Evidence map›Paper›PMID 33675437›Full record

ArticleThe Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology2021

Multidisciplinary assessment of patients with ischemic stroke, the structure of a stroke team, and first Egyptian experience in adults undergoing transcatheter PFO closure for PFO-related stroke.

Amr Mansour, Noha M Gamal, Azza A Elfiky, Mohamed Ayman Saleh, Samia Ashour Mohamed, Hala Mahmoud ElKhawas, Ahmed ElSadek, Noha L Dawood, Maiy H Elsayed

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in The Egyptian heart journal : (EHJ) : official bulletin of the Egyptian Society of Cardiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. 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

9 authors at 2 institutions in 1 country.

Amr MansourCardiology Department, Ain Shams University, Cairo, Egypt. amrmansour@med.asu.edu.eg.ORCID http://orcid.org/0000-0001-5457-0680
Noha M GamalCardiology Department, Faculty of Medicine, Assuit University Hospital, Assiut University, Assuit, 71515, Egypt.
Azza A ElfikyCardiology Department, Ain Shams University, Cairo, Egypt.
Mohamed Ayman SalehCardiology Department, Ain Shams University, Cairo, Egypt.
Samia Ashour MohamedNeurology Department, Ain Shams University, Cairo, Egypt.
Hala Mahmoud ElKhawasNeurology Department, Ain Shams University, Cairo, Egypt.
Ahmed ElSadekNeurology Department, Ain Shams University, Cairo, Egypt.
Noha L DawoodNeurology Department, Ain Shams University, Cairo, Egypt.
Maiy H ElsayedCardiology Department, Ain Shams University, Cairo, Egypt.
Ain Shams University · EGAssiut University · EG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPatent foramen ovale closure in the setting of stroke was debatable until the recent data from the long-term follow-up of multiple randomized control trials. These recent data have led to increase the number of the procedure worldwide. To our knowledge, there was no previous formal structured program in Egypt between cardiologists and neurologists for investigation and management of patients with cryptogenic stroke. The first Egyptian-dedicated stroke team was created in two large tertiary centers with collaboration between cardiologists, dedicated cardiac imagers, and neurologists for investigation and management of patients with cryptogenic stroke.

resultsSixty-three patients with cryptogenic stroke were identified from a total of 520 patients admitted to the stroke units between 2016 and 2019. Twenty-five patients had a proven PFO-related stroke. Three patients were referred for surgical closure, 19 patients underwent transcatheter PFO closure, and procedural success was met in 18 patients (94.7%). We did not experience any major procedure-related complication. Complete closure was achieved in 83.3% of patients at 6 months. One patient had a single attack TIA within the first 3 months after device closure; one patient had a device-related thrombosis; both were managed successfully.

conclusionOur initial experience in collaboration between cardiologist and neurologist with the establishment of a dedicated cryptogenic stroke team added significantly to the management of patients with stroke. The results of the first Egyptian cohort who underwent transcatheter PFO closure demonstrated procedural feasibility, safety, and efficacy with very low incidence of major complications. A nationwide program is needed to reduce the ischemic stroke disease burden and the risk of recurrence.

Indexed as

Atrial septal aneurysmCryptogenic strokeFenestrated interatrial septumPFO-related strokeTranscatheter PFO closure

Identifiers

PMID33675437
PMCPMC7937006
OpenAlexW3135699916

What OpenQuestion holds

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LicenceCC BY
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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.