Evidence map›Paper›PMID 28893764›Full record

ArticleJournal of the American Heart Association2017

Prevalence of Cerebral Microbleeds in Patients With Continuous-Flow Left Ventricular Assist Devices.

Daisuke Yoshioka, Shuhei Okazaki, Koichi Toda, Sho Murase, Shunsuke Saito, Keitaro Domae, Shigeru Miyagawa, Yasushi Yoshikawa, Takashi Daimon, Manabu Sakaguchi and 1 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed, 1 pooled it
3.0field-weighted citation impact, top 9% 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

21 citing papers in PubMed, 1 synthesis or guideline pooled it, 49 citations in OpenAlex.

  1. Blood stream infection is associated with cerebrovascular accident in patients with left ventricular assist device: a systematic review and meta-analysis.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2018
    Pooled it
  2. Review
  3. Article
  4. Review
  5. Pulsatility and flow patterns across macro- and microcirculatory arteries of continuous-flow left ventricular assist device patients.The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation · 2023
    Article
  6. Review
  7. Observational
  8. Article
  9. Risk factors of gynecological bleeding in female patients with left-ventricular assist device.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2022
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Ventricular Assist Device-Specific Infections.Journal of clinical medicine · 2021
    Review
  15. Review
  16. Article
  17. Infective endocarditis of bovine pericardial patch in the aortic position in a patient with left ventricular assist device.Journal of artificial organs : the official journal of the Japanese Society for Artificial Organs · 2019
    Article
  18. Article
  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

11 authors at 2 institutions in 1 country.

Daisuke YoshiokaDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan yoshioka@surg1.med.osaka-u.ac.jp.
Shuhei OkazakiDepartment of Neurology, Osaka University Graduate School of Medicine, Osaka, Japan.
Koichi TodaDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Sho MuraseDepartment of Neurology, Osaka University Graduate School of Medicine, Osaka, Japan.
Shunsuke SaitoDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Keitaro DomaeDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Shigeru MiyagawaDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Yasushi YoshikawaDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Takashi DaimonDepartment of Biostatistics, Hyogo College of Medicine, Nishinomiya, Hyogo, Japan.
Manabu SakaguchiDepartment of Neurology, Osaka University Graduate School of Medicine, Osaka, Japan.
Yoshiki SawaDepartment of Cardiovascular Surgery, Osaka University Graduate School of Medicine, Osaka, Japan.
Osaka University · JPHyogo Medical University · JP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe prevalence of cerebral microbleeds (CMBs) in gradient echo T2*-weighted brain MRI has a positive correlation with hemorrhagic stroke incidence. However, the prevalence of CMBs in patients with left ventricular assist devices (LVADs) has not been evaluated. We evaluated the prevalence of CMBs and the relationship with hemorrhagic stroke incidence in patients with LVADs. METHOD AND

resultsWe analyzed results from brain MRI in prospective examinations of 35 consecutive patients who had undergone LVAD explantation for heart transplantation or recovery since 2011. The number and distribution of CMBs were counted, then the relationship between baseline characteristics and adverse events during LVAD support were analyzed. The mean age was 37.7±12.4 years and the mean LVAD duration was 2.43±1.08 years. Thirty-four (97%) patients had at least one CMB. Nine (26%) developed hemorrhagic stroke during LVAD support, and patients with hemorrhagic stroke had a significantly greater number of CMBs compared with patients without hemorrhagic stroke (5 [interquartile range (IQR), 4-7] versus 9 [IQR, 5-23]; odds ratio 1.14 [95% Confidence Interval (CI), 1.02-1.32],

conclusionsThirty-four (97%) patients with continuous-flow LVAD had at least one CMB, and the number of CMBs were more prevalent in patients with hemorrhagic stroke and in patients with LVAD-related infection.

Indexed as

HemodynamicsVentricular Function, LeftAdultDevice RemovalFemaleHeart-Assist DevicesHeart FailureHumansIntracranial HemorrhagesJapanMagnetic Resonance ImagingMaleMiddle AgedPredictive Value of TestsPrevalenceProspective Studiescerebral microbleedshemorrhagicMRIstrokeventricular assist device

Identifiers

PMID28893764
PMCPMC5634264
OpenAlexW2756161726

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.