Evidence map›Paper›PMID 38627835›Full record

ArticleJournal of cardiothoracic surgery2024

Treatment outcomes in patients with acute thromboembolic occlusion of the superior mesenteric artery.

Wenrui Li, Mingyuan Liu, Lei Jin, Hai Feng, Xueming Chen, Zhiwen Zhang

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

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed, 1 pooled it
5.2field-weighted citation impact, top 4% 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

5 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Article
  5. Outcomes after open and endovascular treatment for mesenteric artery embolism patients: a retrospective inverse probability of treatment-weighted analysis.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024
    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

6 authors at 2 institutions in 1 country.

Wenrui LiDepartment of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Mingyuan LiuDepartment of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Lei JinDepartment of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Hai FengDepartment of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Xueming ChenDepartment of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China.
Zhiwen ZhangDepartment of Vascular Surgery, Beijing Friendship Hospital, Capital Medical University, Beijing, 100050, China. zhangzw102@163.com.
Beijing Friendship Hospital · CNCapital Medical University · CN

Funding

Beijing Friendship Hospital Seed Project, Capital Medical University YYZZ202205Beijing Hospitals Authority Youth Program QML20210103Capital's Funds for Health Improvement and Research CFH 2022-4-20217National Natural Science Foundations of China No. 82000429
6 · The paper itself

Abstract

objectivesThe goals of this study were to investigate the treatment outcomes of acute thromboembolic occlusion of the superior mesenteric artery (ATOS) and identify prognostic factors after treatment.

methodsThe clinical data of 62 patients with ATOS between 2013 and 2021 were retrospectively reviewed. Patients were stratified by the treatment strategy, complications and mortality were compared in different group.

resultsSixty-two consecutive patients were identified with ATOS. The median patient age was 69 years (interquartile range 58-79 years). Endovascular therapy was initiated in 21 patients, and 4 patients received conservative treatment. Open surgery was performed first in the remaining 37 patients. The technical success rates of the endovascular first group and open surgery group were 90.5% and 97.3%, respectively. One patient in the conservative treatment group had progression of ischemia to extensive bowel necrosis. There was no difference in 30-day mortality between these groups. Predictors of 30-day mortality included initial neutrophil count > 12* 103/dL, age over 60 years old and history of chronic renal insufficiency.

conclusionsEndovascular treatment or conservative treatment may be adopted in selected patients who do not exhibit signs and symptoms of bowel necrosis, and close monitoring for bowel necrosis is important. The increase in preoperative neutrophil count, age over 60 years old and history of chronic renal insufficiency were poor prognostic factors.

Indexed as

Endovascular ProceduresMesenteric IschemiaRenal Insufficiency, ChronicThromboembolismAgedHumansMesenteric Artery, SuperiorMiddle AgedNecrosisRetrospective StudiesStentsTreatment OutcomeAcute mesenteric ischemiaAcute superior mesenteric artery occlusionEndovascular treatmentOpening surgeryPercutaneous mechanical thrombectomySuperior mesenteric artery thromboembolism

Identifiers

PMID38627835
PMCPMC11020894
OpenAlexW4394854528

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.