Evidence map›Paper›PMID 35268487›Full record

ArticleJournal of clinical medicine2022

Low Vertebrobasilar Velocity Is Associated with a Higher Risk of Posterior Circulation Ischemic Lesions.

Po-Chi Chan, Hua-Si Huang, Kuan-Wen Chen, Hsin-Yi Chi

Abstract read
In one paragraph

Article in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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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

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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

2 citing papers in PubMed.

  1. Article
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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Po-Chi ChanDepartment of Neurology, Show Chwan Memorial Hospital, Chunghua 50008, Taiwan.
Hua-Si HuangDepartment of Radiology, Show Chwan Memorial Hospital, Chunghua 50008, Taiwan.
Kuan-Wen ChenDepartment of Neurology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.
Hsin-Yi ChiDepartment of Neurology, Chung Shan Medical University Hospital, Taichung 40201, Taiwan.ORCID 0000-0001-6319-4218

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Transcranial color-coded sonography (TCCS) is used as a real-time tool to evaluate patients suspected of having vertebrobasilar insufficiency (VBI). However, the sonographic criteria for VBI remain inconclusive. The purpose of this study was to analyze the velocity in the vertebrobasilar system, which links the risk for posterior circulation infarction (POCI) and total ischemic stroke (TIS) in patients with VBI. Methods: Patients’ data were retrospectively reviewed if they were suspected of having VBI within a 2-year period. Baseline characteristics, brain images, and a series of sonography data were recorded and analyzed. We compared vertebrobasilar (VB) velocities in different age groups and in patients with infarctions. Results: A total of 875 patients were enrolled, with 112 and 427 candidates in the POCI and TIS groups, respectively. The mean velocity (MV)s of BA and bilateral VAs were all negatively correlated with age (all p < 0.001). The adjusted odds ratio was 2.55 (1.58−4.13, p < 0.001) in POCI and 1.75 (1.15−2.67, p = 0.009) in TIS if the mean velocity of the VB arteries was below 15 cm/s. Conclusions: Low VB velocity detected in TCCS was more commonly associated with ageing-related changes and a higher risk of both POCI and TIS. Recognition and aggressive treatment for these patients are necessary.

Indexed as

brainstem strokecentral vertigodoppler sonographyvertebrobasilar insufficiency

Identifiers

PMID35268487
PMCPMC8911347

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