Evidence map›Paper›PMID 28655811›Full record

ArticleStroke2017

Rates of Spinal Cord Infarction After Repair of Aortic Aneurysm or Dissection.

Gino Gialdini, Neal S Parikh, Abhinaba Chatterjee, Michael P Lerario, Hooman Kamel, Darren B Schneider, Babak B Navi, Santosh B Murthy, Costantino Iadecola, Alexander E Merkler

Open access · greenAbstract read
In one paragraph

Article in Stroke, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 20 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
20citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% 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

20 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Histological Findings After Aortic Cross-Clamping in Preclinical Animal Models.Journal of neuropathology and experimental neurology · 2021
    Pooled it
  2. Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Article
  8. Management of acute aortic dissection in critical care.Journal of the Intensive Care Society · 2023
    Review
  9. Article
  10. Collateral network concept in 2023.Annals of cardiothoracic surgery · 2023
    Review
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. The etiologies and prognosis associated with spinal cord infarction.Annals of clinical and translational neurology · 2019
    Article
  18. Perioperative stroke: pathophysiology and management.Korean journal of anesthesiology · 2018
    Review
  19. Article
  20. Article
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

10 authors at 1 institution in 1 country.

Gino GialdiniFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Neal S ParikhFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Abhinaba ChatterjeeFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Michael P LerarioFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Hooman KamelFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Darren B SchneiderFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Babak B NaviFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Santosh B MurthyFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Costantino IadecolaFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.).
Alexander E MerklerFrom the Clinical and Translational Neuroscience Unit, Feil Family Brain and Mind Research Institute (G.G., N.S.P., A.C., H.K., B.B.N., S.B.M., C.I., A.E.M.), Department of Neurology (N.S.P., M.P.L., H.K., B.B.N., S.B.M., C.I., A.E.M.), and Department of Vascular and Endovascular Surgery (D.B.S.), Weill Cornell Medicine, New York, NY; and Department of Neurology, New York-Presbyterian Queens, Flushing (M.P.L.). alm9097@med.cornell.edu.
Cornell University · US

Funding

NO SYNTHASE GENE EXPRESSION AND CEREBRAL ISCHEMIC DAMAGER01NS034179 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IADECOLA, COSTANTINO · 1995 to 2021
$5.5M
Dietary Sodium, Neurovascular Dysfunction and Cerebrovascular RiskR01NS095441 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IADECOLA, COSTANTINO · 2016 to 2025
$4.7M
ApoE4 and mechanisms of diffuse white matter injuryR01NS100447 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IADECOLA, COSTANTINO · 2016 to 2020
$3.5M
Hypertension and neurovascular dysfunctionR37NS089323 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI IADECOLA, COSTANTINO · 2015 to 2021
$3.1M
Left Atrial abNormality, ThromboEmbolism, and Race: Novel risk factors for stroke (LANTERN)R01NS097443 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KAMEL, HOOMAN · 2016 to 2019
$1.5M
Cancer And Risk Of Ischemic StrokeK23NS091395 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI NAVI, BABAK BENJAMIN · 2015 to 2019
$945k
Atrial Fibrillation Precursors May Be Novel Stroke Risk FactorsK23NS082367 · NINDS · WEILL MEDICAL COLL OF CORNELL UNIV · PI KAMEL, HOOMAN · 2013 to 2017
$937k
NINDS NIH HHS K23 NS082367NINDS NIH HHS K23 NS091395NINDS NIH HHS R01 NS034179NINDS NIH HHS R01 NS095441NINDS NIH HHS R01 NS097443NINDS NIH HHS R01 NS100447NINDS NIH HHS R37 NS089323
6 · The paper itself

Abstract

background and purposeThe rate of spinal cord infarction (SCI) after surgical or endovascular repair of an aortic aneurysm or dissection is unclear.

methodsUsing administrative claims data, we identified adult patients discharged from nonfederal acute care hospitals in California, New York, and Florida who underwent surgical or endovascular repair of an aortic aneurysm or dissection between 2005 and 2013. Patients with SCI diagnosed before the aortic repair were excluded. Our primary outcome was an SCI during the index hospitalization for aortic repair. Descriptive statistics were used to estimate crude rates of SCI. Analyses were stratified by whether the aneurysm or dissection had ruptured and by type of repair (surgical versus endovascular).

resultsWe identified 91 212 patients who had repair of an aortic aneurysm or dissection. SCI occurred in 235 cases (0.26%; 95% confidence interval [CI], 0.22%-0.29%). In patients with ruptured aneurysm or dissection, the rate of SCI was 0.74% (95% CI, 0.60%-0.88%) compared with 0.16% (95% CI, 0.13%-0.19%) with unruptured aneurysm. In secondary analyses, rates of SCI were similar after endovascular repair (0.91%; 95% CI, 0.62%-1.19%) compared with surgical repair (0.68%; 95% CI, 0.53%-0.83%;

conclusionsSCI occurs in ≈1 in 130 patients undergoing aortic dissection or ruptured aortic aneurysm repair and in 1 in 600 patients undergoing unruptured aortic aneurysm repair.

Indexed as

AgedAged, 80 and overAortic AneurysmAortic DissectionCaliforniaCohort StudiesFemaleFloridaHumansInfarctionMaleMiddle AgedNew YorkPostoperative ComplicationsRetrospective StudiesSpinal Cord Ischemiaaortic aneurysmendovascular procedureshospitalizationinfarctionspinal cord

Identifiers

PMID28655811
PMCPMC5609505
OpenAlexW2725937086

What OpenQuestion holds

Textmetadata
LicenceTDM
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.