Evidence map›Paper›PMID 27798274›Full record

ArticleJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2017

Placing intracerebral probes to optimise detection of delayed cerebral ischemia and allow for the prediction of patient outcome in aneurysmal subarachnoid haemorrhage.

Yannick Tholance, Gleicy K Barcelos, Armand Perret-Liaudet, Edris Omar, Romain Carrillon, Sébastien Grousson, Thomas Lieutaud, Frédéric Dailler, Stéphane Marinesco

Open access · bronzeAbstract read
In one paragraph

Article in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.1field-weighted citation impact, top 20% 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

9 citing papers in PubMed, 16 citations in OpenAlex.

  1. Trial
  2. Review
  3. Article
  4. Article
  5. Early brain metabolic disturbances associated with delayed cerebral ischemia in patients with severe subarachnoid hemorrhage.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2023
    Article
  6. Article
  7. Article
  8. Observational
  9. 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

9 authors at 5 institutions in 2 countries.

Yannick Tholance1 Department of Biochemistry and Molecular Genetics, Dupuytren University Hospital, Limoges, France.
Gleicy K Barcelos3 Department of Anesthesiology, Pharmacology and Intensive Care, Geneva University Hospitals, Geneva, Switzerland.
Armand Perret-Liaudet4 BioRaN Team, Lyon Neuroscience Research Center, CNRS, UMR 5292, INSERM U1028, University Lyon 1, Lyon, France.
Edris Omar6 Neuro-Intensive Care Unit, Neurological Hospital, Hospices Civils de Lyon, Lyon, France.
Romain Carrillon6 Neuro-Intensive Care Unit, Neurological Hospital, Hospices Civils de Lyon, Lyon, France.
Sébastien Grousson6 Neuro-Intensive Care Unit, Neurological Hospital, Hospices Civils de Lyon, Lyon, France.
Thomas Lieutaud2 TIGER Team, Lyon Neuroscience Research Center, CNRS, UMR 5292, INSERM U1028, University Lyon 1, Lyon, France.
Frédéric Dailler6 Neuro-Intensive Care Unit, Neurological Hospital, Hospices Civils de Lyon, Lyon, France.
Stéphane Marinesco2 TIGER Team, Lyon Neuroscience Research Center, CNRS, UMR 5292, INSERM U1028, University Lyon 1, Lyon, France.
Hospices Civils de Lyon · FRCentre de Recherche en Neurosciences de Lyon · FRCentre National de la Recherche Scientifique · FRInserm · FRUniversité Claude Bernard Lyon 1 · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral microdialysis could be useful to detect delayed cerebral ischemia in aneurysmal subarachnoid haemorrhage patients. The optimal location of the probes, however, remains controversial. Here, we determined the vascular territories with the highest infarct risk in relation to aneurysm location to define probe implantation guidelines. These guidelines were retrospectively validated by studying the likelihood of probe to fall in a secondary infarct area, and by analysing their influence to predict patient outcome. The vascular territories with highest risk of infarction were the anterior cerebral arteries for anterior communicating artery aneurysms and the ipsilateral middle cerebral artery for internal carotid artery, posterior communicating artery and middle cerebral artery aneurysms. When cerebral microdialysis probes had been implanted in these territories, 79% were located within an infarcted area versus 54% when they were implanted in other territories. Delayed cerebral ischemia was detected only when the probe was located within a brain area later affected by secondary infarction, which could justify the use of implantation guidelines. Moreover, individual patient outcomes could be predicted when probes were placed in the brain territories as suggested by this study. Thus, a precise probe placement algorithm can improve delayed cerebral ischemia detection sensitivity and allow for a better prediction concerning patient outcome.

Indexed as

AlgorithmsCerebral AngiographyCerebral InfarctionHumansIntracranial AneurysmMagnetic Resonance AngiographyMicrodialysisNeurophysiological MonitoringOxygenPractice Guidelines as TopicPredictive Value of TestsRetrospective StudiesSubarachnoid HemorrhageOxygenCerebral infarctioncerebral microdialysisdelayed cerebral ischemiaprobe placementsubarachnoid haemorrhage

Identifiers

PMID27798274
PMCPMC5536791
OpenAlexW2533520868

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.