Evidence map›Paper›PMID 38370154›Full record

ArticleFrontiers in cardiovascular medicine2024

Predictors of left ventricular ejection fraction in high-risk percutaneous coronary interventions.

Vasileios F Panoulas, Javier Escaned, Jonathan M Hill, Erin Barker, Karin Butler, Ali Almedhychy, Stelios I Tsintzos, William W O'Neill

2 registry-linked trialsAbstract read
In one paragraph

Article in Frontiers in cardiovascular medicine, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

NCT00562016 phase3terminatednot on this map

PROTECT II: A Prospective, Multi-center, Randomized Controlled Trial of the IMPELLA RECOVER LP 2.5 System Versus Intra Aortic Balloon Pump (IABP)in Patients Undergoing Non Emergent High Risk PCI

TypeinterventionalSponsorAbiomed Inc.Ran2007 to 2011Enrolled452ConditionsCoronary Artery DiseaseArmsIMPLELLA LP 2.5, IABP Intra-aortic balloon pump
NCT04648306 completednot on this map

Restore EF Observational Study (in High-risk PCI)

Typeobservational_patient_registrySponsorAbiomed Inc.Ran2019 to 2021Enrolled406ConditionsCoronary Artery Disease, Unstable Angina, Angina, Stable, NSTEMI - Non-ST Segment Elevation MIArmsProphylactic Impella support for a non-emergent PCI
3 · Its place in the literature

Who cites it

6 citing papers in PubMed.

  1. Article
  2. Patient selection for complex, high-risk indicated percutaneous coronary intervention procedures: an overview.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  3. Contemporary evidence in protected percutaneous coronary intervention: a case-based review.European heart journal supplements : journal of the European Society of Cardiology · 2026
    Article
  4. Article
  5. Article
  6. Review
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

8 authors.

Vasileios F PanoulasDepartment of Cardiology, Harefield Hospital, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Javier EscanedDepartment of Interventional Cardiology, Hospital Clinico San Carlos, Madrid, Spain.
Jonathan M HillDepartment of Cardiology, Royal Brompton Hospital, Royal Brompton and Harefield Hospitals, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.
Erin BarkerYork Health Economics Consortium, University of York, York, United Kingdom.
Karin ButlerYork Health Economics Consortium, University of York, York, United Kingdom.
Ali AlmedhychyMedical Affairs, Abiomed Inc., Danvers, MA, United States.
Stelios I TsintzosHealth Economics and Market Access, Abiomed Europe GmbH, Aachen, Germany.
William W O'NeillCentre for Structural Heart Disease, Henry Ford Hospital, Detroit, MI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Revascularization completeness after percutaneous coronary intervention (PCI) is associated with improved long-term outcomes. Mechanical circulatory support [intra-aortic balloon pump (IABP) or Impella] is used during high-risk PCI (HR-PCI) to enhance peri-procedural safety and achieve more complete revascularization. The relationship between revascularization completeness [post-PCI residual SYNTAX Score (rSS)] and left ventricular ejection fraction (LVEF) in HR-PCI has not been established. We investigated LVEF predictors at 90 days post-PCI with Impella or IABP support. Individual patient data (IPD) were analyzed from PROTECT II (NCT00562016) in the base case. IPD from PROTECT II and RESTORE-EF (NCT04648306) were naïvely pooled in the sensitivity analysis. Using complete cases only, linear regression was used to explore the predictors of LVEF at 90 days post-PCI. Models were refined using stepwise selection based on Akaike Information Criterion and included: treatment group (Impella, IABP), baseline characteristics [age, gender, race, New York Heart Association Functional Classification, LVEF, SYNTAX Score (SS)], and rSS. Impella treatment and higher baseline LVEF were significant predictors of LVEF improvement at 90 days post-PCI (

Indexed as

Impellaintra-aortic balloon pumpleft ventricular ejection fractionmicro-axial heart pumppercutaneous coronary interventionpercutaneous ventricular assist deviceresidual SYNTAX scorerevascularization completeness

Identifiers

PMID38370154
PMCPMC10869567

What OpenQuestion holds

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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.