Evidence map›Paper›PMID 36401240›Full record

SynthesisBMC surgery2022

Comparisons of outcomes of open surgery versus endovascular intervention for thrombotic popliteal artery aneurysm with acute lower limb ischemia: a systematic review.

Xixi Xiao, Ruijia Feng, Mingshan Wang, Hanqi Sun, Tianzhen Jing, Lianhua Su, You Fan, Zuojun Hu, Shenming Wang, Siwen Wang

Open access · goldAbstract readSystematic Review
In one paragraph

Synthesis in BMC surgery, 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
0.3field-weighted citation impact, top 40% 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, 3 citations in OpenAlex.

  1. Article
  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 2 institutions in 1 country.

Xixi Xiao *Department of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
Ruijia Feng *Department of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
Mingshan WangDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
Hanqi SunDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
Tianzhen JingDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
Lianhua SuDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
You FanDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China.
Zuojun HuDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China. huzuojun@mail.sysu.edu.cn.
Shenming WangDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China. shenming_wang@126.com.
Siwen WangDepartment of Vascular Surgery, National-Guangdong Joint Engineering Laboratory for Diagnosis and Treatment of Vascular Diseases, The First Affiliated Hospital, Sun Yat-Sen University, No.58, Zhongshan 2nd road, Yuexiu District, Guangzhou, 510080, Guangdong, China. wangsiw3@mail.sysu.edu.cn.
Sun Yat-sen University · CNThe First Affiliated Hospital, Sun Yat-sen University · CN

Funding

Guangdong Department of Science& Technology Translational Medicine Center grant 2011A080300002Guangdong Province Industry-Academia-Research Program 2011B090400117Guangzhou Science and Technology Plan Projects 2011Y2-00022National Natural Science Foundation of China 81270378;81070258;81370368Natural Science Foundation of Guangdong Province S2013040012593
6 · The paper itself

Abstract

backgroundThrombotic popliteal artery aneurysm (PAA) with acute lower limb ischemia (ALI) is a serious disease leading to amputation. The choice of emergency procedures is not clearly defined, and the difference in therapeutic efficiency between open surgery and endovascular intervention is still unclear.

methodWe conducted a comprehensive search through PubMed, Wiley Online Library and ScienceDirect. According to the predefined inclusion and exclusion criteria, eligible articles were screened out, and all relevant data were extracted for further analysis. Our study was designed and developed based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) Guideline. We critically assessed all included articles by Joanna Briggs Institute (JBI) Critical Appraisal Checklists and the Methodological Index for Non-Randomized Studies (MINORS).

resultA total of 29 articles (1338 patients/1387 limbs) were included in the study. After a 1-year follow-up, the primary patency rate of the open surgery group was significantly lower than that of the endovascular intervention group (72.65 vs. 81.46%, P = 0.004), but without significant difference in the secondary patency rate (86.19 vs. 86.86%, P = 0.825). The limb salvage rate of the open surgery group was also significantly lower (83.07 vs. 98.25%, P < 0.001). After the 2-year follow-up, the primary patency rate of the open surgery group was still significantly lower (48.57 vs. 59.90%, P = 0.021).

conclusionThe outcome of endovascular intervention was better than that of open surgery especially in the 1-year limb salvage rate and primary patency rate at the 1-year and 2-year follow-ups.

Indexed as

AneurysmEndovascular ProceduresThrombosisHumansIschemiaLimb SalvagePopliteal ArteryAcute lower limb ischemiaEndovascular interventionOpen surgeryThrombotic popliteal artery aneurysm

Identifiers

PMID36401240
PMCPMC9673418
OpenAlexW4309561264

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.