Evidence map›Paper›PMID 31587659›Full record

ArticleStroke2019

Dual Antiplatelet Therapy Increases Hemorrhagic Transformation Following Thrombolytic Treatment in Experimental Stroke.

Yi Zheng, Franziska Lieschke, Jan Hendrik Schaefer, Xiaoying Wang, Christian Foerch, Klaus van Leyen

Open access · greenAbstract read
In one paragraph

Article in Stroke, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
2.1field-weighted citation impact, top 11% 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, 1 synthesis or guideline pooled it, 16 citations in OpenAlex.

  1. Pooled it
  2. Article
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  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Clinical perspectives on ischemic stroke.Experimental neurology · 2021
    Review
  11. Review
  12. Article
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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

6 authors at 1 institution in 1 country.

Yi ZhengFrom the Neuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown (Y.Z., F.L., X.W., K.v.L.).
Franziska LieschkeFrom the Neuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown (Y.Z., F.L., X.W., K.v.L.).
Jan Hendrik SchaeferDepartment of Neurology, University Hospital Frankfurt, Goethe-University, Frankfurt am Main, Germany (F.L., J.H.S., C.F.).
Xiaoying WangFrom the Neuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown (Y.Z., F.L., X.W., K.v.L.).
Christian FoerchDepartment of Neurology, University Hospital Frankfurt, Goethe-University, Frankfurt am Main, Germany (F.L., J.H.S., C.F.).
Klaus van LeyenFrom the Neuroprotection Research Laboratory, Department of Radiology, Massachusetts General Hospital, Harvard Medical School, Charlestown (Y.Z., F.L., X.W., K.v.L.).
Harvard University · US

Funding

12-Lipoxygenase and Ischemic Brain Cell DeathR01NS049430 · NINDS · MASSACHUSETTS GENERAL HOSPITAL · PI VAN LEYEN, KLAUS · 2005 to 2015
$3.6M
NINDS NIH HHS R01 NS049430
6 · The paper itself

Abstract

Background and Purpose- Dual antiplatelet treatment poses a risk for increased hemorrhagic transformation (HT) following intravenous thrombolysis and mechanical thrombectomy. The aim of this study was to implement a model of experimental stroke with tissue-type plasminogen activator (tPA)-associated HT in mice on dual antiplatelet treatment to enable mechanistic studies and also to allow for an initial assessment of therapeutic approaches to limit HT. Methods- Male C57BL6 mice were fed with Aspirin and Clopidogrel via drinking water for 3 days. Subsequently, mice were subjected to 2-hour transient middle cerebral artery occlusion, and tPA was infused when indicated. HT was quantified by measuring hemorrhaged areas in brain sections with ImageJ. TTC staining was used to determine infarct size. Platelet function was tested in vitro using flow cytometry and in vivo with standard tail bleeding tests. Results- Both flow cytometry and tail bleeding volumes indicated significantly reduced platelet function following Aspirin and Clopidogrel treatment. While tPA administered 2 hours after onset of middle cerebral artery occlusion did not cause bleeding in control mice (0.51±0.13 mm2), HT significantly increased by 18.9±5.4 mm2 (

Indexed as

AnimalsAspirinClopidogrelCoronary ThrombosisDisease Models, AnimalDrug Therapy, CombinationFibrinolytic AgentsInfarction, Middle Cerebral ArteryIntracranial HemorrhagesMaleMicePlatelet Aggregation InhibitorsPlatelet Function TestsSecondary PreventionStrokeThrombolytic TherapyAspirinClopidogrelFibrinolytic AgentsPlatelet Aggregation InhibitorsTissue Plasminogen Activatoraspirinclopidogrelflow cytometrymicestroke

Identifiers

PMID31587659
PMCPMC6878181
OpenAlexW2979918064

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.