Evidence map›Paper›PMID 39890017›Full record

ArticleJournal of vascular and interventional radiology : JVIR2025

Assessment of Catheter-Directed Thrombolysis and Histotripsy Treatment for Deep Vein Thrombosis.

Kevin Zhao, Erik Saucedo, Katia Flores Basterrechea, Shumeng Yang, Kevin J Haworth, Christy K Holland, John M Racadio, Adam D Maxwell, John F Cursio, Geoffrey D Wool and 5 more

Abstract read
In one paragraph

Article in Journal of vascular and interventional radiology : JVIR, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Assessment of Cavitation From DEFINITY and DEFINITY RT.Ultrasound in medicine & biology · 2026
    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

15 authors.

Kevin ZhaoDepartment of Radiology, University of Chicago, Chicago, Illinois.
Erik SaucedoDepartment of Radiology, University of Chicago, Chicago, Illinois.
Katia Flores BasterrecheaDepartment of Radiology, University of Chicago, Chicago, Illinois.
Shumeng YangDivision of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.
Kevin J HaworthDivision of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio.
Christy K HollandDivision of Cardiovascular Health and Disease, Department of Internal Medicine, University of Cincinnati, Cincinnati, Ohio; Department of Biomedical Engineering, University of Cincinnati, Cincinnati, Ohio.
John M RacadioDivision of Radiology and Medical Imaging, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio.
Adam D MaxwellDepartment of Biomedical Engineering and Mechanics, Virginia Polytechnic Institute and State University, Blacksburg, Virginia.
John F CursioDepartment of Public Health Sciences, University of Chicago, Chicago, Illinois.
Geoffrey D WoolDepartment of Pathology, University of Chicago, Chicago, Illinois.
Allison M OstdiekDepartment of Surgery, University of Chicago, Chicago, Illinois.
Osman S AhmedDepartment of Radiology, University of Chicago, Chicago, Illinois.
Jonathan D PaulDepartment of Medicine, University of Chicago, Chicago, Illinois.
Mikin V PatelDepartment of Radiology, University of Chicago, Chicago, Illinois.
Kenneth B BaderDepartment of Radiology, University of Chicago, Chicago, Illinois. Electronic address: baderk@uchicago.edu.

Funding

Treatment of chronic venous thrombosis with histotripsy and thrombolyticsR01HL133334 · NHLBI · UNIVERSITY OF CHICAGO · PI Kenneth B. Bader · 2018 to 2026
$5.7M
Imaging Feedback for Histotripsy Renal Tumor AblationR01EB035230 · NIBIB · UNIVERSITY OF CHICAGO · PI Kenneth B. Bader · 2024 to 2026
$1.2M
NHLBI NIH HHS R01 HL133334NIBIB NIH HHS R01 EB035230
6 · The paper itself

Abstract

purposeThe hypothesis of this study was that histotripsy, an ultrasound therapy that disrupts tissue mechanically through the action of bubble clouds, increases the short-term rate of acute thrombus clearance for catheter-directed thrombolysis (CDT) in an animal model. MATERIALS AND

methodsThrombi formed in the femoral vein of pigs were treated with CDT, histotripsy, or CDT and histotripsy (histotripsy+). Ultrasound (B-mode and color Doppler) and contrast fluoroscopy imaging data were scored by 4 observers for semiquantitative evaluation of each arm with ordinal regression models. Further, B-mode images were manually annotated by 3 observers to quantify the thrombus clearance rate.

resultsA total of 27 thrombi (2.0 cm [SD ± 0.4] in length) in 27 animals were considered in this study (N = 8 for CDT, N = 9 for histotripsy, and N = 10 for histotripsy+). The mean treatment duration was 20.2 minutes (SD ± 1.3). The ordinal regression models indicated that the thrombus clearance rate increased for histotripsy+ relative to CDT based on B-mode and color Doppler but not fluoroscopy (P = .015, P = .001, and P = .900, respectively). Manual annotation of B-mode images denoted that histotripsy+ had an increased thrombus clearance rate relative to CDT and histotripsy (P = .001 and P = .022, respectively). Petechial hemorrhage was present in the perivascular soft tissue for 2 cases with histotripsy and 1 case with histotripsy+.

conclusionsThe clearance of acute thrombus was similar for treatment with CDT or histotripsy. Combining these individual approaches further increased the rate of thrombus clearance based on multiple imaging metrics.

Indexed as

Femoral VeinThrombolytic TherapyUltrasonic TherapyVenous ThrombosisAnimalsDisease Models, AnimalFluoroscopySwineTime FactorsUltrasonography, Doppler, Color

Identifiers

PMID39890017
PMCPMC12103285

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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.