Evidence map›Paper›PMID 36699257›Full record

ArticleCritical care explorations2023

Impact of Time to Intervention on Catheter-Directed Therapy for Pulmonary Embolism.

Andrew Lehr, Phillip Guichet, Bhaskara Garimella, Kelsey Krolikowski, Nancy Amoroso, Akhilesh Sista, Shari B Brosnahan

Abstract read
In one paragraph

Article in Critical care explorations, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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.

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

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Early versus delayed catheter-based therapies in patients hospitalised with acute pulmonary embolism.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2025
    Article
  5. 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

7 authors.

Andrew LehrDivision of Pulmonary, Critical Care and Sleep Medicine, New York University Langone Health, New York, NY.
Phillip GuichetDivision of Vascular and Interventional Radiology, New York University Langone Health, New York, NY.
Bhaskara GarimellaDivision of Pulmonary, Critical Care and Sleep Medicine, New York University Langone Health, New York, NY.
Kelsey KrolikowskiDivision of Pulmonary, Critical Care and Sleep Medicine, New York University Langone Health, New York, NY.
Nancy AmorosoDivision of Pulmonary, Critical Care and Sleep Medicine, New York University Langone Health, New York, NY.
Akhilesh SistaDivision of Vascular and Interventional Radiology, New York University Langone Health, New York, NY.
Shari B BrosnahanDivision of Pulmonary, Critical Care and Sleep Medicine, New York University Langone Health, New York, NY.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cather-directed therapies (CDTs) are an evolving therapeutic option for patients with intermediate-risk pulmonary embolism (PE). Although many techniques have been studied, there is limited evidence for the impact of timing of intervention on patient outcomes. Our objective was to assess the association between time to CDT in patients presenting with PE on patient-related outcomes such as length of stay (LOS) and mortality.

designRetrospective cohort study.

settingSingle academic center. PATIENTS: We identified patients for which the PE response team had been activated from January 2014 to October 2021. Patients were split into two cohorts depending on whether they went to CDT less than 24 hours from admission (early) versus greater than 24 hours (late).

interventionsNone. MEASUREMENTS AND MAIN

resultsData on demographics, timing of interventions, pulmonary hemodynamics, and outcomes were collected. Sixty-four patients were included in analysis. Thirty-nine (63.8%) underwent their procedure less than 24 hours from admission, whereas 25 (36.2%) underwent the procedure after 24 hours. The time from admission to CDT was 15.9 hours (9.1-20.3 hr) in the early group versus 33.4 (27.9-41) in the late group (

conclusionsPatients who underwent CDT within 24 hours of admission were more likely to have shorter hospital and ICU LOS. The magnitude of change in LOS between the two cohorts was not fully explained by the difference in time to CDT. There were modest improvements in pulmonary hemodynamics in the patients who underwent CDT earlier.

Indexed as

endovascular proceduresfibrinolytic agentsmechanical thrombectomypulmonary embolismvenous thromboembolism

Identifiers

PMID36699257
PMCPMC9848527

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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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.