Evidence map›Paper›PMID 39953334›Full record

ArticleCVIR endovascular2025

Treatment rationale in nutcracker syndrome with concurrent pelvic congestion syndrome.

Dominik A Steffen, Arash Najafi, Georgios Festas, Christoph A Binkert

Abstract read
In one paragraph

Article in CVIR endovascular, 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

4 authors.

Dominik A SteffenDepartment of Radiology and Nuclear Medicine, Cantonal Hospital Winterthur, Brauerstrasse 15, Winterthur, CH-8401, Switzerland. dominik.steffen@ksw.ch.ORCID http://orcid.org/0000-0002-9179-1084
Arash NajafiDepartment of Radiology and Nuclear Medicine, Cantonal Hospital Winterthur, Brauerstrasse 15, Winterthur, CH-8401, Switzerland.
Georgios Festas2nd Department of Radiology, Attikon University General Hospital, Athens, Greece.
Christoph A BinkertDepartment of Radiology and Nuclear Medicine, Cantonal Hospital Winterthur, Brauerstrasse 15, Winterthur, CH-8401, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal management strategy of nutcracker syndrome is debated, especially in the setting of concurrent pelvic congestion syndrome. In this article, we describe our treatment algorithm as illustrated by four different case scenarios. In our experience, renocaval pressure gradients are often inconclusive, but evaluation of the left renal vein waveform as well as a "test PTA" with evidence of a waist in the balloon can be helpful in unmasking a relevant stenosis. We consider nutcracker syndrome not to be a contraindication for ovarian vein embolization. Decision for simultaneous or sequential stenting should be based on angiographic findings and clinical course.

Indexed as

Gonadal vein embolizationNutcracker syndromePelvic congestion syndromeStenting

Identifiers

PMID39953334
PMCPMC11828768

What OpenQuestion holds

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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.