Evidence map›Paper›PMID 38535106›Full record

ArticleJournal of cardiovascular development and disease2024

Radiation Exposure and Contrast Agent Use during Endovascular Aortic Repair Using Mobile Versus Fixed Angiography Systems.

Amir Arnautovic, Waseem Garabet, Reinhold Thomas Ziegler, Joscha Mulorz, Sönke Maximilian Braß, Alexander Oberhuber, Hubert Schelzig, Markus Udo Wagenhäuser, Philip Dueppers

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiovascular development and disease, 2024. 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 28% 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, 2 citations in OpenAlex.

  1. 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

9 authors at 1 institution in 1 country.

Amir ArnautovicClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0000-0002-3230-0230
Waseem GarabetClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0009-0005-9271-8697
Reinhold Thomas ZieglerClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
Joscha MulorzClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
Sönke Maximilian BraßClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
Alexander OberhuberClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0000-0002-6322-7152
Hubert SchelzigClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.
Markus Udo WagenhäuserClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0000-0002-0379-8607
Philip DueppersClinic for Vascular and Endovascular Surgery, Department of Vascular and Endovascular Surgery, Medical Faculty and University Hospital Düsseldorf, Moorenstrasse 5, 40225 Düsseldorf, Germany.ORCID 0000-0003-3741-0591
Düsseldorf University Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFor (thoracic) endovascular aortic repair ((T)EVAR) procedures, both mobile (standard operating room (SOR)) and fixed C-arm (hybrid operating room (HOR)) systems are available. This study evaluated differences in key procedural parameters, and procedural success for (T)EVAR in the SOR versus the HOR.

methodsAll patients who underwent standard elective (T)EVAR at the Clinic for Vascular and Endovascular Surgery at the University Hospital Duesseldorf, Germany, between 1 January 2012 and 1 January 2019 were included. Data were retrieved from archived medical records. Endpoints were analyzed for SOR versus HOR during (T)EVAR.

resultsA total of 93 patients, including 50 EVAR (SOR (

conclusionThe use of a fixed C-arm angiography system in the HOR results in higher radiation exposure and longer fluoroscopy times but lower contrast agent volumes when compared with mobile C-arm systems in the SOR. Because stochastic radiation sequelae are more likely to be tolerated in an older patient population and, in addition, there is a higher incidence of CKD in this patient population, allocation of patients to the HOR for standard (T)EVAR seems particularly advisable based on our results.

Indexed as

angiographyaortic aneurysmcontrast mediaEVARhybrid operating roomradiationTEVAR

Identifiers

PMID38535106
PMCPMC10971569
OpenAlexW4392387315

What OpenQuestion holds

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LicenceCC BY
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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.