Evidence map›Paper›PMID 35702957›Full record

ArticleCNS neuroscience & therapeutics2022

The intra-arterial selective cooling infusion system: A mathematical temperature analysis and in vitro experiments for acute ischemic stroke therapy.

Miaowen Jiang, Ming Li, Yuan Gao, Longfei Wu, Wenbo Zhao, Chuanhui Li, Chengbei Hou, Zhengfei Qi, Kun Wang, Shiqiang Zheng and 3 more

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 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
–field-weighted citation impact
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.

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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

13 authors.

Miaowen JiangSchool of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.
Ming LiBeijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yuan GaoSchool of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.
Longfei WuBeijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.
Wenbo ZhaoBeijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-7141-6394
Chuanhui LiBeijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.
Chengbei HouCenter for Evidence-Based Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Zhengfei QiBeijing Institute for Brain Disorders, Capital Medical University, Beijing, China.
Kun WangSchool of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.
Shiqiang ZhengSchool of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.
Zhichen YinBeijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.
Chuanjie WuBeijing Institute of Geriatrics, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xunming JiSchool of Instrumentation and Optoelectronic Engineering, Beihang University, Beijing, China.ORCID 0000-0003-0293-2744

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe neuroprotection of acute ischemic stroke patients can be achieved by intra-arterial selective cooling infusion using cold saline, which can decrease brain temperature without influencing the body core temperature. This approach can lead to high burdens on the heart and decreased hematocrit in the scenario of loading a high amount of liquid for longtime usage. Therefore, autologous blood is utilized as perfusate to circumvent those side effects.

methodsIn this study, a prototype instrument with an autologous blood cooling system was developed and further evaluated by a mathematical model for brain temperature estimation.

resultsHypothermia could be achieved due to the adequate cooling capacity of the prototype system, which could provide the lowest cooling temperature into the blood vessel of 10.5°C at 25 rpm (209.7 ± 0.8 ml/min). And, the core body temperature did not alter significantly (-0.7 ~ -0.2°C) after 1-h perfusion. The cooling rate and temperature distributions of the brain were analyzed, which showed a 2°C decrease within the initial 5 min infusion by 44 ml/min and 13.7°C perfusate.

conclusionThis prototype instrument system could safely cool simulated blood in vitro and reperfuse it to the target cerebral blood vessel. This technique could promote the clinical application of an autologous blood perfusion system for stroke therapy.

Indexed as

Hypothermia, InducedIschemic StrokeStrokeBody TemperatureBrainCold TemperatureHumansTemperatureautologous bloodischemic strokenumerical analysisprototype instrumenttherapeutic hypothermia

Identifiers

PMID35702957
PMCPMC9344093

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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.