Evidence map›Paper›PMID 39064015›Full record

ArticleJournal of personalized medicine2024

New Perspectives on Risk Assessment and Anticoagulation in Elective Spine Surgery Patients: The Impact of Ultra-Minimally Invasive Endoscopic Surgery Techniques on Patients with Cardiac Disease.

Alexandre Siciliano, Kai-Uwe Lewandrowski, Sergio Luis Schmidt, Rossano Kepler Alvim Fiorelli, Paulo Sérgio Teixeira de Carvalho, Abduljabbar Alhammoud, Stenio Karlos Alvim Fiorelli, Marcos Arêas Marques, Morgan P Lorio

Abstract read
In one paragraph

Article in Journal of personalized medicine, 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. 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

9 authors.

Alexandre SicilianoDepartment of General and Specialized Surgery, Gaffrée e Guinle Universitary Hospital, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro 22290-240, Brazil.
Kai-Uwe LewandrowskiCenter for Advanced Spine Care of Southern Arizona, Tucson, AZ 85712, USA.ORCID 0000-0001-7842-2914
Sergio Luis SchmidtDepartment of Neurology, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro 21941-901, Brazil.
Rossano Kepler Alvim FiorelliDepartment of General and Specialized Surgery, Gaffrée e Guinle Universitary Hospital, Federal University of the State of Rio de Janeiro (UNIRIO), Rio de Janeiro 22290-240, Brazil.
Paulo Sérgio Teixeira de CarvalhoPain and Spine Minimally Invasive Surgery Service at Gaffre Guinle University Hospital, Rio de Janeiro 20270-004, Brazil.
Abduljabbar AlhammoudDepartment of Orthopaedic Surgery, University of Arizona College of Medicine-Tucson Campus, Health Sciences Innovation Building (HSIB), 1501 N. Campbell Avenue, Tower 4, 8th Floor, Suite 8401, Tucson, AZ 85721, USA.
Stenio Karlos Alvim FiorelliChefe do Serviço de Angiologia e Cirurgia Vascular do Hospital Universitario Gaffrée e Guinle, Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rio de Janeiro 22290-250, Brazil.
Marcos Arêas MarquesServiço de Angiologia e Cirurgia Vascular, Hospital Universitário Gaffrée e Guinle, Universidade Federal do Estado do Rio de Janeiro (UNIRIO), Rio de Janeiro 21941-909, Brazil.ORCID 0000-0002-5329-7819
Morgan P LorioAdvanced Orthopedics, 499 East Central Parkway, Altamonte Springs, FL 32701, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The advent of ultra-minimally invasive endoscopic spine surgery, characterized by significantly reduced surgery times, minimal blood loss, and minimal tissue trauma, has precipitated a paradigm shift in the preoperative management of patients with cardiac disease undergoing elective spine procedures. This perspective article explores how these advancements have influenced the requirements for preoperative cardiac workups and the protocols surrounding the cessation of anticoagulation and antiplatelet therapies. Traditionally, extensive cardiac evaluations and the need to stop anticoagulation and antiplatelet agents have posed challenges, increasing the risk of cardiac events and delaying surgical interventions. However, the reduced invasiveness of endoscopic spine surgery presents a safer profile for patients with cardiac comorbidities, potentially minimizing the necessity for rigorous cardiac clearance and allowing for more flexible anticoagulation management. This perspective article synthesizes current research and clinical practices to provide a comprehensive overview of these evolving protocols. It also discusses the implications of these changes for patient safety, surgical outcomes, and overall healthcare efficiency. Finally, the article suggests directions for future research, emphasizing the need for updated guidelines that reflect the reduced perioperative risk associated with these innovative surgical techniques. This discussion is pivotal for primary care physicians, surgeons, cardiologists, and the broader medical community in optimizing care for this high-risk patient population.

Indexed as

anticoagulationechocardiographyendoscopylaboratory studiesminimally invasive spinal surgerypreoperative cardiac clearance

Identifiers

PMID39064015
PMCPMC11278134

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.