Evidence map›Paper›PMID 29663853›Full record

ArticleThe neuroradiology journal2018

Collateral pial circulation relates to the degree of brain edema on CT 24 hours after ischemic stroke.

Orlando Galego, Joana Jesus-Ribeiro, Mariana Baptista, João Sargento-Freitas, Ana Inês Martins, Fernando Silva, Gustavo Cordeiro Santos, Luís Cunha, César Nunes, Egídio Machado

Open access · greenAbstract read
In one paragraph

Article in The neuroradiology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
2.6field-weighted citation impact, top 10% 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

15 citing papers in PubMed, 37 citations in OpenAlex.

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  7. Perfusion imaging-based tissue-level collaterals predict ischemic lesion net water uptake in patients with acute ischemic stroke and large vessel occlusion.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
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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.

Orlando Galego1 Department of Neuroradiology, Centro Hospitalar e Universitário de Coimbra, Portugal.ORCID https://orcid.org/0000-0003-2681-5139
Joana Jesus-Ribeiro2 Department of Neurology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Mariana Baptista1 Department of Neuroradiology, Centro Hospitalar e Universitário de Coimbra, Portugal.
João Sargento-Freitas2 Department of Neurology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Ana Inês Martins2 Department of Neurology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Fernando Silva2 Department of Neurology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Gustavo Cordeiro Santos2 Department of Neurology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Luís Cunha2 Department of Neurology, Centro Hospitalar e Universitário de Coimbra, Portugal.
César Nunes1 Department of Neuroradiology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Egídio Machado1 Department of Neuroradiology, Centro Hospitalar e Universitário de Coimbra, Portugal.
Hospitais da Universidade de Coimbra · PT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Cerebral edema is frequent in patients with acute ischemic stroke (AIS) who undergo reperfusion therapy and is associated with high mortality. The impact of collateral pial circulation (CPC) status on the development of edema has not yet been determined. Methods We studied consecutive patients with AIS and documented M1-middle cerebral artery (MCA) and/or distal internal carotid artery (ICA) occlusion who underwent reperfusion treatment. Edema was graded on the 24-hour non-contrast computed tomography (NCCT) scan. CPC was evaluated at the acute phase (≤6 hours) by transcranial color-coded Doppler, angiography and/or CT angiography. We performed an ordinal regression model for the effect of CPC on cerebral edema, adjusting for age, baseline National Institutes of Health Stroke Scale, Alberta Stroke Program Early Computed Tomography Score (ASPECTS) on admission, NCCT, parenchymal hemorrhagic transformation at 24 hours and complete recanalization at six hours. Results Among the 108 patients included, 49.1% were male and mean age was 74.2 ± 11.6 years. Multivariable analysis showed a significant association between cerebral edema and CPC status (OR 0.22, 95% CI 0.08-0.59, p = 0.003), initial ASPECTS (OR 0.72, 95% CI 0.57-0.92, p = 0.007) and parenchymal hemorrhagic transformation (OR 23.67, 95% CI 4.56-122.8, p < 0.001). Conclusions Poor CPC is independently associated with greater cerebral edema 24 hours after AIS in patients who undergo reperfusion treatment.

Indexed as

Collateral CirculationAgedBrainBrain EdemaBrain IschemiaCarotid Artery DiseasesCarotid Artery, InternalCerebral Arterial DiseasesFemaleHumansMaleMultivariate AnalysisPia MaterRegression AnalysisStrokeTime Factorsbrain edemaCollateral pial circulationischemic strokestroke outcome

Identifiers

PMID29663853
PMCPMC6136138
OpenAlexW2799289893

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.