Evidence map›Paper›PMID 35677591›Full record

ReviewJHEP reports : innovation in hepatology2022

Imaging-guided interventions modulating portal venous flow: Evidence and controversies.

Roberto Cannella, Lambros Tselikas, Fréderic Douane, François Cauchy, Pierre-Emmanuel Rautou, Rafael Duran, Maxime Ronot

Open access · goldAbstract readReview
In one paragraph

Review in JHEP reports : innovation in hepatology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.2field-weighted citation impact, top 22% 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

4 citing papers in PubMed, 10 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
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 3 countries.

Roberto CannellaUniversité Paris Cité; AP-HP, Hôpital Beaujon, Service de Radiologie, Clichy; Centre de Recherche sur l'inflammation Inserm, UMR 1149, Paris, France.
Lambros TselikasDepartment of Anesthesiology, Surgery and Interventional Radiology, Gustave Roussy, Villejuif, France.
Fréderic DouaneService de Radiologie, CHU Nantes, Nantes, France.
François CauchyUniversité Paris Cité; AP-HP, Hôpital Beaujon, Service de Chirurgie HBP, Clichy, France.
Pierre-Emmanuel RautouUniversité Paris Cité, AP-HP, Hôpital Beaujon, Service d'Hépatologie, DMU DIGEST, Centre de Référence des Maladies Vasculaires du Foie, FILFOIE, ERN RARE-LIVER, Centre de Recherche sur l'inflammation Inserm, UMR 1149, Paris, France.
Rafael DuranDepartment of Diagnostic and Interventional Radiology, Centre Hospitalier Universitaire Vaudois (CHUV) and University of Lausanne, Lausanne, Switzerland.
Maxime RonotUniversité Paris Cité; AP-HP, Hôpital Beaujon, Service de Radiologie, Clichy; Centre de Recherche sur l'inflammation Inserm, UMR 1149, Paris, France.
Inserm · FRCentre Hospitalier Universitaire de Nantes · FRUniversité Paris Cité · FRUniversity Hospital of Lausanne · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Portal hypertension is defined by an increase in the portosystemic venous gradient. In most cases, increased resistance to portal blood flow is the initial cause of elevated portal pressure. More than 90% of cases of portal hypertension are estimated to be due to advanced chronic liver disease or cirrhosis. Transjugular intrahepatic portosystemic shunts, a non-pharmacological treatment for portal hypertension, involve the placement of a stent between the portal vein and the hepatic vein or inferior vena cava which helps bypass hepatic resistance. Portal hypertension may also be a result of extrahepatic portal vein thrombosis or compression. In these cases, percutaneous portal vein recanalisation restores portal trunk patency, thus preventing portal hypertension-related complications. Any portal blood flow impairment leads to progressive parenchymal atrophy and triggers hepatic regeneration in preserved areas. This provides the rationale for using portal vein embolisation to modulate hepatic volume in preparation for extended hepatic resection. The aim of this paper is to provide a comprehensive evidence-based review of the rationale for, and outcomes associated with, the main imaging-guided interventions targeting the portal vein, as well as to discuss the main controversies around such approaches.

Indexed as

ALPPS, associating liver partition and portal vein ligation for staged hepatectomyBSG, British Society of GastroenterologyEASL, European Association for the Study of the LiverFLR, future liver remnantHE, hepatic encephalopathyimage guidedNCBA, N-butyl cyanoacrylatePH, portal hypertensionportal hypertensionportal vein embolizationPortal vein interventionsportal vein recanalizationPVE, portal vein embolisationPVR, portal vein recanalisationRCT, randomised controlled trialTACE, trans-arterial chemoembolizationTIPS, transjugular intrahepatic portosystemic shunttransjugular intrahepatic portosystemic shunt

Identifiers

PMID35677591
PMCPMC9168703
OpenAlexW4226212815

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.