Evidence map›Paper›PMID 36864973›Full record

ReviewCardiovascular diagnosis and therapy2023

Thoracic central venous occlusion from the interventional radiology perspective.

Basem Rashwan, Omar Shwaiki, Sasan Partovi, Karunakaravel Karuppasamy, Amanjit Gill, Sameer Gadani

Open access · diamondAbstract readReview
In one paragraph

Review in Cardiovascular diagnosis and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
2.3field-weighted citation impact, top 11% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

  1. Venous Intervention in Children: Current Practice and Controversies.Cardiovascular and interventional radiology · 2026
    Review
  2. Review
  3. Clinical outcomes of endovascular treatment in hemodialysis patients with central venous stenosis: A retrospective analysis.Therapeutic apheresis and dialysis : official peer-reviewed journal of the International Society for Apheresis, the Japanese Society for Apheresis, the Japanese Society for Dialysis Therapy · 2025
    Article
  4. Review
  5. Article
  6. Article
  7. Review
  8. 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

6 authors at 1 institution in 1 country.

Basem RashwanDepartment of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Omar ShwaikiDepartment of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Sasan PartoviDepartment of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Karunakaravel KaruppasamyDepartment of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Amanjit GillDepartment of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Sameer GadaniDepartment of Interventional Radiology, Cleveland Clinic Foundation, Cleveland, OH, USA.
Cleveland Clinic · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Central venous occlusion is a common condition in certain patient populations, with significant associated morbidity. Symptoms range from mild arm swelling to respiratory distress and can be particularly troublesome in the end stage renal disease population when related to dialysis access and function. Crossing completely occluded vessels is often the most challenging step and various techniques exist to accomplish this. Traditionally, blunt and sharp recanalization techniques are used to cross occluded vessels and are described in detail. Even with experienced providers there are lesions which prove to be too difficult and are refractory to traditional approaches. We discuss advanced techniques such as with radiofrequency guidewires as well as newer technologies which offer an alternative pathway to re-establishing access. These emerging methods have demonstrated procedural success in the majority of cases where traditional techniques were futile. Following recanalization, angioplasty with or without stenting is typically performed and restenosis is a commonly encountered complication. We discuss angioplasty and the emerging use of drug-eluting balloons in venous thrombosis. Subsequently, in regards to stenting we discuss the indications and multitude of available types including novel venous stents with their respective strengths and drawbacks. Potential feared complications such as venous rupture with balloon angioplasty and stent migration are discussed along with our recommendations to reduce their risk of occurrence and promptly manage them when they do unfortunately occur.

Indexed as

angioplastyCentral venous occlusionrecanalizationstentsuperior vena cava syndrome (SVC syndrome)

Identifiers

PMID36864973
PMCPMC9971304
OpenAlexW4285239791

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.