Evidence map›Paper›PMID 35950153›Full record

ArticleJournal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures)2022

Bronchoscopic Intrapulmonary Recombinant Factor VIIa for Diffuse Alveolar Hemorrhage-induced Acute Respiratory Failure in MPO-ANCA Vasculitis: A Case Report.

Illaa Smesseim, Titia Schaepman-Ruys, Jan Willem Duitman, Yosta Vegting, Jorinde Raasveld, Marc Hilhorst, Alexander Vlaar, Josien van Es, Peter Bonta

Open access · hybridAbstract read
In one paragraph

Article in Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 51% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 1 country.

Illaa SmesseimDepartment of Respiratory Medicine, Amsterdam University Medical Center, University of Amsterdam and Free University Amsterdam, Amsterdam The Netherlands.
Titia Schaepman-RuysDepartment of Respiratory Medicine, Amsterdam University Medical Center, University of Amsterdam and Free University Amsterdam, Amsterdam The Netherlands.
Jan Willem DuitmanDepartment of Respiratory Medicine, Amsterdam University Medical Center, University of Amsterdam and Free University Amsterdam, Amsterdam The Netherlands.
Yosta VegtingDepartment of Internal Medicine, Section of Nephrology, Location Meibergdreef Amsterdam UMC, University of Amsterdam, Amsterdam The Netherlands.
Jorinde RaasveldDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam The Netherlands.
Marc HilhorstDepartment of Internal Medicine, Section of Nephrology, Location Meibergdreef Amsterdam UMC, University of Amsterdam, Amsterdam The Netherlands.
Alexander VlaarDepartment of Intensive Care Medicine, Amsterdam University Medical Centers, University of Amsterdam, Amsterdam The Netherlands.
Josien van EsDepartment of Respiratory Medicine, Amsterdam University Medical Center, University of Amsterdam and Free University Amsterdam, Amsterdam The Netherlands.
Peter BontaDepartment of Respiratory Medicine, Amsterdam University Medical Center, University of Amsterdam and Free University Amsterdam, Amsterdam The Netherlands.
University of Amsterdam · NLAmsterdam University Medical Centers · NL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Diffuse alveolar haemorrhage (DAH) is a potentially life-threatening disease, characterized by diffuse accumulation of red blood cells within the alveoli. It can be caused by a variety of disorders. In case DAH results in severe respiratory failure, veno-venous extracorporeal membrane oxygenation (VV-ECMO) can be required. Since VV-ECMO coincides with the need for anticoagulation therapy, this results in a major clinical challenge in DAH patients with hemoptysis. Case presentation: We report a patient case with severe DAH-induced acute respiratory failure and hemoptysis in need for VV-ECMO complicated by life-threatening membrane oxygenator thrombosis. The DAH-induced hemoptysis was successfully treated with local bronchoscopic recombinant factor VIIa (rFVIIa), allowing systemic anticoagulation to prevent further membrane oxygenator thrombosis. Neither systemic clinical side effects nor differences in the serum coagulation markers occurred after applying recombinant factor VIIa (rFVIIa) treatment endobronchially. Conclusion: This is, to our knowledge, the first case that reports the use of rFVIIa in a patient with DAH due to vasculitis and in need for VV-ECMO complicated by membrane oxygenator thrombosis.

Indexed as

ARDSDAHdiffuse alveolar hemorrhagenovosevenvasculitis

Identifiers

PMID35950153
PMCPMC9097647
OpenAlexW4280602678

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.