Evidence map›Paper›PMID 42597274›Full record

ArticleFrontiers in medicine2026

Intravascular ultrasound analysis of spontaneous pulmonary artery lumen enlargement after balloon pulmonary angioplasty in patients with chronic thromboembolic pulmonary hypertension.

Wande Yu, Yang Luo, Shifa Zhu, Yuxing Lai, Minghui Zhu, Xingyue Chang, Hang Zhang

Abstract read
In one paragraph

Article in Frontiers in medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Wande Yu *Division of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.
Yang Luo *3rd College, Nanjing Medical University, Nanjing, China.
Shifa ZhuDivision of Cardiology, Ganyu District Hospital, Lianyungang, Jiangsu, China.
Yuxing LaiDivision of Cardiology, The First Affiliated Hospital of Fujian Medical University, Fuzhou, Fujian, China.
Minghui Zhu3rd College, Nanjing Medical University, Nanjing, China.
Xingyue Chang3rd College, Nanjing Medical University, Nanjing, China.
Hang ZhangDivision of Cardiology, Nanjing First Hospital, Nanjing Medical University, Nanjing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Balloon pulmonary angioplasty (BPA) is an important therapeutic strategy for chronic thromboembolic pulmonary hypertension (CTEPH) requiring staged procedures. Notably, incompletely expanded pulmonary artery lumens enlarge spontaneously between sessions, but the mechanism remains unclear. Objectives: To investigate the morphological mechanisms of spontaneous lumen enlargement after BPA and their association with vasoactive mediators. Methods: A total of 151 pulmonary artery segments from 92 BPA procedures in 24 CTEPH patients were included for analysis. Intravascular ultrasound (IVUS) was used to assess the same vascular segments immediately after the first BPA procedure and again before the second BPA procedure. Plasma levels of vasoactive mediators were also measured in the corresponding pulmonary artery segments at both time points. Results: Before the second procedure, IVUS showed significant increases in lumen area (LA, 10.2 → 16.8 mm Conclusion: Spontaneous lumen enlargement after BPA was associated with vascular enlargement and reduced lesion burden, suggesting a morphological basis for this phenomenon. Pulmonary vascular enlargement may be associated with increased plasma NOx levels.

Indexed as

balloon pulmonary angioplastychronic thromboembolic pulmonary hypertensionintravascular ultrasoundnitrate-nitritepulmonary artery lumen

Identifiers

PMID42597274
PMCPMC13468915

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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.