Evidence map›Paper›PMID 38653811›Full record

Observational studyCardiovascular and interventional radiology2024

The Clinical Outcome of Carotid Blowout Syndrome Showing Non-bleeding Angiography.

Bo-Ching Lee, Yung-Ching Hu, Yen-Heng Lin, Ya-Fang Chen, Hong-Jen Hsieh, Chung-Wei Lee

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Cardiovascular and interventional radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
1.6field-weighted citation impact, top 16% 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

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. 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.

Bo-Ching LeeGraduate Institute of Clinical Medicine, National Taiwan University, Taipei, Taiwan.
Yung-Ching HuCollege of Medicine, National Taiwan University, Taipei, Taiwan.
Yen-Heng LinDepartment of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.
Ya-Fang ChenDepartment of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.
Hong-Jen HsiehDepartment of Medical Imaging, Yun-Lin Branch, National Taiwan University Hospital, No.579, Sec. 2, Yunlin Rd., Douliu City, Yunlin County, 640, Taiwan. hongjen.hsieh@gmail.com.ORCID http://orcid.org/0000-0002-5427-0095
Chung-Wei LeeDepartment of Medical Imaging, National Taiwan University Hospital, Taipei, Taiwan.
National Taiwan University Hospital · TWNational Taiwan University · TW

Funding

National Science and Technology Council of Taiwan 111-2314-B-002-250-MY2National Taiwan University Hospital 111-X0002National Taiwan University Hospital 112-S0198
6 · The paper itself

Abstract

objectivePatient with carotid blowout syndrome (CBS) may demonstrated non-bleeding digital subtraction angiography (DSA) without identifying pseudoaneurysm or contrast extravasation. Our objective is to evaluate the clinical outcomes for this specific subset of patients. MATERIALS AND

methodsA retrospective observational study was conducted on 172 CBS patients who received DSA for evaluation of transarterial embolization (TAE) between 2005 and 2022, of whom 19 patients had non-bleeding DSA and did not undergo TAE.

resultsThe age (55.2 ± 7.3 vs. 54.8 ± 11.1), male sex (17/19 vs. 135/153), tumor size (5.6 ± 2.4 vs. 5.2 ± 2.2), cancer locations were similar (P > 0.05) between both groups; except for there were more pseudoaneurysm/active bleeding (85.6% vs. 0%) and less vascular irregularity (14.4% vs. 94.7%) in the TAE group (P < 0.001). In the multivariable Cox regression model adjusting for age, sex, and tumor size, non-bleeding DSA group was independently associated with recurrent bleeding compared to TAE group (adjusted hazard ratio = 3.5, 95% confidence interval: 1.9-6.4, P < 0.001). Furthermore, the presence of vascular irregularity was associated with segmental recurrent bleeding (adjusted HR = 8.0, 95% CI 2.7-23.3, P < 0.001).

conclusionPatient showing non-bleeding DSA thus not having TAE had higher risk of recurrent bleeding, compared to patient who received TAE. Level of Evidence Level 4, Case Series.

Indexed as

Angiography, Digital SubtractionEmbolization, TherapeuticAgedCarotid Artery DiseasesFemaleHemorrhageHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeAngiographyCarotid blowout syndromeHead and neck cancerHuman

Identifiers

PMID38653811
OpenAlexW4395031727

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.