Evidence map›Paper›PMID 35029731›Full record

ArticleEuropean radiology2022

Clinical characteristics and postoperative outcomes of systemic artery-to-pulmonary vessel fistula in hemoptysis patients.

Chu-Jie Zhang, Fa-Ming Jiang, Ze-Jin Zuo, Shan-Shan Li, Yue-An Zhao, Pei-Jun Li, Dong-Fan Ye, Lan-Lan Zhang, Li-Hong Tong, Song-Lin Chen and 3 more

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Article in European radiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
2.0field-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

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 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

13 authors at 4 institutions in 1 country.

Chu-Jie Zhang *Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China.
Fa-Ming Jiang *Department of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China.
Ze-Jin Zuo *Institutional Review Board, West China Hospital, Sichuan University, Chengdu, China.
Shan-Shan LiDepartment of Intensive Care Unit, Karamay Municipal People's Hospital, Karamay, China.
Yue-An ZhaoDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China.
Pei-Jun LiDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China.
Dong-Fan YeDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China.
Lan-Lan ZhangDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China.
Li-Hong TongDepartment of Respiratory and Critical Care Medicine, Fourth Affiliated Hospital, Xinjiang Medical University, Urumqi, China.
Song-Lin ChenDepartment of Respiratory and Critical Care Medicine, Pangang Group General Hospital, Panzhihua, China.
Hai-Ming LiDepartment of Intensive Care Unit, Karamay Municipal People's Hospital, Karamay, China.
Feng-Ming LuoDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China. fengmingluo@outlook.com.
Ye WangDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Sichuan Province, #37 Guo Xue Xiang, Chengdu, 610041, China. doctordream0630@163.com.ORCID http://orcid.org/0000-0003-4523-1518
Sichuan University · CNKaramay Central Hospital · CNPanzhihua Central Hospital · CNXinjiang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo investigate the clinical characteristics and outcomes on the success of bronchial arterial embolization (BAE) in patients with and without systemic artery-to-pulmonary vessel fistula (SA-PF) and to evaluate the feasibility of CTA in the assessment of SA-PF.

methodsWe retrospectively enrolled 420 consecutive patients that underwent BAE for hemoptysis control in our hospital from September 2011 to May 2019. The clinical characteristics, preprocedural CTA findings, BAE procedural findings, and follow-up outcomes were collected. Patients were divided into two groups according to DSA findings: patients with SA-PF and those without.

resultsA total of 184 (43.7%) patients presented with SA-PF. Pneumonia was less likely to be the concomitant condition in patients with SA-PF (p < 0.001). The mean number of culprit arteries per patient was significantly higher in patients with SA-PF compared to that in patients without SA-PF (p = 0.017). The SA-PF patients saw a greater probability of recurrence (HR: 2.782, 95% CI: 1.617-4.784, p < 0.001). SA-pulmonary venous fistula (SA-PVF) favored lower hemoptysis recurrence rate (HR: 0.199, 95%CI: 0.052-0.765, p = 0.019). SA-pulmonary artery fistula (SA-PAF) can be detected by optimized CTA protocol with a detection rate of 65.3% (49/75).

conclusionsThe presence of SA-PF is an independent risk factor predicting early recurrence of hemoptysis after BAE. SA-PVF seems to be a protective factor for longer hemoptysis control compared to SA-PAF. Optimized preprocedural CTA is a reliable examination to identify SA-PAF. KEY POINTS: • The appearance of SA-PF is associated with a greater probability of early recurrent hemoptysis after bronchial artery embolization. • The presence of SA-PVF seems to be a protective factor for longer hemoptysis control after BAE compared to SA-PAF. • Optimized CTA protocol seems to be a promising auxiliary examination to detect SA-PAF.

Indexed as

Embolization, TherapeuticFistulaBronchial ArteriesHemoptysisHumansLungRetrospective StudiesTreatment OutcomeComputed tomography angiographyEmbolizaiton, therapeuticFistulaHemoptysis

Identifiers

PMID35029731
OpenAlexW4206549212

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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.