Evidence map›Paper›PMID 36291972›Full record

ArticleDiagnostics (Basel, Switzerland)2022

Pitfalls of Using Imaging Technique in the Presence of Eustachian Valve or Chiari Network: Effects on Right-to-Left Shunt and Related Influencing Factors.

Han Zhang, Weiwei Liu, Jie Ma, Huanling Liu, Lin Li, Jinling Zhou, Shanshan Wang, Shanshan Li, Wei Wang, Yueheng Wang

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 31% 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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Review
  2. Article
  3. 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

10 authors at 1 institution in 1 country.

Han ZhangDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.ORCID 0000-0003-4809-4053
Weiwei LiuDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Jie MaDepartment of Vascular Surgery, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Huanling LiuDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Lin LiDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Jinling ZhouDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Shanshan WangDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Shanshan LiDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Wei WangDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Yueheng WangDepartment of Cardiac Ultrasound, The Second Hospital of Hebei Medical University, Shijiazhuang 050000, China.
Hebei Medical University · CN

Funding

S&T Program of Hebei, China 20377759D
6 · The paper itself

Abstract

When patent foramen ovale (PFO) combines with the prominent Eustachian valve or Chiari network (EV/CN), contrast transthoracic echocardiography (cTTE) may miss the diagnosis of PFO. We sought to determine the characteristics of right-to-left shunt (RLS) in PFO patients with prominent EV/CN on cTTE and identify the causal factors of missed diagnosis. We consecutively enrolled 98 patients who suffered from PFO-related stroke and with prominent EV/CN. All patients were divided into the delayed and non-delayed groups according to the characteristics of RLS on cTTE. The characteristics of RLS were compared with those of 42 intrapulmonary shunt patients. The anatomical characteristics of PFO and EV/CN were analyzed in the 98 PFO patients. Upon cTTE, significantly delayed occurrence and longer duration of the RLS in the delayed group were found both at rest and during the Valsalva maneuver, similar to the intrapulmonary shunt. Multivariate logistic analysis revealed that the length of EV/CN (>19 mm) and the diameter of PFO at the left atrium aspect (<1.2 mm) were high-risk factors for missed diagnosis. In conclusion, RLS showed delayed emergence and disappearance in some of the PFO patients with prominent EV/CN. The length of EV/CN and the diameter of PFO may have been related to the missed diagnosis of PFO.

Indexed as

Chiari networkcontrast transthoracic echocardiographyEustachian valveintrapulmonary shuntpatent foramen ovaleright-to-left shunt

Identifiers

PMID36291972
PMCPMC9600541
OpenAlexW4296991112

What OpenQuestion holds

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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.