Evidence map›Paper›PMID 39976869›Full record

ArticleCVIR endovascular2025

Intermittent Echocardiographic Monitoring During Superior Vena Cava Recanalization: A Protocol for Early Recognition and Management of Hemopericardium.

Kara M Fitzgerald, David S Shin, Eric J Monroe, Matthew Abad Santos, Ethan Hua, Jeffrey Forris Beecham Chick

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 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. 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

6 authors.

Kara M FitzgeraldSection of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
David S ShinDivision of Vascular and Interventional Radiology, Department of Radiology, University of Southern California, Los Angeles, CA, USA.
Eric J MonroeSection of Interventional Radiology, Department of Radiology, University of Wisconsin, Madison, WI, USA.
Matthew Abad SantosSection of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
Ethan HuaSection of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA.
Jeffrey Forris Beecham ChickSection of Vascular and Interventional Radiology, Department of Radiology, University of Washington, Seattle, WA, USA. jeffreychick@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndovascular recanalization and stent reconstruction constitute an effective and safe treatment option for symptomatic thoracic central venous obstruction (TCVO). Rare life-threatening adverse events are possible during or immediately following the procedure, with the most feared one being hemopericardium with cardiac tamponade. A technique to improve efficiency in detection and treatment of cardiac tamponade is described. MATERIALS AND

methodsAn institutional protocol was established for intraprocedural transthoracic echocardiographic monitoring during the TCVO recanalization procedures. The lower chest and upper abdomen were prepared within the sterile field. A separate stand was set up with unopened supplies needed for pericardial drain placement. Intermittent echocardiographic monitoring was performed throughout the TCVO procedure using a dedicated curvilinear probe prepared on the field. If indicated, an image guided pericardial drain was placed expeditiously.

resultsFour cases of cardiac tamponade were encountered during or immediately post-procedure. All cases demonstrated technically successful and prompt pericardial drain placement with immediate reversal of the tamponade physiology.

conclusionEchocardiographic monitoring during TCVO reconstruction by interventional radiologists is a useful technique which may aid in early diagnosis and management of cardiac tamponade.

Indexed as

Cardiac tamponadeSVC syndromeTCVOVenous recanalizationVenous reconstruction

Identifiers

PMID39976869
PMCPMC11842650

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