Evidence map›Paper›PMID 34144749›Full record

ReviewSeminars in vascular surgery2021

A review of acute limb ischemia in COVID-positive patients.

Nicole Ilonzo, Dejah Judelson, Wissam Al-Jundi, Yana Etkin, Leigh Anne O'Banion, Aksim Rivera, Giovanni Tinelli, Rafaello Bellosta, Ageliki Vouyouka

Open access · greenAbstract readReview
In one paragraph

Review in Seminars in vascular surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.7field-weighted citation impact, top 13% 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

8 citing papers in PubMed, 26 citations in OpenAlex.

  1. Article
  2. An extremely rare cause of flank pain: Answers.Pediatric nephrology (Berlin, Germany) · 2023
    Article
  3. Review
  4. Article
  5. Article
  6. Article
  7. Article
  8. 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

9 authors at 8 institutions in 3 countries.

Nicole IlonzoDivision of Vascular Surgery, Icahn School of Medicine at Mount Sinai, The Mount Sinai Medical Center, 1425 Madison Avenue, 4th Floor, New York, NY 10029. Electronic address: nicole.ilonzo@mountsinai.org.
Dejah JudelsonDivision of Vascular Surgery, University of Massachusetts, Worcester, MA.
Wissam Al-JundiNorwich Vascular Centre, Norfolk and Norwich University Hospital, Norwich, UK.
Yana EtkinDivision of Vascular and Endovascular Surgery, Zucker School of Medicine at Hofstra/Northwell, Hempstead, NY.
Leigh Anne O'BanionUniversity of California- San Francisco Department of Surgery.
Aksim RiveraDivision of Vascular Surgery, Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY.
Giovanni TinelliUnit of Vascular Surgery, Fondazione Policlinico Universitario Gemelli IRCCS-Università Cattolica del Sacro Cuore.
Rafaello BellostaDivisions of Vascular Surgery, Department of Cardiovascular Surgery, Fondazione Poliambulanza, Brescia, Italy.
Ageliki VouyoukaDivision of Vascular Surgery, Icahn School of Medicine at Mount Sinai, The Mount Sinai Medical Center, 1425 Madison Avenue, 4th Floor, New York, NY 10029.
Mount Sinai Medical Center · USFondazione Poliambulanza Istituto Ospedaliero · ITHofstra University · USJacobi Medical Center · USNorfolk and Norwich University Hospital · GBUniversità Cattolica del Sacro Cuore · ITUniversity of California, San Francisco · USUniversity of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This literature review discusses the current evidence on acute limb ischemia (ALI) in patients with COVID-19. Throughout the pandemic, these patients have been at increased risk of arterial thrombotic events and subsequent mortality as a result of a hypercoagulable state. The exact mechanism of thrombosis is unknown; however arterial thrombosis may be due to invasion of endothelial cells via angiotensin-converting enzyme 2 (ACE2) receptors, endothelial injury from inflammation, or even free-floating aortic thrombus. Multiple studies have been performed evaluating the medical and surgical management of these patients; the decision to proceed with operative intervention is dependent on the patient's clinical status as it relates to COVID-19 and morbidity of that disease. The interventions afforded typically include anticoagulation in patients undergoing palliation; alternatively, thrombectomy (endovascular and open) is utilized in other patients. There is a high risk of rethrombosis, despite anticoagulation, given persistent endothelial injury from the virus. Postoperative mortality can be high in these patients.

Indexed as

AnticoagulantsCOVID-19HumansIschemiaLower ExtremityThrombectomyThrombosisAnticoagulants

Identifiers

PMID34144749
PMCPMC8167656
OpenAlexW3165277123

What OpenQuestion holds

Textmetadata
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.