Evidence map›Paper›PMID 31814317›Full record

ArticleCNS neuroscience & therapeutics2020

Remote ischemic conditioning for the treatment of ischemic moyamoya disease.

Jia-Yue Ding, Shu-Ling Shang, Zhi-Shan Sun, Karam Asmaro, Wei-Li Li, Qi Yang, Yu-Chuan Ding, Xun-Ming Ji, Ran Meng

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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.

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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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  11. Characteristics of cerebral ischemic stroke based on moyamoya disease and atherosclerosis-associated intracranial arterial stenosis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
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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

9 authors.

Jia-Yue DingDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-3562-2187
Shu-Ling ShangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Zhi-Shan SunDepartment of Neurosurgery, Weifang People's Hospital, Wenfang, China.
Karam AsmaroDepartment of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, USA.ORCID 0000-0002-2084-4863
Wei-Li LiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Qi YangDepartment of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yu-Chuan DingDepartment of China-America Institute of Neuroscience, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xun-Ming JiAdvanced Center of Stroke, Beijing Institute for Brain Disorders, Beijing, China.ORCID 0000-0003-0293-2744
Ran MengDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-8452-8758

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThis study investigated the safety and efficacy of remote ischemic conditioning (RIC) on ameliorating the sequelae of ischemic moyamoya disease (iMMD).

methodsA total of 30 iMMD patients underwent long-term RIC and were followed up at 0.5, 1, and 2 years for clinical outcomes, including frequency of stroke recurrence, Patient Global Impression of Change (PGIC) scale, peak systolic velocities (PSV), and cerebral perfusion.

resultsDuring the whole RIC treatment process, no RIC-related adverse event occurred. Only one of 30 patients suffered a onetime infarction (3.3%), and the ratios of acceptable PGIC were 88.2%, 64.3%, and 92.3% at 0.5, 1, and 2 years follow-up. Kaplan-Meier analysis showed the frequency of stroke recurrence was significantly reduced after RIC (P = .013). The frequency of TIA per week was 1.1 (0.6, 2.8) prior to RIC and 0.1 (0.0, 0.5) post-RIC (P < .01). Compared to baseline, PSV values were significantly reduced after RIC treatment (P = .002 at 0.5, P = .331 at 1, and P = .006 at 2 years). In patients undergoing perfusion studies, 75% obtained improvement on followed-up SPECT and 95% on followed-up PET maps.

conclusionsRemote ischemic conditioning may be beneficial on controlling iMMD-induced ischemic events, relieving symptoms, and improving cerebral perfusion, without incidence of complications in this case series.

Indexed as

AdolescentAdultBrainChildChild, PreschoolFeasibility StudiesFemaleFollow-Up StudiesHumansIschemic PreconditioningMaleMoyamoya DiseasePilot ProjectsTreatment OutcomeYoung Adultmoyamoya diseaseremote ischemic conditioningstroketreatment

Identifiers

PMID31814317
PMCPMC7163773

What OpenQuestion holds

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Registered trials

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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.