Evidence map›Paper›PMID 34886795›Full record

ArticleBMC cardiovascular disorders2021

Mechanical thrombectomy of COVID-19 DVT with congenital heart disease leading to phlegmasia cerulea dolens: a case report.

Neema Jamshidi, Weiyi Tan, Dingle Foote, Leigh Reardon, Gentian Lluri, Jamil Aboulhosn, John Moriarty, Jeannette Lin

Open access · goldAbstract readCase Reports
In one paragraph

Article in BMC cardiovascular disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

5 citing papers in PubMed, 6 citations in OpenAlex.

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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.

Neema JamshidiDepartment of Radiological Sciences, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA. njamshidi@mednet.ucla.edu.ORCID 0000-0003-3857-9735
Weiyi TanDepartment of Internal Medicine/Division of Cardiology, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA.
Dingle FooteDepartment of Radiological Sciences, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA.
Leigh ReardonDepartment of Internal Medicine/Division of Cardiology, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA.
Gentian LluriDepartment of Internal Medicine/Division of Cardiology, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA.
Jamil AboulhosnDepartment of Internal Medicine/Division of Cardiology, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA.
John MoriartyDepartment of Radiological Sciences, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA.
Jeannette LinDepartment of Internal Medicine/Division of Cardiology, UCLA, 757 Westwood Ave, Ste 2125, Los Angeles, CA, 90095, USA. jeannettelin@mednet.ucla.edu.
UCLA Health · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCOVID-19 and Fontan physiology have each been associated with an elevated risk of venous thromboembolism (VTE), however little is known about the risks and potential consequences of having both. CASE PRESENTATION: A 51 year old male with tricuspid atresia status post Fontan and extracardiac Glenn shunt, atrial flutter, and sinus sick syndrome presented with phlegmasia cerulea dolens (PCD) of the left lower extremity in spite of supratherapeutic INR in the context of symptomatic COVID-10 pneumonia. He was treated with single session, catheter directed mechanical thrombectomy that was well-tolerated.

conclusionsThis report of acute PCD despite therapeutic anticoagulation with a Vitamin K antagonist, managed with emergent mechanical thrombectomy, calls to attention the importance of altered flow dynamics in COVID positive patients with Fontan circulation that may compound these independent risk factors for developing deep venous thrombosis with the potential for even higher morbidity.

Indexed as

COVID-19Fontan ProcedureGangreneMechanical ThrombolysisPostoperative ComplicationsThrombophlebitisTricuspid AtresiaAmputation, SurgicalAtrial FlutterHeart Defects, CongenitalHumansImage Processing, Computer-AssistedLower ExtremityMaleMiddle AgedPhlebographyWarfarinCase reportClotTrieverFemoral and iliac vein thrombosisFontanMechanical thrombectomyVenous thromboembolism

Identifiers

PMID34886795
PMCPMC8655716
OpenAlexW4200294832

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.