Evidence map›Paper›PMID 38844684›Full record

ArticleCardiovascular and interventional radiology2024

Irreversible Electroporation as a Valid Treatment Option for Hepatic Epithelioid Hemangioendothelioma: An International Multicenter Experience.

Govindarajan Narayanan, Anthony Spano, Nicole T Gentile, Michelle M Shnayder-Adams, Varshana Gurusamy, David M Levi, Breelyn A Wilky, Ronald A Mora, Raihan Noman, Praveen Peddu and 1 more

Abstract readMulticenter Study
In one paragraph

Article 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
–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.

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.

  1. Review
  2. 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

11 authors.

Govindarajan NarayananHerbert Wertheim College of Medicine, Florida International University, Miami, FL, USA.
Anthony SpanoDepartment of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, FL, USA.
Nicole T GentileDepartment of Interventional Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, USA.
Michelle M Shnayder-AdamsDivision of Vascular and Interventional Radiology, University of Michigan Hospital, Ann Arbor, MI, USA.
Varshana GurusamyDepartment of Interventional Radiology, MD Anderson Cancer Center, Houston, TX, USA.
David M LeviDivision of Abdominal Transplant Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC, USA.
Breelyn A WilkyUniversity of Colorado School of Medicine, Aurora, CO, USA.
Ronald A MoraDepartment of Interventional Radiology, Miami Cardiac and Vascular Institute, Baptist Health South Florida, Miami, FL, USA.
Raihan NomanDepartment of Radiology, Rutgers New Jersey Medical School, Newark, NJ, USA.
Praveen PedduDepartment of Radiology, King's College Hospital NHS Trust, London, UK.
Madelon DijkstraDepartment of Interventional Oncology, Miami Cancer Institute, Baptist Health South Florida, Miami, FL, USA. m.dijkstra3@amsterdamumc.nl.ORCID http://orcid.org/0000-0002-5740-321X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeHepatic epithelioid hemangioendothelioma (HEHE) is a rare tumor with currently no established standard of care. This international multicenter retrospective study assesses the use of percutaneous irreversible electroporation (IRE) as an ablative tool to treat HEHE and provides a clinical overview of the current management and role of IRE in HEHE treatment. MATERIAL AND

methodsBetween 2017 and 2023, 14 patients with 47 HEHE tumors were treated with percutaneous IRE using CT-scan guidance in 23 procedures. Baseline patient and tumor characteristics were evaluated. Primary outcome measures included safety and effectiveness, analyzed using Common Terminology Criteria for Adverse Events (CTCAE) and treatment response by mRECIST criteria. Secondary outcome measures included technical success, post-treatment tumor sizes and length of hospital stay. Technical success was defined as complete ablation with an adequate ablative margin (intentional tumor free ablation margin > 5 mm).

resultsIRE treatment resulted in technical success in all tumors. Following a median follow-up of 15 months, 30 tumors demonstrated a complete response according to mRECIST criteria. The average tumor size pre-treatment was 25.8 mm, accompanied by an average reduction in tumor size by 7.5 mm. In 38 out of 47 tumors, there was no evidence of local recurrence. In nine tumors, residual tumor was present. There were no cases of progressive disease. Median length of hospital stay was one day. Only one grade 3 CTCAE event occurred, a pneumothorax requiring chest tube placement.

conclusionThe current study provides evidence that IRE is a safe and efficacious minimally invasive treatment option for HEHE.

Indexed as

ElectroporationHemangioendothelioma, EpithelioidLiver NeoplasmsTomography, X-Ray ComputedAdultAgedFemaleHumansMaleMiddle AgedRetrospective StudiesTreatment OutcomeYoung AdultHepatic epithelioid hemangioendothelioma (HEHE)Irreversible electroporation (IRE)mRECIST

Identifiers

PMID38844684
PMCPMC11239779

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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.