Evidence map›Paper›PMID 33823607›Full record

ArticleJournal of the Royal Society, Interface2021

Non-uniform mixing of hepatic venous flow and inferior vena cava flow in the Fontan conduit.

Friso M Rijnberg, Séline F S van der Woude, Hans C van Assen, Joe F Juffermans, Mark G Hazekamp, Monique R M Jongbloed, Sasa Kenjeres, Hildo J Lamb, Jos J M Westenberg, Jolanda J Wentzel and 1 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of the Royal Society, Interface, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
1.5field-weighted citation impact, top 18% 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

10 citing papers in PubMed, 1 synthesis or guideline pooled it, 12 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Applications of Computational Fluid Dynamics in Congenital Heart Disease: A Review.Journal of cardiovascular development and disease · 2025
    Review
  5. Biomechanics and clinical implications of Fontan upsizing.Computers in biology and medicine · 2024
    Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. 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

11 authors at 3 institutions in 1 country.

Friso M RijnbergDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Séline F S van der WoudeDepartment of Cardiology, Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands.
Hans C van AssenDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Joe F JuffermansDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Mark G HazekampDepartment of Cardiothoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands.
Monique R M JongbloedDepartment of Cardiology and Anatomy and Embryology, Leiden University Medical Center, Leiden, The Netherlands.
Sasa KenjeresDepartment of Chemical Engineering, Faculty of Applied Sciences, Delft University of Technology and J. M. Burgerscentrum Research School for Fluid Mechanics, Delft, The Netherlands.
Hildo J LambDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Jos J M WestenbergDepartment of Radiology, Leiden University Medical Center, Leiden, The Netherlands.
Jolanda J WentzelDepartment of Cardiology, Biomedical Engineering, Erasmus MC, Rotterdam, The Netherlands.
Arno A W RoestDepartment of Pediatric Cardiology, Leiden University Medical Center, Leiden, The Netherlands.
Leiden University Medical Center · NLErasmus MC · NLJ.M. Burgerscentrum · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Fontan patients require a balanced hepatic blood flow distribution (HFD) to prevent pulmonary arteriovenous malformations. Currently, HFD is quantified by tracking Fontan conduit flow, assuming hepatic venous (HV) flow to be uniformly distributed within the Fontan conduit. However, this assumption may be unvalid leading to inaccuracies in HFD quantification with potential clinical impact. The aim of this study was to (i) assess the mixing of HV flow and inferior vena caval (IVC) flow within the Fontan conduit and (ii) quantify HFD by directly tracking HV flow and quantitatively comparing results with the conventional approach. Patient-specific, time-resolved computational fluid dynamic models of 15 total cavopulmonary connections were generated, including the HV and subhepatic IVC. Mixing of HV and IVC flow, on a scale between 0 (no mixing) and 1 (perfect mixing), was assessed at the caudal and cranial Fontan conduit. HFD was quantified by tracking particles from the caudal (HFD

Indexed as

Arteriovenous FistulaFontan ProcedureHeart Defects, CongenitalHemodynamicsHepatic VeinsHumansPulmonary ArteryVena Cava, Inferiorcomputational fluid dynamicsflowFontanhepatic flow distributionhepatic venousmixing

Identifiers

PMID33823607
PMCPMC8086942
OpenAlexW3146905016

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.