Evidence map›Paper›PMID 35114059›Full record

Observational studyCatheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions2022

Percutaneous mechanical thrombectomy in a real-world pulmonary embolism population: Interim results of the FLASH registry.

Catalin Toma, Matthew C Bunte, Kenneth H Cho, Wissam A Jaber, Jeffrey Chambers, Brian Stegman, Sreedevi Gondi, Daniel A Leung, Michael Savin, Sameer Khandhar and 11 more

Registry-linked trialOpen access · hybridAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03761173 (FlowTriever All-Comer Registry for Patient Safety and Hemodynamics), which is not on this map. Cited by 61 papers.

0numbers the graph read from it
0cells of the map it votes in
61citing papers in PubMed
21.3field-weighted citation impact, top 1% 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.

NCT03761173 completednot on this map

FlowTriever All-Comer Registry for Patient Safety and Hemodynamics (FLASH)

Typeobservational_patient_registrySponsorInari MedicalRan2018 to 2024Enrolled1,200ConditionsPE - Pulmonary Embolism, PE - Pulmonary ThromboembolismArmsFlowTriever System, Anticoagulation Agents
3 · Its place in the literature

Who cites it

61 citing papers in PubMed, 105 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
  4. Article
  5. Article
  6. Article
  7. Catheter-directed thrombectomy in acute pulmonary embolism and angiographic signs of chronic thromboembolic pulmonary disease.Clinical research in cardiology : official journal of the German Cardiac Society · 2026
    Article
  8. Review
  9. Article
  10. Review
  11. Article
  12. Pulmonary embolism consensus.Archivos de cardiologia de Mexico · 2026
    Article
  13. Review
  14. Article
  15. Observational
  16. Article
  17. Review
  18. Observational
  19. Spontaneous blood pressure reduction of previously hypertensive patients as a symptom of central pulmonary artery embolism.Clinical research in cardiology : official journal of the German Cardiac Society · 2025
    Article
  20. Review

1 more citing papers are in PubMed but not listed here.

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

21 authors at 18 institutions in 1 country.

Catalin TomaHeart and Vascular Institute, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.ORCID 0000-0003-0187-2962
Matthew C BunteVascular Medicine and Interventional Cardiology, Saint Luke's Mid America Heart Institute, Kansas City, Missouri, USA.
Kenneth H ChoInterventional Radiology, Albert Einstein Healthcare Network, Philadelphia, Pennsylvania, USA.
Wissam A JaberDivision of Cardiology, Emory University Hospital, Atlanta, Georgia, USA.
Jeffrey ChambersInterventional Cardiology, Metropolitan Heart and Vascular Institute, Minneapolis, Minnesota, USA.
Brian StegmanInterventional Cardiology, CentraCare Heart and Vascular Center, St. Cloud, Minnesota, USA.
Sreedevi GondiInterventional Cardiology, Baptist Health, Louisville, Kentucky, USA.
Daniel A LeungVascular Interventional Radiology, Christiana Care Health System, Newark, Delaware, USA.
Michael SavinInterventional Radiology, Beaumont Health, Royal Oak, Michigan, USA.
Sameer KhandharDivision of Cardiology, Penn Medicine, Philadelphia, Pennsylvania, USA.
Herman KadoInterventional Cardiology, Ascension Providence Hospital, Southfield, Michigan, USA.
Gerald KoenigInterventional Cardiology, Henry Ford Health System, Detroit, Michigan, USA.
Mitchell WeinbergInterventional Cardiology, Staten Island University Hospital, Northwell Health, New York, New York, USA.
Robert E BeasleyVascular Interventional Radiology, Palm Vascular Centers, Miami Beach, Florida, USA.
Jon RobertsInterventional Radiology, Methodist Healthcare Foundation, Germantown, Tennessee, USA.
Wesley AngelInterventional Radiology, Methodist Healthcare Foundation, Germantown, Tennessee, USA.
Michael G SarosiInterventional Radiology, St. Joseph Mercy Hospital, Ann Arbor, Michigan, USA.
Osama QaqiInterventional Cardiology, Ascension Providence Rochester Hospital, Rochester, Michigan, USA.
Kalyan VeerinaInterventional Cardiology, Opelousas General Health System, Opelousas, Louisiana, USA.
Michael A BrownInterventional Cardiology, Boone Hospital Center, Columbia, Missouri, USA.
Jeffrey S PollakDepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, Connecticut, USA.
Ascension Providence Hospital · USMethodist Healthcare · USBaptist Health Louisville · USBaptist Health System · USBeaumont Health · USBoone Hospital Center · USCentraCare Health System · USChristiana Care Health System · USEinstein Healthcare Network · USEmory University Hospital · USHenry Ford Health System · USNorthwell Health · USPenn Center for AIDS Research · USSaint Luke's Hospital · USTrinity Health Ann Arbor Hospital · USUnited Heart and Vascular Clinic · USUniversity of Pittsburgh Medical Center · USYale University · US

Funding

Inari Medical
6 · The paper itself

Abstract

objectivesThe FlowTriever All-Comer Registry for Patient Safety and Hemodynamics (FLASH) is a prospective multi-center registry evaluating the safety and effectiveness of percutaneous mechanical thrombectomy for treatment of pulmonary embolism (PE) in a real-world patient population (NCT03761173). This interim analysis reports outcomes for the first 250 patients enrolled in FLASH.

backgroundHigh- and intermediate-risk PEs are characterized by high mortality rates, frequent readmissions, and long-term sequelae. Mechanical thrombectomy is emerging as a front-line therapy for PE that enables immediate thrombus reduction while avoiding the bleeding risks inherent with thrombolytics.

methodsThe primary endpoint is a composite of major adverse events (MAE) including device-related death, major bleeding, and intraprocedural device- or procedure-related adverse events at 48 h. Secondary endpoints include on-table changes in hemodynamics and longer-term measures including dyspnea, heart rate, and cardiac function.

resultsPatients were predominantly intermediate-risk per ESC guidelines (6.8% high-risk, 93.2% intermediate-risk). There were three MAEs (1.2%), all of which were major bleeds that resolved without sequelae, with no device-related injuries, clinical deteriorations, or deaths at 48 h. All-cause mortality was 0.4% at 30 days, with a single death that was unrelated to PE. Significant on-table improvements in hemodynamics were noted, including an average reduction in mean pulmonary artery pressure of 7.1 mmHg (22.2%, p < 0.001). Patient symptoms and cardiac function improved through follow-up.

conclusionsThese interim results provide preliminary evidence of excellent safety in a real-world PE population. Reported outcomes suggest that mechanical thrombectomy can result in immediate hemodynamic improvements, symptom reduction, and cardiac function recovery.

Indexed as

Pulmonary EmbolismThrombectomyHemorrhageHumansProspective StudiesRegistriesTreatment Outcomehemodynamicsmechanical thrombectomypercutaneous interventionpulmonary embolism

Identifiers

PMID35114059
PMCPMC9542558
OpenAlexW4210738251

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

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.