Evidence map›Paper›PMID 40473887›Full record

ReviewAnnals of intensive care2025

Vascular leakage during circulatory failure: physiopathology, impact and treatments.

Jérémie Joffre, Peter Radermacher, Hatem Kallel, Iris Marangon, Alexandre Rutault, Yaël Levy, Alexandre Gaudet, Benjamine Sarton, Louis Kreitmann, Lucillia Bezu and 8 more

Abstract readReview
In one paragraph

Review in Annals of intensive care, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–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

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Molecular Mechanisms Governing Vascular Function in Heart Failure.Arteriosclerosis, thrombosis, and vascular biology · 2026
    Review
  3. Review
  4. Article
  5. Article
  6. Liquid Metal Microrobots for Magnetically Guided Transvascular Navigation.Advanced materials (Deerfield Beach, Fla.) · 2026
    Article
  7. Article
  8. Article
  9. Review
  10. Observational
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

18 authors.

Jérémie Joffre *Service de Réanimation Médicale, Hôpital Saint Antoine, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Peter Radermacher *Institute for Anesthesiological Pathophysiology and Process Engineering, Ulm University, 89081, Ulm, Germany.
Hatem KallelService de Réanimation, Centre Hospitalier de Cayenne, Guyane, France.
Iris MarangonCenter for Interdisciplinary Research in Biology, Collège de France, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale (INSERM), Université PSL, Paris, France.
Alexandre RutaultCenter for Interdisciplinary Research in Biology, Collège de France, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale (INSERM), Université PSL, Paris, France.
Yaël LevyPediatric and Neonatal Intensive Care Unit, Armand-Trousseau Hospital, APHP, 26 Avenue du Dr Arnold Netter, 75012, Paris, France.
Alexandre GaudetDepartment of Intensive Care Medicine, Critical Care Center, CHU Lille, Univ. Lille, 59000, Lille, France.
Benjamine SartonService de Réanimation Polyvalente Purpan, Centre Hospitalier Universitaire de Toulouse, Toulouse, France.
Louis KreitmannCentre for Antimicrobial Optimisation, Department of Infectious Disease, Faculty of Medicine, Imperial College London, London, W12 0HS, UK.
Lucillia BezuDépartement d'Anesthésie, Chirurgie, Interventionnel et Service de Réanimation, Gustave Roussy, FR94805, Villejuif, France.
Meryl VedrenneService de Réanimation Médicochirurgicale Pédiatrique, CHU Necker-Enfants Malades, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Thomas MaldineyDepartment of Intensive Care Medicine, William Morey General Hospital, Chalon-Sur-Saône, France.
Youenn JouanService de Médecine Intensive Réanimation, CHRU Tours, Tours, France.
Sarah BenghanemService de Médecine Intensive Réanimation, Hôpital Cochin, Assistance Publique-Hôpitaux de Paris (AP-HP), Paris, France.
Laure StielDepartment of Intensive Care Medicine, Groupe Hospitalier de la Région Mulhouse Sud Alsace, Mulhouse, France.
Stéphane GermainCenter for Interdisciplinary Research in Biology, Collège de France, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale (INSERM), Université PSL, Paris, France.
Nicolas BréchotCenter for Interdisciplinary Research in Biology, Collège de France, Centre National de la Recherche Scientifique, Institut National de la Santé et de la Recherche Médicale (INSERM), Université PSL, Paris, France. nicolas.brechot@aphp.fr.ORCID http://orcid.org/0000-0002-7536-287X
‘commission recherche translationnelle de la société de réanimation de langue française’

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Vascular leakage has emerged as a major factor during circulatory failure. Triggered by the inflammatory process following the recognition of both pathogen-associated molecular patterns (PAMPs) and damage-associated molecular patterns (DAMPs), it worsens circulatory failure through the hypovolemia it induces. It may also crucially participate in secondary microcirculation disorders and organ dysfunctions, due to interstitial edema resulting from extravascular fluid accumulation. Accordingly, fluid balance, i.e., the difference between fluid intake and output, is directly related with outcomes during the different types of shock. Moreover, controlling vascular leakage had beneficial effects in various animal models of circulatory failure. However, despite promising preclinical findings, no routine drug is currently available to control vascular leakage in humans. This review depicts the mechanisms involved in the maintenance of a quiescent endothelium and those implicated in the destabilization of its barrier function in various forms of shocks. It further describes available tools to explore vascular leakage and the most advanced treatments under development.

Indexed as

Cardiogenic shockCirculatory failureEndotheliumHemorrhagic shockReviewSepsisShockSystemic inflammationVascular leakage

Identifiers

PMID40473887
PMCPMC12141729

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.