Evidence map›Paper›PMID 41482407›Full record

SynthesisIn vivo (Athens, Greece)

A Meta-analysis on Interventional Metrics of Transjugular Intrahepatic Portosystemic Shunt Placement With Cone-beam Computed Tomography Guidance and Fluoroscopy Guidance.

Timo C Meine, Alea Matthies, Daphne E Detemple, Hans-Jonas Meyer

Abstract readMeta-Analysis
In one paragraph

Synthesis in In vivo (Athens, Greece). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Timo C MeineInstitute for Diagnostic and Interventional Radiology, Hannover Medical School, Hannover, Germany; meine.timo@mh-hannover.de.
Alea MatthiesMedical School, Hannover Medical School, Hannover, Germany.
Daphne E DetempleClinic for General, Visceral, Pediatric and Transplantation Surgery, University Hospital RWTH Aachen, Aachen, Germany.
Hans-Jonas MeyerDepartment of Diagnostic and Interventional Radiology, University Hospital Leipzig, Leipzig, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

aimTo integrate the results of studies on interventional metrics of cone-beam computed-tomography (CBCT) guidance and fluoroscopy guidance in transjugular intrahepatic portosystemic shunt (TIPS) placement in a meta-analysis. MATERIALS AND

methodsA systemic literature search was conducted in PubMed, Ovid/Medline, Cumulative Index to Nursing and Allied Health Literature, Web of Science and Google Scholar. Inclusion criteria were original research articles in English, comparison of CBCT and fluoroscopy guided TIPS placements and reporting of outcome parameters (procedure time, fluorotime, radiation exposure). Study quality was assessed by modified Downs-and-Black checklist. Heterogeneity was evaluated using forest plots, I

resultsIn this meta-analysis, five studies with 218 patients and TIPS placements were included. Study quality was limited with 12±0 points for procedure time, fluorotime and dose area product (DAP). Heterogeneity was indicated in procedure time (I

conclusionCBCT guidance tends to accelerate fluoroscopy and procedure times with slightly elevated DAP compared to fluoroscopy guidance in TIPS placements. Evidence is limited by the small number of feasibility studies. Further investigations need standardized reporting, especially for procedural complications and shunt patency.

Indexed as

Cone-Beam Computed TomographyPortasystemic Shunt, Transjugular IntrahepaticSurgery, Computer-AssistedFluoroscopyHumansCBCTDAPfluorotimemeta-analysisprocedure timeTIPS

Identifiers

PMID41482407
PMCPMC12764225

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Registered trials

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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.