Evidence map›Paper›PMID 39825435›Full record

ReviewThrombosis journal2025

Catheter-directed therapy for pulmonary embolism in pediatrics: a systematic review and meta-analysis.

Basel F Alqeeq, Dina Essam Abo-Elnour, Mohamed Rifai, Luis L Gamboa, Ibrahim Qattea, Mohammed Hamzah, Khaled M Al-Farawi, Alaa Ahmed Elshanbary, Ibrahim Kamal, Mohammed Alsabri

Abstract readReview
In one paragraph

Review in Thrombosis journal, 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. Vascular and Non-Vascular Intervention in the Pediatric Chest: An Update.Cardiovascular and interventional radiology · 2025
    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

10 authors.

Basel F Alqeeq *Faculty of Medicine, Islamic University of Gaza, Gaza, Palestine.
Dina Essam Abo-Elnour *Faculty of Medicine, Zagazig University, Zagazig, Egypt.
Mohamed RifaiFaculty of Medicine, Menoufia University, Shebin El Kom, Egypt.
Luis L GamboaPediatric Emergency Department, St. Christopher's Hopsoital for Children, Philadelphia, PA, USA.
Ibrahim QatteaNassau University Medical Center, Nassau, Germany.
Mohammed HamzahChildren Heart Institute, Advocate Children Hospital, Oak Lawn, IL, USA.
Khaled M Al-FarawiPediatric Emergency Department, HCA Houston Healthcare Clear Lakes, Webster, TX, USA.
Alaa Ahmed ElshanbaryFaculty of Medicine, Alexandria University, Alexandria, Egypt.
Ibrahim KamalFaculty of Medicine, Al-Azhar University, Cairo, Egypt.
Mohammed AlsabriPediatric Emergency Department, St. Christopher's Hopsoital for Children, Philadelphia, PA, USA. Alsabri5000@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute pulmonary embolism (PE) is a serious and potentially fatal condition that is relatively rare in the pediatric population. In patients presenting with massive/submassive PE, catheter-directed Therapy (CDT) presents an emerging therapeutic modality by which PE can be managed.

methodsElectronic databases were systematically searched through May 2024. This systematic review was performed in line with recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) statement guidelines and was registered in PROSPERO (Reg. no. CRD42024534229).

resultsSixteen case reports/series were included in the quantitative analysis with a total population of 40 children diagnosed with PE. Of them, 21 were females and 19 were males. Massive PE was diagnosed in 15 patients and submassive PE was diagnosed in 17 patients. Complete resolution of PE happened at a rate of 68% (95%CI = 46-80%). Mortality was encountered at a rate of 18% (95%CI = 0.7-36%). PE recurred after CDT at a rate of 15% (95%CI = 2-28%). Non-major bleeding complicated CDT at a rate of 46% (95%CI = 25-66%, p = 0.163).

conclusionCDT can be utilized in the management of PE in children as a potential therapeutic option for selected patients. While the results of CDT interventions for pediatric PE are promising, further research -including well-conducted cohort studies- is required to validate those results.

Identifiers

PMID39825435
PMCPMC11740442

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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.