Evidence map›Paper›PMID 39960937›Full record

Observational studyMedicine2025

Infrared monitoring-based optimization of interventional lumbar sympathectomy outcomes evaluation in peripheral vascular disease patients: Experimental trial thermovision-guided lumbar sympathectomy.

Ladislav Kočan, Viktória Rajťúková, Mária Rašiová, Hana Kočanová, Radovan Hudák, Janka Vašková, Vasil Šatnik, Igor Martuliak, Marek Hudák

Abstract readObservational Study
In one paragraph

Observational study in Medicine, 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. 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

9 authors.

Ladislav KočanDepartment of Anaesthesiology and Intensive Care Medicine, East Slovak Institute of Cardiovascular Diseases, Ondavská, Košice, Slovak Republic.
Viktória RajťúkováDepartment of Biomedical Engineering and Measurement, Faculty of Mechanical Engineering, Technical University of Košice, Letná, Košice, Slovak Republic.
Mária RašiováDepartment of Angiology, East Slovak Institute of Cardiovascular Diseases, Ondavská, Slovak Republic.
Hana KočanováDepartment of Anaesthesiology and Intensive Care Medicine, Railway Hospital and Clinic Košice, Košice, Slovak Republic.
Radovan HudákDepartment of Biomedical Engineering and Measurement, Faculty of Mechanical Engineering, Technical University of Košice, Letná, Košice, Slovak Republic.
Janka VaškováDepartment of Medical and Clinical Biochemistry, Faculty of Medicine, Pavol Jozef Šafárik University, Trieda SNP, Košice, Slovak Republic.
Vasil ŠatnikDepartment of Pharmacy, Central Slovak Institute of Heart and Vascular Diseases, Cesta k nemocnici, Banská Bystrica, Slovakia.
Igor MartuliakDepartment of Anaesthesiology and Intensive Care Medicine, F.D. Roosevelt Teaching Hospital with Policlinic Banská Bystrica, Námestie Ludvíka Svobodu, Banská Bystrica, Slovak Republic, Department of Angiology, East Slovak Institute of Cardiovascular Diseases, Ondavská, Slovak Republic.
Marek HudákDepartment of Anaesthesiology and Intensive Care Medicine, F.D. Roosevelt Teaching Hospital with Policlinic Banská Bystrica, Námestie Ludvíka Svobodu, Banská Bystrica, Slovak Republic, Department of Angiology, East Slovak Institute of Cardiovascular Diseases, Ondavská, Slovak Republic.ORCID 0000-0003-0820-1328

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Chronic limb-threatening ischemia (CLTI) is associated with significant mortality and limb loss. The interventional lumbar sympathectomy (LS) is one of the supportive treatment options for CLTI patients, reducing pain intensity and peripheral arterial resistance. The use of LS has gradually declined despite its positive effects. The contradictory results of studies dealing with evidence of tissue perfusion improvement after LS are one of the possible explanations. We describe a new approach for the evaluation of LS efficacy in 2 CLTI patients and below-the-knee arteries pathology in our observational cohort experimental trial. We utilized the angiosome concept of foot. Angiography identified angiosomes with occluded source artery. The relationship between angiosomes and corresponding surface areas of angiosomes-dermatomes was identified. The infrared thermography was used for the measurement of thermal changes in dermatomes before and after LS. Based on the thermal changes in dermatomes and the relationship between angiosomes and their dermatomes, we estimated perfusion in angiosomes after the LS procedure. We found that the clinically relevant increase in temperature (>1°C) was presented only in dermatomes corresponding to angiosomes with occluded source artery. We hypothesize that LS opens up anastomoses between angiosomes, resulting in redistribution of blood flow between angiosomes that is associated with an increase in temperature in angiosomes with occluded source artery.

Indexed as

IschemiaPeripheral Vascular DiseasesSympathectomyThermographyAgedFemaleHumansInfrared RaysLumbosacral RegionMaleMiddle AgedTreatment Outcome

Identifiers

PMID39960937
PMCPMC11835127

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.