Evidence map›Paper›PMID 39044795›Full record

ArticleEuropean heart journal. Imaging methods and practice2023

The role of endosonography in cardiology: case series and literature review.

Abdelrahman Elhakim, Kawther Karkour, Philip Sauter, Michael Rode, Mohamed Elhakim, Peter W Radke, Mohammed Saad

Abstract read
In one paragraph

Article in European heart journal. Imaging methods and practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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

5 citing papers in PubMed.

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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

7 authors.

Abdelrahman ElhakimCardiology Department, Schoen Hospital Neustadt, Am Kiebitzberg 10, 23730 Neustadt in Holstein, Germany.ORCID https://orcid.org/0000-0002-3315-4167
Kawther KarkourInternal Medicine Department, AMEOS Hospital Eutin, Eutin, Germany.
Philip SauterSchoen Hospital Neustadt in Holstein,Am Kiebitzberg 10, 23730 Neustadt in Holstein, Deutschland.ORCID https://orcid.org/0000-0002-8680-3706
Michael RodeEndosonographic Unit, Schoen Hospital Neustadt in Holstein, Neustadt in Holstein, Germany.
Mohamed ElhakimNepean HospitalDerby street, Kingswood NSW2747 Sydney Australia.
Peter W RadkeCardiology Department, Schoen Hospital Neustadt, Am Kiebitzberg 10, 23730 Neustadt in Holstein, Germany.
Mohammed SaadSchleswig-Holstein University Hospital-KielArnold-Heller-Street 3, 24105 Kiel, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Aims: Endosonography (EUS) is the diagnostic tool with the highest resolution for the local staging of gastrointestinal tumours and, due to the detailed visualization of the wall layers, is recommended in current guidelines for cancer management. In addition, an endoscope has an ultrasound tip design and balloon insufflation control design, and a 120° bending mechanism to deflect the endoscope tip. These advantages could be beneficial and valuable while investigating the cardiovascular structures during routine gastrointestinal procedures using this diagnostic tool. Methods and results: We present six cases of incidentally diagnosed cardiac pathologies (pulmonary thromboembolism of the main pulmonary artery, patent foramen oval with right to left shunt under Valsalva, left atrial appendage thrombus, aortic dissection, moderate aortic valve stenosis, mitral and aortic valve endocarditis) during routine gastrointestinal endosonographic procedures. These diagnoses influenced changes in management strategies in four cases. Conclusion: The introduction of EUS in cardiovascular medicine allows for a real-time high-resolution assessment of cardiovascular structures and allows early detection of silent cardiac pathologies during routine gastrointestinal procedures. It is the diagnostic tool with the highest resolution for accurate definition of variable gastrointestinal anatomy. Thus, help for accurate definitions of cardiovascular anatomy and pathology, which could influence optimal management strategies with improved safety, efficacy, and economic outcomes.

Indexed as

aortic dissectionendosonographic ultrasoundleft atrial appendage thrombusmitral and aortic valve endocarditispatent foramen ovalpulmonary embolism

Identifiers

PMID39044795
PMCPMC11249961

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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.