Evidence map›Paper›PMID 38112456›Full record

ArticleJournal of applied biomedicine2023

False aneurysms of the thoracic aorta: anastomosis investigation using the inflation-extension test.

Sandra Recicarova, Hynek Chlup, Michael Jonak, Ivan Netuka

Open access · goldAbstract read
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In one paragraph

Article in Journal of applied biomedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 23% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

4 authors at 2 institutions in 1 country.

Sandra RecicarovaInstitute for Clinical and Experimental Medicine (IKEM), Department of Cardiovascular Surgery, Prague, Czech Republic.
Hynek ChlupCzech Technical University, Faculty of Mechanical Engineering, Laboratory of Cardiovascular Biomechanics, Prague, Czech Republic.
Michael JonakInstitute for Clinical and Experimental Medicine (IKEM), Department of Cardiovascular Surgery, Prague, Czech Republic.
Ivan NetukaInstitute for Clinical and Experimental Medicine (IKEM), Department of Cardiovascular Surgery, Prague, Czech Republic.
Institute of Clinical and Experimental Medicine · CZCzech Technical University in Prague · CZ

Funding

Ministry of Health, Czech Republic IN 00023001
6 · The paper itself

Abstract

introductionFalse aneurysms in the thoracic aorta are dangerous complications that can occur after cardiac surgery. They often result in high mortality rates. These aneurysms are caused by damage to all layers of the aortic wall. This study aimed to pinpoint the area of the experimental specimen (native vessel, anastomosis, or prosthetic graft) with the greatest deformation, to determine whether a false aneurysm is likely to develop in the anastomotic portion.

methodsWe conducted the inflation-extension test by performing eight cycles ranging from 0 to 20. The pressure sampling frequency was 100 Hz, and each cycle lasted approximately 34 seconds, resulting in a loading frequency of 0.03 Hz. During the experiment, each camera captured 3,000 frames. Based on the data collected, we evaluated and compared the loading stages of cycle 1 and cycle 8. RESULTS AND DISCUSSION: During loading, the native vessel experienced a dominant deformation of approximately 7% in the circumferential direction. The prosthetic graft, which had a longitudinal construction, deformed by approximately 8% in the axial direction. The prosthetic graft, on the other hand, only experienced a deformation of up to 1.5% in the circumferential direction, which was about 5 times smaller than the deformation of the native vessel. The anastomosis area was very stiff and showed minimal deformation. Additionally, there was little difference in the mechanical response between the first C1 and the eighth C8 cycle.

conclusionBased on the available evidence, it can be inferred that aortic false aneurysms are more likely to form just behind the suture lines in the native aorta, which is more elastic compared to stiff sections of anastomosis and prosthetic graft. Numerous pulsations of the native vessel will likely cause the impairment of the aorta at the margin of the anastomosis. This will lead to disruption of the aortic wall and false aneurysm formation in the native vessel near the area of anastomosis.

Indexed as

Aneurysm, FalseAortic AneurysmAnastomosis, SurgicalAorta, ThoracicHumansAortic pseudoaneurysmThe inflation-extension testThoracic aortic false aneurysm

Identifiers

PMID38112456
OpenAlexW4389678407

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.