Evidence map›Paper›PMID 35223090›Full record

ArticleTranslational neuroscience2022

Ischemic stroke following STA-MCA double bypass.

Haijun Zhao, Xiaoguang Tong, Xu Wang, Maohua Ding, Kai Zhang

Open access · goldAbstract read
In one paragraph

Article in Translational neuroscience, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 17% 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

6 citing papers in PubMed, 2 syntheses or guidelines pooled it, 10 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
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  5. Review
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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

5 authors at 4 institutions in 1 country.

Haijun ZhaoThe Fourth Department of Neurosurgery, Tangshan Gongren Hospital, No. 27 Wenhua Road, North District, Tangshan, 063000, China.
Xiaoguang TongDepartment of Neurosurgery, Tianjin Huanhu Hospital, Tianjin Neurosurgical Institute, No. 6 Jizhao Road, Tianjin 300350, China.
Xu WangClinical College of Neurology, Neurosurgery and Neurorehabilitation, Tianjin Medical University, No. 22 Qixiangtai Road, Tianjin, China.
Maohua DingClinical College of Neurology, Neurosurgery and Neurorehabilitation, Tianjin Medical University, No. 22 Qixiangtai Road, Tianjin, China.
Kai ZhangDepartment of Interventional Therapy, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Center for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin's Clinical Research Center for Cancer, Tianjin, China.
Tianjin Medical University · CNTangshan Gongren Hospital · CNTianjin Huanhu Hospital · CNTianjin Medical University Cancer Institute and Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesThe surgical technique of STA-MCA double bypass is used to improve blood flow supplied by the distal middle cerebral artery (MCA) to the cerebral territory. This retrospective study from a single center aimed to compare the outcomes following STA-MCA double bypass in 12 patients with recurrent ischemic stroke. MATERIALS AND

methodsWe retrospectively analyzed the data from patients with internal carotid artery occlusion (ICAO) who had undergone STA-MCA double bypass in our center from January 2016 to December 2020. The surgical indications, evaluation of circle of Willis (CoW), changes in cerebral hemodynamic, surgical results, and follow-up results were analyzed.

resultsPost-operative perfusion-weighted imaging showed hemodynamic improvement in all 12 patients. Ten patients (83.33%) showed clinical improvement, and 2 patients (16.67%) had stable disease. No intracranial infections or acute ischemic events occurred. The post-operative National Institutes of Health Stroke Scale score and modified Barther scores were significantly improved after 180 days of follow-up. Twenty three (96%) anastomoses maintain patency of their bypass vessels, and none had recurrent cerebral infarction during a minimum of 36 months follow-up.

conclusionIn this small study, in patients with recurrent ischemic stroke without other types of treatment, STA-MCA double bypass surgery was more effective in the subgroup of patients with ICAO and poor blood supply to the CoW and an area of cerebral hypoperfusion that exceeded the area supplied by the MCA.

Indexed as

artery bypasscerebral revascularizationmiddle cerebral arterystrokesuperficial temporal artery

Identifiers

PMID35223090
PMCPMC8831893
OpenAlexW4211198814

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.