessible by an endoscopic approach, treated with PTL. Both procedures were conducted using the same protocol, with two different accesses. The treatments were performed using a 10 Fr flexible choledoscopy SpyGlass DS

resultsTechnical success, clinical success and complications were evaluated. The two procedures were successfully concluded in both patients without any residual stones in the biliary tree. For both patients, a short follow-up period of six months was available, during which they remained asymptomatic. Neither major nor minor complications were registered.

conclusionPTL was determined to be an effective and safe technique. This procedure allows a direct visualization of the stone, reducing fluoroscopy time and permitting a less invasive and less traumatic method for the percutaneous management of difficult bile stones. Advances in knowledge: The direct visualization, the high quality of the digital view, the adequate length of the device and the less traumatic approach of EH systems represent advantages compared with other available technologies.

Indexed as

biliary stonecholangiographyelectrohydraulic lithotripsypercutaneous choledoscopypercutaneous lithotripsy

Identifiers

PMID33805334
PMCPMC8037114
OpenAlexW3151537287

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.