Evidence map›Paper›PMID 38558610›Full record

ArticleCureus2024

Urgent Spinal Surgery in a Lateral Decubitus on a Patient with a Left Ventricular Assist Device on Full Anticoagulation: A Case Report.

Angelique S Do, Monis A Khan, Lindsey Ross, Robert Ravinsky, Adam J Milam, Seung J Lee, Omar Durra, J Patrick Johnson

Open access · diamondAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Cureus, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 98% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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 at 1 institution in 1 country.

Angelique S DoDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, USA.
Monis A KhanDepartment of Neurologic and Orthopedic Surgery, University of Arizona, Phoenix, USA.
Lindsey RossDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, USA.
Robert RavinskyDepartment of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, USA.
Adam J MilamDepartment of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, USA.
Seung J LeeDepartment of Neurosurgery, Mayo Clinic, Jacksonville, USA.
Omar DurraDepartment of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, USA.
J Patrick JohnsonDepartment of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, USA.
Cedars-Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This case report aims to demonstrate the feasibility of performing spinal surgery in patients with a left ventricular assist device (LVAD), who are traditionally considered unsuitable candidates due to the need for anticoagulation and the challenges associated with the prone position. A case of a patient with an LVAD undergoing microdiscectomy in the left lateral decubitus position is presented. The procedure was carried out by a specialized interdisciplinary team with appropriate monitoring. The patient underwent the procedure safely, demonstrating that spinal surgery can be performed in patients with LVAD without reversing anticoagulation or resorting to the prone position. This approach mitigates the risk of thrombotic events and hemodynamic instability. This case study suggests that spinal surgery, specifically microdiscectomy, can be safely performed in patients with LVAD using the left lateral decubitus position. This finding has significant implications for patients who are unable to ambulate and therefore struggle to qualify for a heart transplant.

Indexed as

laminotomyleft lateral decubitus positionlvadmicrodiscectomyspinal surgery

Identifiers

PMID38558610
PMCPMC10981535
OpenAlexW4392281875

What OpenQuestion holds

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LicenceCC BY
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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.