Evidence map›Paper›PMID 29354887›Full record

ArticleTranslational stroke research2018

Delayed Recanalization Promotes Functional Recovery in Rats Following Permanent Middle Cerebral Artery Occlusion.

Devin William McBride, Guangyong Wu, Derek Nowrangi, Jerry J Flores, Liang Hui, Paul R Krafft, John H Zhang

Open access · greenAbstract read
In one paragraph

Article in Translational stroke research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.

0numbers the graph read from it
0cells of the map it votes in
22citing papers in PubMed
1.9field-weighted citation impact, top 15% 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

22 citing papers in PubMed, 29 citations in OpenAlex.

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  15. The Next Step in the Treatment of Stroke.Frontiers in neurology · 2020
    Review
  16. Article
  17. Article
  18. Delayed recanalization in acute ischemic stroke patients: Late is better than never?Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2019
    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

7 authors at 3 institutions in 2 countries.

Devin William McBrideDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, 11041 Campus St, Risley Hall Room 219, Loma Linda, CA, 92350, USA.
Guangyong WuDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, 11041 Campus St, Risley Hall Room 219, Loma Linda, CA, 92350, USA.
Derek NowrangiDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, 11041 Campus St, Risley Hall Room 219, Loma Linda, CA, 92350, USA.
Jerry J FloresDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, 11041 Campus St, Risley Hall Room 219, Loma Linda, CA, 92350, USA.
Liang HuiDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, 11041 Campus St, Risley Hall Room 219, Loma Linda, CA, 92350, USA.
Paul R KrafftDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, 11041 Campus St, Risley Hall Room 219, Loma Linda, CA, 92350, USA.
John H ZhangDepartment of Physiology & Pharmacology, Loma Linda University School of Medicine, 11041 Campus St, Risley Hall Room 219, Loma Linda, CA, 92350, USA. jhzhang@llu.edu.
Loma Linda University · USCentral South University · CNThe University of Texas Health Science Center at Houston · US

Funding

Vascular Biology Core FacilityP01NS082184 · NINDS · LOMA LINDA UNIVERSITY · PI PEARCE, WILLIAM J. · 2014 to 2018
$6.1M
Neurovascular Protection for Early Brain Injury after SAHR01NS081740 · NINDS · LOMA LINDA UNIVERSITY · PI ZHANG, JOHN H · 2013 to 2017
$1.6M
NINDS NIH HHS P01 NS082184NINDS NIH HHS P01NS082184NINDS NIH HHS R01 NS081740
6 · The paper itself

Abstract

Most large vessel stroke patients have permanent occlusion, for which there are no current treatment options. Recent case studies have indicated delayed recanalization, that is recanalization outside of the 6-h treatment window, may lead to improved outcome. We hypothesized that delayed recanalization will restore cerebral blood flow, leading to improved function in rats. Male SD rats were subjected to pMCAO or sham surgery. Delayed recanalization was performed on either day 3, 7, or 14 after pMCAO in a subset of animals. Cerebral blood flow was monitored during suture insertion, during recanalization, and then at sacrifice. Neurological function was evaluated for 1 week after delayed recanalization and at 4 weeks post-ictus. After sacrifice, cerebral morphology was measured. Compared to no treatment, delayed recanalization restored cerebral blood flow, leading to sensorimotor recovery, improved learning and memory, reduced infarct volume, and increased neural stem/progenitor cells within the infarction. The data indicate that earlier delayed recanalization leads to better functional and histological recovery. Yet, even restoring cerebral blood flow 14 days after pMCAO allows for rats to regain sensorimotor function. This exploratory study suggests that delayed recanalization may be a viable option for treatment of permanent large vessel stroke.

Indexed as

AnimalsCalcium-Binding ProteinsCerebrovascular CirculationDisease Models, AnimalEndovascular ProceduresInfarction, Middle Cerebral ArteryMaleMaze LearningMicrofilament ProteinsNerve Tissue ProteinsNeurologic ExaminationPlatelet Endothelial Cell Adhesion Molecule-1Random AllocationRatsRats, Sprague-DawleyRecovery of FunctionAif1 protein, ratCalcium-Binding ProteinsMicrofilament ProteinsNerve Tissue ProteinsPlatelet Endothelial Cell Adhesion Molecule-1Delayed recanalizationIschemiaPermanent middle cerebral artery occlusionStroke

Identifiers

PMID29354887
PMCPMC6513323
OpenAlexW2789194527

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.