Evidence map›Paper›PMID 39432063›Full record

ReviewRadiologie (Heidelberg, Germany)2025

[Management of anticoagulant-related soft tissue bleeding].

S Hopf-Jensen, S Müller-Hülsbeck

Abstract readEnglish AbstractReview
PubMed Publisher
In one paragraph

Review in Radiologie (Heidelberg, Germany), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

2 authors.

S Hopf-JensenInstitut für diagnostische und interventionelle Radiologie und Neuroradiologie, DIAKO Krankenhaus Flensburg, Knuthstraße 1, 24939, Flensburg, Deutschland. hopfsi@diako.de.
S Müller-HülsbeckInstitut für diagnostische und interventionelle Radiologie und Neuroradiologie, DIAKO Krankenhaus Flensburg, Knuthstraße 1, 24939, Flensburg, Deutschland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND AND

objectiveSpontaneous, severe, and life-threatening soft tissue bleeding (STB) in patients taking anticoagulants is associated with high morbidity and mortality due to the substantial blood loss and nonspecific clinical symptoms. The optimal management of these predominantly older patients with multiple comorbidities has not yet been unanimously clarified. MATERIALS AND

methodsThis work comprises a literature search and analysis of the pertinent retrospective studies and case series.

resultsStructured diagnostic workup with contrast-enhanced computed tomography (CT) is essential for planning transarterial embolization (TAE). Contrast agent extravasation, the signal flare phenomenon, and the hematocrit effect are all indicative of active bleeding or an anticoagulant-related hematoma. For TAE, coils, particles, and liquid embolic agents can be used alone or in combination. A back door/front door embolization should be strived for.

conclusionTransarterial embolization is the method of choice for managing anticoagulant-related localized or diffuse spontaneous soft tissue bleeding in the context of hemodynamic stabilization of the patient.

Indexed as

AnticoagulantsEmbolization, TherapeuticHemorrhageTomography, X-Ray ComputedHumansAnticoagulantsAntidoteDual-phase contrast-enhanced multidetector helical computed tomographySignal flare phenomenonSpontaneous soft tissue bleedingTransarterial embolization

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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.