Evidence map›Paper›PMID 34292289›Full record

ArticleCardiovascular journal of Africa

Can the arterial clamp method be used safely where a tourniquet cannot be used?

Ozgur Erdogan, Volkan Gürkan, Cavide Sönmez, Tunay Erden, Sezen Atasoy, Fatih Yildiz, Bekir İnan, Adile Adilli

Open access · greenAbstract read
In one paragraph

Article in Cardiovascular journal of Africa. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 93% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 1 institution in 1 country.

Ozgur ErdoganDepartment of Orthopaedics, Health Sciences University, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey. Email: drozgurerdogan@gmail.com.
Volkan GürkanDepartment of Orthopaedics, Faculty of Medicine, Bezmialem University, Istanbul, Turkey.
Cavide SönmezDepartment of Pathology, Faculty of Medicine, Bezmialem University, Istanbul, Turkey.
Tunay ErdenDepartment of Orthopaedics, Fulya Hospital, Acibadem University, Istanbul, Turkey.
Sezen AtasoyDivision of Genetics, Department of Medical Biology, Istanbul University Cerrahpasa, Istanbul, Turkey.
Fatih YildizDepartment of Orthopaedics, Faculty of Medicine, Bezmialem University, Istanbul, Turkey.
Bekir İnanDepartment of Cardiovascular Surgery, Faculty of Medicine, Bezmialem University, Istanbul, Turkey.
Adile AdilliDepartment of Pathology, Faculty of Medicine, Bezmialem University, Istanbul, Turkey.
Bezmiâlem Vakıf Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundClamp application is safe and widely used in the visceral organs. This raises the question: why not use clamping in orthopaedic, oncological, fracture and revision surgeries of areas where tourniquets are not suitable. This experimental animal study aimed to compare tourniquet and arterial clamp applications with regard to their histological effects and inflammatory responses on a molecular level, on the artery, vein, nerve and muscle tissue.

methodsTwenty-one rabbits were divided into three groups (group I: proximal femoral artery clamp; group II: proximal thigh tourniquet; and group III: control group). In the clamp group, the common femoral artery was clamped with a microvascular clamp for two hours. In the tourniquet group, a 12-inch cuff was applied to the proximal thigh for two hours at 200 mmHg. The common femoral artery, vein, nerve, rectus femoris and tibialis anterior muscles were excised and analysed in all groups.

resultsArtery and vein endothelial injuries were found in the clamp and tourniquet groups (relative to the control group,

conclusionsWe found there were no differences in incidence of vessel, muscle and nerve injury when comparing the tourniquet and clamp applications. For surgical procedures that are unsuited to a tourniquet, arterial clamping can be selected, resulting in close-to-tourniquet vessel injury rates but without tourniquet-related complications.

Indexed as

ConstrictionTourniquetsAnimalsFemoral ArteryLower ExtremityMuscle, SkeletalRabbitsarteryclamphaemorragiainjurytourniquetvein

Identifiers

PMID34292289
PMCPMC8756025
OpenAlexW3186494625

What OpenQuestion holds

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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.