Evidence map›Paper›PMID 41727705›Full record

ArticlePulmonary circulation2026

Pulmonary Venous Vasculopathy in Connective Tissue Disease-Associated Pulmonary Arterial Hypertension With Reduced Diffusion Capacity for Carbon Monoxide.

Shinya Fujisaki, Ryotaro Asano, Hiroyuki Endo, Atsushi Kuraishi, Ryo Takano, Hiroya Hayashi, Keiko Ohta-Ogo, Kinta Hatakeyama, Kenichi Tsujita, Teruo Noguchi and 1 more

Abstract read
In one paragraph

Article in Pulmonary circulation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Article
  2. Pulmonary arterial hypertension with signs of venous/capillary involvement in connective tissue diseases: paradigms and paradoxes.European respiratory review : an official journal of the European Respiratory Society · 2026
    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

11 authors.

Shinya FujisakiDivision of Pulmonary Circulation, Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan.
Ryotaro AsanoDepartment of Vascular Physiology National Cerebral and Cardiovascular Center Suita Osaka Japan.ORCID https://orcid.org/0000-0003-0303-6546
Hiroyuki EndoDivision of Pulmonary Circulation, Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan.ORCID https://orcid.org/0000-0003-4531-2991
Atsushi KuraishiDivision of Pulmonary Circulation, Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan.
Ryo TakanoDivision of Pulmonary Circulation, Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan.ORCID https://orcid.org/0000-0003-4078-3479
Hiroya HayashiDivision of Pulmonary Circulation, Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan.
Keiko Ohta-OgoDepartment of Pathology National Cerebral and Cardiovascular Center Suita Osaka Japan.
Kinta HatakeyamaDepartment of Pathology National Cerebral and Cardiovascular Center Suita Osaka Japan.
Kenichi TsujitaDepartment of Cardiovascular Medicine Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.ORCID https://orcid.org/0000-0002-4314-259X
Teruo NoguchiDepartment of Advanced Cardiovascular Medicine Graduate School of Medical Sciences Kumamoto University Kumamoto Japan.
Takeshi OgoDivision of Pulmonary Circulation, Department of Cardiovascular Medicine National Cerebral and Cardiovascular Center Suita Osaka Japan.ORCID https://orcid.org/0000-0003-1180-9262

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Connective tissue disease-associated pulmonary arterial hypertension (CTD-PAH) has a poorer prognosis than idiopathic PAH, potentially attributable to pulmonary veno-occlusive disease (PVOD)-like involvement. The diffusing capacity for carbon monoxide (DLco) may reflect small pulmonary venous obliteration. Whether severely reduced DLco reflects the severity of venous remodelling in CTD-PAH remains incompletely characterised, particularly with quantitative morphometric assessment. Thus, we evaluated the association of reduced DLco with clinical characteristics and venous vasculopathy in patients with CTD-PAH. We retrospectively reviewed patients with CTD-PAH without interstitial pneumonia. Patients were categorised into two groups based on %DLco (< 45%: severely reduced DLco or ≥ 45%: non-severely reduced DLco). Clinical characteristics and survival rates were compared. Histopathological characteristics of the pulmonary vasculature were analysed in eight autopsy cases. Of the 86 patients (mean age, 49.2 ± 16.8 years), 25 (29.1%) were classified into the severely reduced DLco group. They were older, showed a higher prevalence of systemic sclerosis, and exhibited lower arterial oxygen saturation and mean pulmonary arterial pressure compared with the other group. The severely reduced DLco group had a worse survival in unadjusted analysis (

Indexed as

carbon monoxideconnective tissue disease‐associated pulmonary arterial hypertensiondiffusing capacitypulmonary venous vasculopathy

Identifiers

PMID41727705
PMCPMC12917922

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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.