Evidence map›Paper›PMID 42502667›Full record

ArticleKidney international reports2026

Real-time, Multidisciplinary Approach of Women With Pregnancy-Associated Thrombotic Microangiopathy.

Nelson-Georges Dengo, Charlotte Ferrier, Thomas Robert, Yahsou Delmas, Steven Grangé, François Provot, Mathias Rossignol, Mercédès Jourdain, Vincent Dupont, David Desseauve and 17 more

Abstract read
In one paragraph

Article in Kidney international reports, 2026. 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

27 authors.

Nelson-Georges DengoDepartment of Nephrology, Dialysis, and Kidney Transplantation, Foch Hospital, Suresnes, France.
Charlotte FerrierDepartment of Nephrology, Dialysis, and Kidney Transplantation, Foch Hospital, Suresnes, France.
Thomas RobertDepartment of Nephrology, Hôpital Saint-Joseph, Marseille, France.
Yahsou DelmasDepartment of Nephrology, Dialysis and Transplantation, Bordeaux University Hospital, Bordeaux, France.
Steven GrangéDepartment of Nephrology, Rouen University Hospital, Rouen, France.
François ProvotDepartment of Nephrology, Hôpital Claude Huriez, CHU de Lille, Lille, France.
Mathias RossignolUnité de réanimation chirurgicale, Département d'anesthésie-réanimation et SMUR, Hôpital Lariboisière, Assistance Publique - Hôpitaux de Paris (AP-HP), Paris, France.
Mercédès JourdainIntensive Care Unit Department, CHU de Lille, Lille, France.
Vincent DupontDepartment of Nephrology, Centre Hospitalier Universitaire (CHU) Reims, France.
David DesseauveDepartment of Obstetrics and Gynecology, University Hospital of Grenoble, Grenoble, France.
Véronique Frémeaux-BacchiDepartment of Immunology, Hôpital Européen GEorges Pompidou, PHP, Paris, France.
Vassilis TsatsarisDepartment of Obstetrics and Gynecology, Port Royal, Hôpital Cochin, APHP, Paris, France.
Anthony AtallahDepartment of Maternal-Fetal Medicine and Obstetric Emergency, Groupement Hospitalier Est, Hospices Civils de Lyon, Hôpital Femme Mè0re Enfant, Bron, France.
Pierre-François CeccaldiDepartment of Gynaecology Obstetrics, Assistance Publique des Hôpitaux de Paris -Beaujon, Clichy 92100, France.
Mary-Jane GuerryDepartment of Nephrology, Centre Hospitalier de Valenciennes, Valenciennes, France.
Bérangère JolyHematology Department, Lariboisière Hospital, Assistance Publique-Hôpitaux de Paris, University Paris Cité, Paris, France.
Anne-Sophie BouthorsAnesthesia and Intensive Care Department, Jeanne de Flandre Academic Women Hospital, Centre Hospitalier Universitaire, Lille, France.
Christelle FossoDepartment of Nephrology, University Hospital Brugmann, Bruxelles, Belgium.
Anne LeosticDepartment of Gynecology, Dijon University Hospital, Dijon, France.
Anne GrunenwaldDepartment of Nephrology, Poissy Hospital, Poissy, France.
Andrew CarlinDepartment of Gynecology, Brugmann University Hospital, Brugmann, Belgium.
Sophie HillaireDepartment of Nephrology, Dialysis, and Kidney Transplantation, Foch Hospital, Suresnes, France.
Manon MarieDepartment of Internal Medicine, Centre Hospitalier Universitaire (CHU) Edouard Herriot, Lyon, France.
Paul CoppoCentre de référence des microangiopathies thrombotiques, Service d'hématologie, Assistance Publique - Hôpitaux de Paris (AP-HP) et Sorbonne Université, Paris, France.
Alexandre HertigDepartment of Nephrology, Dialysis, and Kidney Transplantation, Foch Hospital, Suresnes, France.
French National Multidisciplinary Consultation Committee on Thrombotic Microangiopathy and Pregnancy27
French National Multidisciplinary Consultation Committee on Thrombotic Microangiopathy and Pregnancy

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Thrombotic microangiopathies (TMAs) occurring during pregnancy or the immediate postpartum period are a rare, and highly complex syndrome. Determination of the most appropriate therapeutic strategy remains challenging and requires individualized assessment. Methods: To support both diagnostic and therapeutic decision-making, a national multidisciplinary consultation committee [MCC] (titled "TMA and Pregnancy") was established in October 2023 under the auspices of the French National Reference Center for TMAs. The MCC is activated for a single case, on an emergency basis, and within 24 hours. It brings together national experts from 8 medical specialties. Results: Here, we report on 2 years of experience of the MCC, including operational aspects, activity indicators, the clinical and obstetrical profiles of the first 76 women whose cases were reviewed, the suspected diagnoses, and the real-time impact on patient management. Of the women, 29 (38%) were primiparous. The obstetrical context was preeclampsia in 47% and peripartum hemorrhage (PPH) in 40% of the women. TMA was most frequently attributed to severe endotheliosis, with acute kidney injury (AKI) present in 47 women (62%), including 9 (12%) showing renal cortical necrosis (RCN). Thrombotic thrombocytopenic purpura (TTP) was relatively uncommon ( Conclusion: We emphasize the value of real-time multidisciplinary case conferences in managing catastrophic obstetrical syndromes and advocate for the recognition of extreme phenotypes of endotheliosis extending beyond the liver. These findings underscore the need for therapies targeting endothelial injury.

Indexed as

acute kidney injuryendotheliosispreeclampsiapregnancythrombotic microangiopathy

Identifiers

PMID42502667
PMCPMC13400224

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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.