Evidence map›Paper›PMID 37173409›Full record

ReviewNature reviews. Cardiology2023

Interventional therapies for pulmonary embolism.

Felix Götzinger, Lucas Lauder, Andrew S P Sharp, Irene M Lang, Stephan Rosenkranz, Stavros Konstantinides, Elazer R Edelman, Michael Böhm, Wissam Jaber, Felix Mahfoud

Registry-linked trialOpen access · bronzeAbstract readReview
In one paragraph

Review in Nature reviews. Cardiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07650435 (Prospective Observational Study to Evaluate the Use of Computer-Aided Vacuum Thrombectomy Within the Context of Intermediate and High-Risk Pulmonary Embolism), which is not on this map. Cited by 66 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
66citing papers in PubMed, 2 pooled it
31.8field-weighted citation impact, top 1% 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.

NCT07650435 recruitingnot on this mapstarted 2026, after this paper: background citation

Prospective Observational Study to Evaluate the Use of Computer-Aided Vacuum Thrombectomy Within the Context of Intermediate and High-Risk Pulmonary Embolism

TypeobservationalSponsorUniversity Hospital Plymouth NHS TrustRan2026 to 2029Enrolled2,000ConditionsPulmonary Embolism and Thrombosis
3 · Its place in the literature

Who cites it

66 citing papers in PubMed, 2 syntheses or guidelines pooled it, 115 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Article
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
  13. Article
  14. Observational
  15. Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Article

6 more citing papers are in PubMed but not listed here.

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 7 institutions in 5 countries.

Felix GötzingerClinic of Cardiology, Angiology and Intensive Care Medicine, University Hospital Homburg, Saarland University, Homburg, Germany.
Lucas LauderClinic of Cardiology, Angiology and Intensive Care Medicine, University Hospital Homburg, Saarland University, Homburg, Germany.ORCID http://orcid.org/0000-0003-1434-9556
Andrew S P SharpDepartment of Cardiology, University Hospital of Wales, Cardiff, UK.
Irene M LangDepartment of Cardiology, Internal Medicine II, Medical University of Vienna, Vienna, Austria.
Stephan RosenkranzDepartment of Cardiology - Internal Medicine III, Cologne University Heart Center, Cologne, Germany.
Stavros KonstantinidesCenter for Thrombosis and Hemostasis, University Medical Center of the Johannes Gutenberg University, Mainz, Germany.
Elazer R EdelmanInstitute for Medical Engineering and Science, Massachusetts Institute of Technology, Cambridge, MA, USA.ORCID http://orcid.org/0000-0002-7832-7156
Michael BöhmClinic of Cardiology, Angiology and Intensive Care Medicine, University Hospital Homburg, Saarland University, Homburg, Germany.
Wissam JaberDivision of Cardiology, Department of Medicine, Emory University School of Medicine, Atlanta, GA, USA.
Felix MahfoudClinic of Cardiology, Angiology and Intensive Care Medicine, University Hospital Homburg, Saarland University, Homburg, Germany. felix.mahfoud@uks.eu.ORCID http://orcid.org/0000-0002-4425-549X
Saarland University · DEMassachusetts Institute of Technology · USDemocritus University of Thrace · GREmory University · USMedical University of Vienna · ATUniversity Hospital of Wales · GBUniversity of Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary embolism (PE) is the leading cause of in-hospital death and the third most frequent cause of cardiovascular death. The clinical presentation of PE is variable, and choosing the appropriate treatment for individual patients can be challenging. Traditionally, treatment of PE has involved a choice of anticoagulation, thrombolysis or surgery; however, a range of percutaneous interventional technologies have been developed that are under investigation in patients with intermediate-high-risk or high-risk PE. These interventional technologies include catheter-directed thrombolysis (with or without ultrasound assistance), aspiration thrombectomy and combinations of the aforementioned principles. These interventional treatment options might lead to a more rapid improvement in right ventricular function and pulmonary and/or systemic haemodynamics in particular patients. However, evidence from randomized controlled trials on the safety and efficacy of these interventions compared with conservative therapies is lacking. In this Review, we discuss the underlying pathophysiology of PE, provide assistance with decision-making on patient selection and critically appraise the available clinical evidence on interventional, catheter-based approaches for PE treatment. Finally, we discuss future perspectives and unmet needs.

Indexed as

Pulmonary EmbolismThrombolytic TherapyFibrinolytic AgentsHospital MortalityHumansThrombectomyTreatment OutcomeFibrinolytic Agents

Identifiers

PMID37173409
PMCPMC10180624
OpenAlexW4376271915

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.