Evidence map›Paper›PMID 38094662›Full record

ArticleJACC. Advances2023

Effect of Pharmacomechanical Catheter-Directed Thrombolysis on Segmental Artery Occlusions: Insights From the RESCUE Trial.

Riyaz Bashir, Gregory Piazza, Brian Firth, Kenneth Ouriel, Akhilesh Sista, Parth Rali, Anthony Comerota, Vladimir Lakhter, Ayman Iskander, Malcolm Foster and 4 more

Open access · diamondAbstract read
In one paragraph

Article in JACC. Advances, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
2.8field-weighted citation impact, top 9% 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

6 citing papers in PubMed, 10 citations in OpenAlex.

  1. Article
  2. Contemporary Management of Pulmonary Embolism: Review of the Inferior Vena Cava filter and Other Endovascular Devices.The International journal of angiology : official publication of the International College of Angiology, Inc · 2024
    Review
  3. Article
  4. Article
  5. Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 9 institutions in 1 country.

Riyaz BashirDivision of Cardiovascular Diseases, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.
Gregory PiazzaDivision of Cardiovascular Medicine, Brigham and Women's Hospital, Harvard Medical School, Boston, Massachusetts, USA.
Brian FirthThrombolex Inc, New Britain, Pennsylvania, USA.
Kenneth OurielNAMSA (SYNTACTX), New York, New York, USA.
Akhilesh SistaDivision of Interventional Radiology, Department of Radiology, Cornell University School of Medicine, New York, New York, USA.
Parth RaliDepartment of Thoracic Medicine and Surgery, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.
Anthony ComerotaInova Heart and Vascular Institute, Inova Alexandria Hospital, Alexandria, Virginia, USA.
Vladimir LakhterDivision of Cardiovascular Diseases, Lewis Katz School of Medicine, Temple University, Philadelphia, Pennsylvania, USA.
Ayman IskanderDivision of Cardiology, St Joseph's Hospital, Syracuse, New York, USA.
Malcolm FosterDepartment of Cardiology, East Tennessee Heart, Turkey Creek, Knoxville, Tennessee, USA.
Ripal GandhiDivision of Interventional Radiology, Miami Cardiac and Vascular Institute, Miami, Florida, USA.
Amir DarkiDepartment of Cardiology, Loyola University Medical Center, Maywood, Illinois, USA.
Robert LooksteinDepartment of Radiology, Mount Sanai Hospital, New York, New York, USA.
Kenneth RosenfieldDepartment of Cardiology, Massachusetts General Hospital, Boston, Massachusetts, USA.
Temple University · USBrigham and Women's Hospital · USCornell University · USInova Alexandria Hospital · USLoyola University Medical Center · USMassachusetts General Hospital · USNational Alliance on Mental Illness · USSt Joseph's Hospital Health Center · USThe Cardiac and Vascular Institute · US

Funding

Novel Expandable Infusion Catheter for the Treatment of Acute Pulmonary EmbolismR44HL151032 · NHLBI · THROMBOLEX, INC. · PI FIRTH, BRIAN GARRIOCK · 2020 to 2022
$3.0M
NHLBI NIH HHS R44 HL151032
6 · The paper itself

Abstract

backgroundReduction in distal vascular volume in acute pulmonary embolism (PE) is a significant predictor of 30- and 90-day mortality. The likely cause of this is pulmonary arterial obstruction. The effect of pharmacomechanical catheter-directed thrombolysis (PM-CDT) on the occlusions of these pulmonary artery (PA) branches is not known.

objectivesThe RESCUE study evaluated PM-CDT with the Bashir endovascular catheter in patients with acute intermediate-risk PE. This analysis assessed PA occlusions using core laboratory data before and after PM-CDT therapy.

methodsThe baseline and 48-hour post-treatment contrast-enhanced chest computed tomography angiography of PE patients with right ventricular dilatation enrolled in the RESCUE trial were used. The primary analysis was the change in the number of segmental and proximal PA branches with total or subtotal (>65%) occlusions after 48 hours compared to baseline using McNemar's test.

resultsA total of 107 patients enrolled across 18 United States sites comprised this analysis. At 48 hours post-PM-CDT, the number of segmental PA branches with total or subtotal occlusions decreased from 40.5% to 11.7% (

conclusionsPM-CDT with the Bashir catheter was associated with a significant reduction in total and subtotal occlusion of segmental and proximal PAs.

Indexed as

catheter-directed therapyfibrinolysispulmonary embolismRefined Modified Miller IndexRV/LV ratio

Identifiers

PMID38094662
PMCPMC10718510
OpenAlexW4387834931

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.