Evidence map›Paper›PMID 36565191›Full record

Observational studyJournal of the American Heart Association2023

Predicting Arterial Thrombotic Events Following Peripheral Revascularization Using Objective Viscoelastic Data.

Monica Majumdar, Ryan P Hall, Zachary Feldman, Guillaume Goudot, Natalie Sumetsky, Samuel Jessula, Amanda Kirshkaln, Tiffany Bellomo, David Chang, Jessica Cardenas and 3 more

2 registry-linked trialsAbstract readObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT07597239 naactive not recruitingnot on this map

The Use of Thromboelastography With Platelet Mapping to Guide Thromboprophylaxis Following Lower Extremity Revascularization for Peripheral Artery Disease

TypeinterventionalSponsorMassachusetts General HospitalRan2020 to 2026Enrolled130ConditionsThrombosis, Arterial Occlusive Diseases, Thromboelastography (TEG), Peripheral Arterial Disease(PAD)ArmsAspirin, Clopidogrel, Ticagrelor, Platelet Reactivity Testing, Thromboelastography with Platelet Mapping
NCT07613840 narecruitingnot on this mapstarted 2025, after this paper: background citation

Personalizing Post Surgical Thromboprophylaxis for Patients With Peripheral Artery Disease

TypeinterventionalSponsorMassachusetts General HospitalRan2025 to 2027Enrolled484ConditionsPeripheral Arterial Disease (PAD), Amputation, Thrombosis, Thrombosis (Stent Thrombosis)ArmsAspirin, Clopidogrel, Ticagrelor, Rivaroxaban, Thromboelastography with Platelet Mapping
3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 1 synthesis or guideline pooled it.

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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

13 authors.

Monica MajumdarDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.ORCID 0000-0002-4896-0743
Ryan P HallDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.
Zachary FeldmanDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.ORCID 0000-0002-4954-7504
Guillaume GoudotCardiovascular Research Center, Division of Cardiology Massachusetts General Hospital/Harvard Medical School Boston MA.
Natalie SumetskyDepartment of Epidemiology and Statistics University of Pittsburg PA.
Samuel JessulaDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.ORCID 0000-0002-0973-1649
Amanda KirshkalnDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.
Tiffany BellomoDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.
David ChangHealthcare Research and Policy Development, Codman Center, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.
Jessica CardenasCenter for Translational Injury Research University of Texas-Houston Houston TX.
Rushad PatellDivision of Hematology/Oncology Beth Israel Deaconess Medical Center/Harvard Medical School Boston MA.
Matthew EagletonDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.ORCID 0000-0002-1949-6283
Anahita DuaDivision of Vascular and Endovascular Surgery, Department of Surgery Massachusetts General Hospital/Harvard Medical School Boston MA.ORCID 0000-0002-3349-4233

Funding

Preventing Graft Thrombosis in the Elderly through Development of a Risk Prediction ToolR21AG077310 · NIA · MASSACHUSETTS GENERAL HOSPITAL · PI DUA, ANAHITA · 2022 to 2023
$476k
NIA NIH HHS R21 AG077310
6 · The paper itself

Abstract

Background Peripheral artery disease is endemic in our globally aging population, with >200 million affected worldwide. Graft/stent thrombosis after revascularization is common and frequently results in amputation, major adverse cardiovascular events, and cardiovascular mortality. Optimizing medications to decrease thrombosis is of paramount importance; however, limited guidance exists on how to use and monitor antithrombotic therapy in this heterogeneous population. Thromboelastography with platelet mapping (TEG-PM) provides comprehensive coagulation metrics and may be integral to the next stage of patient-centered thrombophrophylaxis. This prospective study aimed to determine if TEG-PM could predict subacute graft/stent thrombosis following lower extremity revascularization, and if objective cut point values could be established to identify those high-risk patients. Methods and Results We conducted a single-center prospective observational study of patients undergoing lower extremity revascularization. Patients were followed up for the composite end point postoperative graft/stent thrombosis at 1 year. TEG-PM analysis of the time point before thrombosis in the event group was compared with the last postoperative visit in the nonevent group. Cox proportional hazards analysis examined the association of TEG-PM metrics to thrombosis. Cut point analysis explored the predictive capacity of TEG-PM metrics for those at high risk. A total of 162 patients were analyzed, of whom 30 (18.5%) experienced graft/stent thrombosis. Patients with thrombosis had significantly greater platelet aggregation (79.7±15.7 versus 58.5±26.4) and lower platelet inhibition (20.7±15.6% versus 41.1±26.6%) (all

Indexed as

Platelet Aggregation InhibitorsThrombosisAgedBlood PlateletsHumansPlatelet AggregationProspective StudiesPlatelet Aggregation Inhibitorsgraft thrombosisperipheral artery diseasepersonalized medicineplatelet aggregationthromboelastographythromboprophylaxis

Identifiers

PMID36565191
PMCPMC9973575

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Registered trials

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.