Evidence map›Paper›PMID 25692109›Full record

ArticleJournal of stroke2015

Cerebral arterial calcification is an imaging prognostic marker for revascularization treatment of acute middle cerebral arterial occlusion.

Seong-Joon Lee, Ji Man Hong, Manyong Lee, Kyoon Huh, Jin Wook Choi, Jin Soo Lee

Open access · diamondAbstract read
In one paragraph

Article in Journal of stroke, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.1field-weighted citation impact, top 21% of its field
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

11 citing papers in PubMed, 17 citations in OpenAlex.

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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

6 authors at 1 institution in 1 country.

Seong-Joon LeeDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Korea.
Ji Man HongDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Korea.
Manyong LeeDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Korea.
Kyoon HuhDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Korea.
Jin Wook ChoiDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Korea.
Jin Soo LeeDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Korea.
Ajou University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeTo study the significance of intracranial artery calcification as a prognostic marker for acute ischemic stroke patients undergoing revascularization treatment after middle cerebral artery (MCA) trunk occlusion.

methodsPatients with acute MCA trunk occlusion, who underwent intravenous and/or intra-arterial revascularization treatment, were enrolled. Intracranial artery calcification scores were calculated by counting calcified intracranial arteries among major seven arteries on computed tomographic angiography. Patients were divided into high (HCB; score ≥3) or low calcification burden (LCB; score <3) groups. Demographic, imaging, and outcome data were compared, and whether HCB is a prognostic factor was evaluated. Grave prognosis was defined as modified Rankin Scale 5-6 for this study.

resultsOf 80 enrolled patients, the HCB group comprised 15 patients, who were older, and more commonly had diabetes than patients in the LCB group. Initial National Institutes of Health Stroke Scale (NIHSS) scores did not differ (HCB 13.3±2.7 vs. LCB 14.6±3.8) between groups. The final good reperfusion after revascularization treatment (thrombolysis in cerebral infarction score 2b-3, HCB 66.7% vs. LCB 69.2%) was similarly achieved in both groups. However, the HCB group had significantly higher NIHSS scores at discharge (16.0±12.3 vs. 7.9±8.3), and more frequent grave outcome at 3 months (57.1% vs. 22.0%) than the LCB group. HCB was proven as an independent predictor for grave outcome at 3 months when several confounding factors were adjusted (odds ratio 4.135, 95% confidence interval, 1.045-16.359, P=0.043).

conclusionsIntracranial HCB was associated with grave prognosis in patients who have undergone revascularization for acute MCA trunk occlusion.

Indexed as

Intracranial embolismIntracranial thrombosisMiddle cerebral artery infarctionRisk factorsThrombolytic therapyVascular calcification

Identifiers

PMID25692109
PMCPMC4325637
OpenAlexW2135957989

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LicenceCC BY-NC
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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.