Evidence map›Paper›PMID 40878986›Full record

Observational studyJournal of the American Heart Association2025

Periprocedural Results and Right Ventricular Outcomes of Computer Assisted Vacuum Thrombectomy Treatment of Acute Pulmonary Embolism: Interim Analysis of 300 Patients From the STRIKE-PE Study.

John M Moriarty, Brian J Schiro, Suhail Y Dohad, Houman Tamaddon, Hugh C Davis, David M Shavelle, George S Chrysant, Elias A Iliadis, David J Dexter, Juan J Ciampi Dopazo and 5 more

Registry-linked trialAbstract readMulticenter StudyObservational Study
In one paragraph

Observational study in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04798261 (STRIKE-PE), which is not on this map. Cited by 5 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT04798261 recruitingnot on this map

STRIKE-PE: A Prospective, Multicenter Study of the Indigo™ Aspiration System Seeking to Evaluate the Long-Term Safety and Outcomes of Treating Pulmonary Embolism

TypeobservationalSponsorPenumbra Inc.Ran2021 to 2028Enrolled1,500ConditionsPulmonary EmbolismArmsIndigo Aspiration System
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Mechanical Thrombectomy Versus Anticoagulation in Intermediate-Risk Pulmonary Embolism: A Risk-Stratified, Propensity Score-Matched Analysis.Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions · 2026
    Article
  3. Article
  4. Article
  5. Endovascular Therapy for Acute Pulmonary Embolism: Ready for Prime Time?Journal of the American Heart Association · 2025
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

15 authors.

John M MoriartyUCLA Health Los Angeles CA USA.ORCID 0000-0001-8108-520X
Brian J SchiroMiami Cardiac & Vascular Institute Miami FL USA.
Suhail Y DohadCedars-Sinai Medical Center Los Angeles CA USA.ORCID 0000-0003-2297-8475
Houman TamaddonPiedmont Augusta Augusta GA USA.
Hugh C DavisUniversity of Florida - Shands Hospital Gainesville FL USA.ORCID 0000-0001-8592-9967
David M ShavelleMemorialCare Heart & Vascular Institute Long Beach CA USA.ORCID 0000-0002-9209-9807
George S ChrysantINTEGRIS Baptist Medical Center / INTEGRIS Cardiovascular Physicians Oklahoma City OK USA.
Elias A IliadisCooper University Hospital Camden NJ USA.
David J DexterSentara Vascular Specialists Norfolk VA USA.ORCID 0000-0003-1366-3906
Juan J Ciampi DopazoHospital Universitario Virgen de las Nieves in Granada Granada Spain.
Andrew HoldenAuckland University School of Medicine Auckland New Zealand.ORCID 0000-0002-8170-4960
Frances M WestThomas Jefferson University Hospital Philadelphia PA USA.ORCID 0000-0002-4132-8382
Brent KeelingEmory University Hospital Midtown Atlanta GA USA.ORCID 0000-0003-3116-6495
Andrew S P SharpUniversity College Dublin Dublin Ireland.ORCID 0000-0002-9085-8881
Ido WeinbergHadassah Hebrew University Medical Center Jerusalem Israel.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPulmonary embolism (PE) can be a life-threatening condition. Endovascular treatment is emerging as a promising treatment to restore hemodynamic stability and reverse right ventricular (RV) dysfunction in PE; however, more studies are needed to elucidate the effects on the right ventricle after endovascular treatment. This analysis reports the effects of computer assisted vacuum thrombectomy on RV function.

methodsEligible patients for the single-arm, prospective, international, multicenter STRIKE-PE (A Prospective, Multicenter Study of the Indigo Aspiration System Seeking to Evaluate the Long-Term Safety and Outcomes of Treating Pulmonary Embolism) cohort study are adults with acute PE with symptoms for ≤14 days and an RV/left ventricular ratio of ≥0.9 who are treated with computer assisted vacuum thrombectomy. Reported here are periprocedural and RV outcomes of the initial 300 patients of STRIKE-PE, to provide insights into effects on RV function after computer assisted vacuum thrombectomy.

resultsPatients were classified with high-risk (5.7%), intermediate-high-risk (84.7%), or intermediate-low-risk (9.7%) PE. Median thrombectomy time was 30 minutes. Mean on-table systolic pulmonary artery pressure decreased from 51.7 mm Hg to 41.3 mm Hg, a 19.1% reduction (

conclusionsThis interim analysis demonstrates that computer assisted vacuum thrombectomy safely and expeditiously improves hemodynamic status, RV function, and perceived dyspnea. REGISTRATION: URL: https://clinicaltrials.gov; Unique Identifier: NCT04798261.

Indexed as

Pulmonary EmbolismSurgery, Computer-AssistedThrombectomyVentricular Dysfunction, RightVentricular Function, RightAcute DiseaseAgedFemaleHumansMaleMiddle AgedProspective StudiesTime FactorsTreatment OutcomeVacuumComputer assisted vacuum thrombectomylung embolismmechanical thrombectomyprospective studiespulmonary embolism

Identifiers

PMID40878986
PMCPMC12553419

What OpenQuestion holds

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Registered trials

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.