Evidence map›Paper›PMID 35207336›Full record

ArticleJournal of clinical medicine2022

Early Hemodynamic Changes following Surgical Ablation of the Right Greater Splanchnic Nerve for the Treatment of Heart Failure with Preserved Ejection Fraction.

Piotr Gajewski, Marat Fudim, Veraprapas Kittipibul, Zoar J Engelman, Jan Biegus, Robert Zymliński, Piotr Ponikowski

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.0field-weighted citation impact, top 24% 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

8 citing papers in PubMed, 6 citations in OpenAlex.

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  8. Novel Therapeutic Devices in Heart Failure.Journal of clinical medicine · 2022
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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

7 authors at 4 institutions in 2 countries.

Piotr GajewskiInstitute of Heart Diseases, University Hospital, 50-556 Wroclaw, Poland.ORCID 0000-0001-6013-5167
Marat FudimDuke Clinical Research Institute, Durham, NC 27710, USA.
Veraprapas KittipibulDivision of Cardiology, Duke University Medical Center, Durham, NC 27710, USA.
Zoar J EngelmanCoridea LLC, New York, NY 10018, USA.
Jan BiegusInstitute of Heart Diseases, University Hospital, 50-556 Wroclaw, Poland.ORCID 0000-0001-9977-7722
Robert ZymlińskiInstitute of Heart Diseases, University Hospital, 50-556 Wroclaw, Poland.
Piotr PonikowskiInstitute of Heart Diseases, University Hospital, 50-556 Wroclaw, Poland.
Wroclaw Medical University · PLClinical Research Institute · USCoridea (United States) · USDuke Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPermanent ablation of the right greater splanchnic nerve (GSN) has previously been demonstrated to improve quality of life and functional outcomes, as well as reduce abnormally high intracardiac filling pressures, in patients with heart failure with preserved ejection fraction (HFpEF) at 1, 3 and 12 months following the procedure. We hypothesize that hemodynamic changes that ensue from surgical right GSN ablation would be apparent as early as 24 h after the medical intervention. METHODS AND

resultsThis is a prespecified analysis of a single-arm, two-center, open-label study evaluating the effects of right GSN ablation via thoracoscopic surgery in HFpEF patients with pulmonary capillary wedge pressure (PCWP) ≥15 mmHg at rest or ≥25 mmHg with supine cycle ergometry. A total of seven patients (median age 67 years, 29% female) underwent GSN removal followed by invasive right heart catheterization within 24 h. GSN ablation resulted in a significant reduction in PCWP 24 h after the procedure compared to baseline for both 20 W exercise (baseline (28.0 ± 4.3 mmHg) to 24 h (19.6 ± 6.9 mmHg);

conclusionsPermanent right GSN ablation leads to a reduction in intracardiac filling pressures during exercise, apparent as early as 24 h following the procedure.

Indexed as

greater splanchnic nerve ablationheart failureHFpEF

Identifiers

PMID35207336
PMCPMC8878100
OpenAlexW4214597068

What OpenQuestion holds

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LicenceCC BY
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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.