Evidence map›Paper›PMID 34606385›Full record

ReviewVascular medicine (London, England)2021

Catheter-directed thrombolysis for deep vein thrombosis: 2021 update.

Samuel Z Goldhaber, Elizabeth A Magnuson, Khaja M Chinnakondepalli, David J Cohen, Suresh Vedantham

Open access · greenAbstract readReview
In one paragraph

Review in Vascular medicine (London, England), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
5.8field-weighted citation impact, top 3% 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

27 citing papers in PubMed, 49 citations in OpenAlex.

  1. Trial
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  9. Prevention of the Postthrombotic Syndrome: Where Do We Stand?Seminars in interventional radiology · 2025
    Review
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
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  17. Review
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  19. Article
  20. A mapping review of Pacific Vascular Symposium 6 initiatives.Journal of vascular surgery. Venous and lymphatic disorders · 2024
    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

5 authors at 4 institutions in 1 country.

Samuel Z GoldhaberDivision of Cardiovascular Medicine, Brigham and Women's Hospital, and Harvard Medical School, Boston, MA, USA.
Elizabeth A MagnusonHealth Economics Technology Assessment Group, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.
Khaja M ChinnakondepalliHealth Economics Technology Assessment Group, Saint Luke's Mid America Heart Institute, Kansas City, MO, USA.
David J CohenSt Francis Hospital, Roslyn, NY, USA.
Suresh VedanthamMallinckrodt Institute of Radiology, Washington University in St Louis, St Louis, MO, USA.ORCID 0000-0002-5734-7553
Saint Luke's Health System · USBrigham and Women's Hospital · USSt. Francis Hospital · USWashington University in St. Louis · US

Funding

WU INSTITUTE OF CLINICAL AND TRANSLATIONAL SCIENCESUL1TR002345 · NCATS · WASHINGTON UNIVERSITY · PI William G. Powderly · 2017 to 2026
$97.8M
1/2 CATHETER-DIRECTED THERAPY FOR CHRONIC DVT (C-TRACT TRIAL)UH3HL138325 · NHLBI · WASHINGTON UNIVERSITY · PI VEDANTHAM, SURESH · 2018 to 2023
$8.1M
PHARMACOMECHANICAL CATHETER-DIRECTED THROMBOLYSIS FOR ACUTE DVT - ATTRACT TRIALU01HL088476 · NHLBI · WASHINGTON UNIVERSITY · PI VEDANTHAM, SURESH · 2008 to 2013
$7.2M
NCATS NIH HHS UL1 TR002345NHLBI NIH HHS U01 HL088476NHLBI NIH HHS UH3 HL138325
6 · The paper itself

Abstract

Catheter-directed thrombolysis (CDT) has been utilized as an adjunct to anticoagulant therapy in selected patients with deep vein thrombosis (DVT) for approximately 30 years. CDT used to be limited to patients with DVT causing acute limb threat and those exhibiting failure of initial anticoagulation, but has expanded over time. Randomized trials evaluating the first-line use of CDT for proximal DVT have demonstrated that CDT does not produce a major reduction in the occurrence of post-thrombotic syndrome (PTS) and that it is poorly suited for elderly patients and those with limited thrombus extent or major risk factors for bleeding. However, CDT does offer selected patients with acute iliofemoral DVT improvement in reducing early DVT symptoms, in achieving reduction in PTS severity, and in producing an improvement in health-related quality of life (QOL). Clinical practice guidelines from medical and surgical societies are now largely aligned with the randomized trial results. This review offers the reader an update on the results of recently completed clinical trials, and additional guidance on appropriate selection of patients with DVT for catheter-directed thrombolytic therapy.

Indexed as

Postthrombotic SyndromeVenous ThrombosisAgedCathetersHumansIliac VeinQuality of LifeThrombolytic TherapyTreatment Outcomedeep vein thrombosis (DVT)post-thrombotic syndromequality of lifethrombolysisvenous thromboembolism (VTE)

Identifiers

PMID34606385
PMCPMC9009765
OpenAlexW3203081815

What OpenQuestion holds

Textmetadata
LicenceTDM
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.