Evidence map›Paper›PMID 29232823›Full record

ReviewInternational journal of molecular sciences2017

Improving Cerebral Blood Flow after Arterial Recanalization: A Novel Therapeutic Strategy in Stroke.

Mohamad El Amki, Susanne Wegener

4 registry-linked trialsAbstract readReview
In one paragraph

Review in International journal of molecular sciences, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 4 registered trials, which are not on this map. Cited by 58 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

NCT04035746 unknown statusnot on this mapstarted 2019, after this paper: background citation

The Interplay of Microcirculation and Plasticity After Ischemic Stroke

TypeobservationalSponsorUniversity of ZurichRan2019 to 2022Enrolled49ConditionsStroke, IschemicArmsObservation of microcirculation and plasticity of the brain
NCT05836740 phase3completednot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety of Minocycline in Patients With Moderate to Severe Acute Ischemic Stroke: A Prospective, Multicenter, Randomized, Double-blind, Placebo-controlled, Parallel-group, Phase III Trial

TypeinterventionalSponsorBeijing Tiantan HospitalRan2023 to 2024Enrolled1,724ConditionsIschemic Stroke, AcuteArmsMinocycline hydrochloride capsule, Placebo capsules of Minocycline hydrochloride capsules
NCT05836753 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Efficacy and Safety of Sarecycline in Patients With Acute Ischemic Stroke After Reperfusion Therapy: A Phase II, Randomized, Multicenter, Double-blind, Single Dose, Placebo-controlled Parallel Trial

TypeinterventionalSponsorBeijing Tiantan HospitalRan2023 to 2023Enrolled120ConditionsIschemic Stroke, AcuteArmsSarecycline Tablet, Placebo tablets of Sarecycline tablets
NCT05836766 phase2unknown statusnot on this mapstarted 2023, after this paper: background citation

Cilostazol Dexborneol Versus Placebo for Microcirculation Dysfunction After Reperfusion Therapy in Patients With Acute Ischemic Stroke With Large Vessel Occlusion: A Phase Ⅱa,Prospective,Multicenter,Randomized, Double-blind,Placebo-controlled Parallel Trial

TypeinterventionalSponsorBeijing Tiantan HospitalRan2023 to 2024Enrolled120ConditionsAcute Ischemic Stroke, Reperfusion, Large Vessel OcclusionArmsY-6 sublingual tablets, Placebo tablets of Y-6 sublingual tablet
3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Trial
  4. Article
  5. Genetic determinants of insufficiency of the collateral circulation.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2026
    Review
  6. Article
  7. Review
  8. Article
  9. Review
  10. Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Precision Medicine for Blood Glutamate Grabbing in Ischemic Stroke.International journal of molecular sciences · 2024
    Observational
  17. 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

2 authors.

Mohamad El AmkiDepartment of Neurology, University Hospital Zurich and University of Zurich, 8091 Zürich, Switzerland. Mohamad.elamki@usz.ch.
Susanne WegenerDepartment of Neurology, University Hospital Zurich and University of Zurich, 8091 Zürich, Switzerland. susanne.wegener@usz.ch.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic stroke is caused by a disruption in blood supply to a region of the brain. It induces dysfunction of brain cells and networks, resulting in sudden neurological deficits. The cause of stroke is vascular, but the consequences are neurological. Decades of research have focused on finding new strategies to reduce the neural damage after cerebral ischemia. However, despite the incredibly huge investment, all strategies targeting neuroprotection have failed to demonstrate clinical efficacy. Today, treatment for stroke consists of dealing with the cause, attempting to remove the occluding blood clot and recanalize the vessel. However, clinical evidence suggests that the beneficial effect of post-stroke recanalization may be hampered by the occurrence of microvascular reperfusion failure. In short: recanalization is not synonymous with reperfusion. Today, clinicians are confronted with several challenges in acute stroke therapy, even after successful recanalization: (1) induce reperfusion, (2) avoid hemorrhagic transformation (HT), and (3) avoid early or late vascular reocclusion. All these parameters impact the restoration of cerebral blood flow after stroke. Recent advances in understanding the molecular consequences of recanalization and reperfusion may lead to innovative therapeutic strategies for improving reperfusion after stroke. In this review, we will highlight the importance of restoring normal cerebral blood flow after stroke and outline molecular mechanisms involved in blood flow regulation.

Indexed as

Cerebrovascular CirculationHumansReperfusionStrokeThrombectomyThrombolytic TherapyTreatment Outcomecollateralshemorrhagic transformationno-reflow and reocclusionreperfusionstroke

Identifiers

PMID29232823
PMCPMC5751271

What OpenQuestion holds

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Registered trials

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.