Evidence map›Paper›PMID 35435841›Full record

ArticleAnatolian journal of cardiology2022

Asymptomatic Cerebral Emboli Following Carotid Artery Stenting: A Diffusion-Weighted MRI Study

Erkan Köklü, Şakir Arslan, Elif Sarıönder Gencer, Nermin Bayar, Çağın Mustafa Üreyen, Zehra Erkal, Ahmet Genç, Ramazan Güven, Oğuz Kaan Kaya, Muhammed Rıdvan Ersoysal

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

Article in Anatolian journal of cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.6field-weighted citation impact, top 33% 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

4 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Erkan KöklüDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Şakir ArslanDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Elif Sarıönder GencerDepartment of Neurology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Nermin BayarDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Çağın Mustafa ÜreyenDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Zehra ErkalDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Ahmet GençDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Ramazan GüvenClinic of Emergency Medicine, Başakşehir Çam and Sakura City Hospital, İstanbul, Turkey.
Oğuz Kaan KayaDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Muhammed Rıdvan ErsoysalDepartment of Cardiology, University of Health Sciences, Antalya Training and Research Hospital, Antalya, Turkey.
Antalya Eğitim ve Araştırma Hastanesi · TRSağlık Bilimleri Üniversitesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSilent cranial embolism due to carotid artery stenting has been demonstrated to cause dementia, cognitive decline, and even ischemic stroke. The purpose of this study was to compare the periprocedural asymptomatic cranial embolism rates of different stent designs used for extracranial carotid stenosis with diffusion-weighted magnetic resonance imaging.

methodsA total of 507 consecutive patients who underwent carotid artery stenting at our center from December 2010 to June 2020 (mean age, 66.4 ± 9.5) were analyzed retrospectively. The patients were divided into 3 groups as open-cell stent (334 patients), closed-cell stent (102 patients), and hybrid-cell stent (71 patients) groups. Diffusionweighted magnetic resonance imaging was performed for the patients before and after carotid artery stenting and compared. The diffusion limitations of 3 stent groups on cranial diffusion-weighted magnetic resonance imaging were compared with one another.

resultsPeriprocedural asymptomatic same-side microembolism, which was the primary endpoint of our study, was detected in 58 (17.4%) patients in the open-cell stent group, 6 (5.9%) patients in the closed-cell group, and 8 (11.3%) patients in the hybrid cell group, and overall in 72 (14.2%) patients. On diffusion-weighted magnetic resonance imaging, periprocedural asymptomatic same-side cranial embolism was found to be statistically significantly higher in the open-cell group compared to the other two groups (P=.011).

conclusionsThe result of this study showed us that the rate of same-side cranial embolism detected on cranial diffusion-weighted magnetic resonance imaging after carotid artery stenting performed with open-cell stent was higher than those of the carotid artery stenting procedure performed with closed-cell and hybrid-cell stents.

Indexed as

CardiologyEmbolismStrokeAgedCarotid ArteriesHospitalsHumansMiddle AgedRetrospective StudiesRisk FactorsStentsTreatment OutcomeTurkey

Identifiers

PMID35435841
PMCPMC9366430
OpenAlexW4213190004

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.