Evidence map›Paper›PMID 36593053›Full record

ReviewIn vivo (Athens, Greece)

Systemic Thrombolysis for Treatment of Acute Life-threatening Pulmonary Embolism During Cesarean Section Followed by Post-partum Rescue Hysterectomy: A Case Report and Review of the Literature.

Agathi Karakosta, Theocharis Evangelou, Stefanos Flindris, Ioanna Samara, Effrosyni Styliara, Alexandros Dalkalitsis, Danai Pantazi, Maria Bolosi, Urania Argyri, Lampros K Michalis and 4 more

Open access · diamondAbstract readReviewCase Reports
In one paragraph

Review in In vivo (Athens, Greece). 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
1.7field-weighted citation impact, top 18% 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, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Review
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

14 authors at 1 institution in 1 country.

Agathi Karakosta *Department of Anesthesia and Postoperative Intensive Care, University Hospital of Ioannina, Ioannina, Greece.
Theocharis Evangelou *Department of Obstetrics and Gynecology, University Hospital of Ioannina, Ioannina, Greece.
Stefanos FlindrisDepartment of Obstetrics and Gynecology, University Hospital of Ioannina, Ioannina, Greece; stefflindris@gmail.com.
Ioanna SamaraSecond Department of Cardiology and Michaelidion Cardiac Center, University Hospital of Ioannina, Ioannina, Greece.
Effrosyni StyliaraDepartment of Radiology, University Hospital of Ioannina, Ioannina, Greece.
Alexandros DalkalitsisDepartment of Obstetrics and Gynecology, University Hospital of Ioannina, Ioannina, Greece.
Danai PantaziDepartment of Anesthesia and Postoperative Intensive Care, University Hospital of Ioannina, Ioannina, Greece.
Maria BolosiDepartment of Anesthesia and Postoperative Intensive Care, University Hospital of Ioannina, Ioannina, Greece.
Urania ArgyriSecond Department of Cardiology and Michaelidion Cardiac Center, University Hospital of Ioannina, Ioannina, Greece.
Lampros K MichalisSecond Department of Cardiology and Michaelidion Cardiac Center, University Hospital of Ioannina, Ioannina, Greece.
Maria I ArgyropoulouDepartment of Radiology, University Hospital of Ioannina, Ioannina, Greece.
Iordanis NaurozoglouDepartment of Obstetrics and Gynecology, University Hospital of Ioannina, Ioannina, Greece.
Minas PaschopoulosDepartment of Obstetrics and Gynecology, University Hospital of Ioannina, Ioannina, Greece.
Petros TzimasDepartment of Anesthesia and Postoperative Intensive Care, University Hospital of Ioannina, Ioannina, Greece.
University Hospital of Ioannina · GR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimAcute pulmonary embolism during cesarean section is extremely rare and only a limited number of cases have been reported in literature. The aim of this study was to report a case of acute high risk pulmonary embolism during elective cesarean section treated with systemic thrombolysis and discuss the multidisciplinary management in both early recognition and prompt treatment. CASE REPORT: A 39-year-old, G5P2, ASA II parturient presented for repeat cesarean section under general anesthesia. A sudden drop in end-tidal CO

conclusionThough pregnancy is one of the major risk factors of the development of venous thromboembolism, acute intraoperative pulmonary embolism is extremely rare. Specific guidelines for the management of such cases are difficult to issue due to the paucity of relevant data. Thus, an individualized approach by a multidisciplinary team for diagnosis and intervention is mandated.

Indexed as

Pulmonary EmbolismThrombosisAdultCesarean SectionFemaleHumansHysterectomyPostpartum PeriodPregnancyThrombolytic TherapyTissue Plasminogen ActivatorTissue Plasminogen ActivatorIntrapartum pulmonary embolismPOCUSpostpartum hysterectomyrtPA

Identifiers

PMID36593053
PMCPMC9843767
OpenAlexW4313474579

What OpenQuestion holds

Textmetadata
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.