Evidence map›Paper›PMID 39777301›Full record

ArticlePulmonary circulation2025

Elective Thoracic Surgical Resections for Pulmonary Arteriovenous Malformations - A 16 Year Single-Center Experience.

May Al-Sahaf, Jon Anderson, Jayanta Nandi, Ali Alsafi, Claire L Shovlin

Abstract read
In one paragraph

Article in Pulmonary circulation, 2025. 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. 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

5 authors.

May Al-SahafDepartment of Cardiothoracic Surgery Hammersmith Hospital, Imperial College Healthcare NHS Trust London UK.
Jon AndersonDepartment of Cardiothoracic Surgery Hammersmith Hospital, Imperial College Healthcare NHS Trust London UK.
Jayanta NandiDepartment of Cardiothoracic Surgery Hammersmith Hospital, Imperial College Healthcare NHS Trust London UK.ORCID 0009-0009-2220-338X
Ali AlsafiDepartment of Imaging Imperial College Healthcare NHS Trust London UK.ORCID 0000-0001-6688-8637
Claire L ShovlinNational Heart and Lung Institute, Imperial College London UK.ORCID 0000-0001-9007-5775

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pulmonary arteriovenous malformations (PAVMs) cause cerebral abscess and ischemic stroke due to paradoxical emboli, risks that are increasingly recognized. We report the evolving placement of thoracic surgery in multi-disciplinary team management of PAVMs that were sporadic or associated with hereditary hemorrhagic telangiectasia. From 1983 to 2006, all patients receiving elective treatment had embolization. Between January 2006 and July 2022, 24 of 714 (3%) patients reviewed at our institution underwent elective surgical resection of one or more PAVMs. Initially, the bar for elective surgery had been set very high, and only patients with persistent symptoms of cerebral ischemia after maximal embolization and medical therapy were referred. As PAVM natural history, follow-up radiation exposures for residual PAVMs, and good surgical outcomes were appreciated, PAVM resection became part of the discussion for highly localized, very complex PAVMs which we consider are best treated surgically. Elective surgical intervention may be considered for other selected patients.

Indexed as

asymptomatichereditary hemorrhagic telangiectasiahypoxemiaischemic strokeright‐to‐left shunt

Identifiers

PMID39777301
PMCPMC11705419

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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.