Evidence map›Paper›PMID 34325514›Full record

ReviewJournal of the American Heart Association2021

Pathophysiology of Delayed Cerebral Ischemia After Subarachnoid Hemorrhage: A Review.

William S Dodd, Dimitri Laurent, Aaron S Dumont, David M Hasan, Pascal M Jabbour, Robert M Starke, Koji Hosaka, Adam J Polifka, Brian L Hoh, Nohra Chalouhi

2 registry-linked trialsOpen access · goldAbstract readReview
In one paragraph

Review in Journal of the American Heart Association, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 177 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
177citing papers in PubMed, 9 pooled it
19.4field-weighted citation impact, top 1% 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.

NCT06134583 nacompletednot on this mapstarted 2023, after this paper: background citation

Effect of Superior Cervical Sympathetic Block Versus Stellate Ganglion Block to Treat Cerebral Vasospasm in Patients With Refractory Post-traumatic Subarachnoid Hemorrhage.

TypeinterventionalSponsorAssiut UniversityRan2023 to 2025Enrolled60ConditionsPost-Traumatic Subarachnoid HemorrhageArmsSuperior cervical sympathetic block group, Stellate ganglion block group
NCT07030985 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Perfusion Imaging Score to Predict Delayed Cerebral Ischemia

TypeinterventionalSponsorStanford UniversityRan2025 to 2026Enrolled55ConditionsAneurysmal Subarachnoid Hemorrhage, Cerebral IschemiaArmsCTP scan, Neurological and neuropsychological testing
3 · Its place in the literature

Who cites it

177 citing papers in PubMed, 9 syntheses or guidelines pooled it, 277 citations in OpenAlex.

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117 more citing papers are in PubMed but not listed here.

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 5 institutions in 1 country.

William S DoddDepartment of Neurosurgery College of Medicine University of Florida Gainesville FL.
Dimitri LaurentDepartment of Neurosurgery College of Medicine University of Florida Gainesville FL.
Aaron S DumontDepartment of Neurological Surgery School of Medicine Tulane University New Orleans LA.
David M HasanDepartment of Neurosurgery Carver College of MedicineUniversity of Iowa Iowa City IA.
Pascal M JabbourDepartment of Neurological Surgery Sidney Kimmel Medical CollegeThomas Jefferson University Philadelphia PA.
Robert M StarkeDepartment of Neurological Surgery Miller School of Medicine University of Miami FL.
Koji HosakaDepartment of Neurosurgery College of Medicine University of Florida Gainesville FL.
Adam J PolifkaDepartment of Neurosurgery College of Medicine University of Florida Gainesville FL.
Brian L HohDepartment of Neurosurgery College of Medicine University of Florida Gainesville FL.
Nohra ChalouhiDepartment of Neurosurgery College of Medicine University of Florida Gainesville FL.
University of Florida · USThomas Jefferson University · USTulane University · USUniversity of Iowa · USUniversity of Miami · US

Funding

Inflammatory Mediators and Mechanisms of Cerebral Aneurysm Formation and RuptureR01NS110710 · NINDS · UNIVERSITY OF FLORIDA · PI HOH, BRIAN LIM · 2020 to 2023
$1.4M
NINDS NIH HHS R01 NS110710
6 · The paper itself

Abstract

Delayed cerebral ischemia is a major predictor of poor outcomes in patients who suffer subarachnoid hemorrhage. Treatment options are limited and often ineffective despite many years of investigation and clinical trials. Modern advances in basic science have produced a much more complex, multifactorial framework in which delayed cerebral ischemia is better understood and novel treatments can be developed. Leveraging this knowledge to improve outcomes, however, depends on a holistic understanding of the disease process. We conducted a review of the literature to analyze the current state of investigation into delayed cerebral ischemia with emphasis on the major themes that have emerged over the past decades. Specifically, we discuss microcirculatory dysfunction, glymphatic impairment, inflammation, and neuroelectric disruption as pathological factors in addition to the canonical focus on cerebral vasospasm. This review intends to give clinicians and researchers a summary of the foundations of delayed cerebral ischemia pathophysiology while also underscoring the interactions and interdependencies between pathological factors. Through this overview, we also highlight the advances in translational studies and potential future therapeutic opportunities.

Indexed as

Brain IschemiaHumansInflammationMicrocirculationSubarachnoid HemorrhageTimedelayed cerebral ischemiaintracranial aneurysmstrokesubarachnoid hemorrhage

Identifiers

PMID34325514
PMCPMC8475656
OpenAlexW3186548700

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

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.