Evidence map›Paper›PMID 30952688›Full record

ArticleJournal of neurointerventional surgery2019

Platelet-rich clots as identified by Martius Scarlet Blue staining are isodense on NCCT.

Sean T Fitzgerald, Shunli Wang, Daying Dai, Andrew Douglas, Ramanathan Kadirvel, Matthew J Gounis, Juyu Chueh, Ajit S Puri, Kennith F Layton, Ike C Thacker and 14 more

Open access · greenAbstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 43 papers.

0numbers the graph read from it
0cells of the map it votes in
43citing papers in PubMed
6.9field-weighted citation impact, top 2% 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

43 citing papers in PubMed, 68 citations in OpenAlex.

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  5. Identifying ex vivo acute ischemic stroke thrombus composition using electrochemical impedance spectroscopy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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  7. Impact of next-generation delivery assist catheters and crossing strategy on reperfusion success in aspiration thrombectomy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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  13. Mechanical thrombectomy using the Nimbus stent-retriever - initial experiences in a single-center observational study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Observational
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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

24 authors at 13 institutions in 4 countries.

Sean T Fitzgerald *Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Shunli Wang *Department of Pathology, Shanghai East Hospital, Tongji University, Shanghai, China.
Daying DaiDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Andrew DouglasCÚRAM - Centre for Research in Medical Devices, National University of Ireland Galway, Galway, Ireland.
Ramanathan KadirvelDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Matthew J GounisDepartment of Radiology, University of Massachusetts, Worcester, Massachusetts, USA.
Juyu ChuehDepartment of Radiology, University of Massachusetts, Worcester, Massachusetts, USA.
Ajit S PuriDepartment of Radiology, University of Massachusetts, Worcester, Massachusetts, USA.
Kennith F LaytonDepartment of Radiology, Baylor University Medical Center, Dallas, Texas, USA.
Ike C ThackerDepartment of Radiology, Baylor University Medical Center, Dallas, Texas, USA.
Ricardo A HanelStroke & Cerebrovascular Center, Lyerly Neurosurgery/Baptist Neurological Center, Jacksonville, Florida, USA.
Eric SauvageauStroke & Cerebrovascular Center, Lyerly Neurosurgery/Baptist Neurological Center, Jacksonville, Florida, USA.
Amin AghaebrahimStroke & Cerebrovascular Center, Lyerly Neurosurgery/Baptist Neurological Center, Jacksonville, Florida, USA.ORCID http://orcid.org/0000-0002-9126-2932
Mohammed A AlmekhlafiDepartment of Radiology, Hotchkiss Brain Institute, Calgary, Alberta, Canada.
Andrew M DemchukDepartment of Clinical Neurosciences, University of Calgary, Calgary, Alberta, Canada.
Raul G NogueiraMarcus Stroke and Neuroscience Center, Grady Memorial Hospital and Emory University, Atlanta, Georgia, USA.
Vitor M PereiraJoint Department of Medical Imaging, Neuroradiology, Toronto Western Hospital, Toronto, Ontario, Canada.
Peter KvammeDepartment of Radiology, University of Tennessee Medical Center, Knoxville, Tennessee, USA.
Yasha KayanNeuroInterventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.ORCID http://orcid.org/0000-0002-7747-0188
Josser E Delgado AlmandozNeuroInterventional Radiology, Neuroscience Institute, Abbott Northwestern Hospital, Minneapolis, Minnesota, USA.
Albert J YooDepartment of Neurointervention, Texas Stroke Institute, Plano, Texas, USA.
David F KallmesDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Karen M DoyleCÚRAM - Centre for Research in Medical Devices, National University of Ireland Galway, Galway, Ireland.
Waleed BrinjikjiDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · USBaptist Medical Center Jacksonville · USUniversity of Massachusetts Chan Medical School · USAbbott Northwestern Hospital · USBaylor University Medical Center · USOllscoil na Gaillimhe – University of Galway · IEGrady Memorial Hospital · USOntario Brain Institute · CAShanghai East Hospital · CNTexas Back Institute · USToronto Western Hospital · CAUniversity of Calgary · CAUniversity of Tennessee Medical Center · US

Funding

Impact of Clot Histological and Physical Properties on Revascularization Strategies in Acute Ischaemic Stroke - Administrative SupplementR01NS105853 · NINDS · MAYO CLINIC ROCHESTER · PI BRINJIKJI, WALEED · 2018 to 2022
$2.0M
NINDS NIH HHS R01 NS105853
6 · The paper itself

Abstract

backgroundCurrent studies on clot characterization in acute ischemic stroke focus on fibrin and red blood cell composition. Few studies have examined platelet composition in acute ischemic stroke clots. We characterize clot composition using the Martius Scarlet Blue stain and assess associations between platelet density and CT density. MATERIALS AND

methodHistopathological analysis of the clots collected as part of the multi-institutional STRIP registry was performed using Martius Scarlet Blue stain and the composition of the clots was quantified using Orbit Image Analysis (www.orbit.bio) machine learning software. Prior to endovascular treatment, each patient underwent non-contrast CT (NCCT) and the CT density of each clot was measured. Correlations between clot components and clinical information were assessed using the χ

resultsEighty-five patients were included in the study. The mean platelet density of the clots was 15.7% (2.5-72.5%). There was a significant correlation between platelet-rich clots and the absence of hyperdensity on NCCT, (ρ=0.321, p=0.003*, n=85). Similarly, there was a significant inverse correlation between the percentage of platelets and the mean Hounsfield Units on NCCT (ρ=-0.243, p=0.025*, n=85).

conclusionMartius Scarlet Blue stain can identify patients who have platelet-rich clots. Platelet-rich clots are isodense on NCCT.

Indexed as

AdultAgedAged, 80 and overBlood PlateletsBrain IschemiaErythrocytesFemaleFibrinHumansMaleMiddle AgedStaining and LabelingStrokeThrombosisTomography, X-Ray ComputedYoung AdultFibrinCTplateletsstrokethrombectomy

Identifiers

PMID30952688
PMCPMC7754082
OpenAlexW2927756514

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.