Evidence map›Paper›PMID 35733487›Full record

ArticleCureus2022

Visualization of the Anterior Temporal Artery as a Predictor of Outcome in Middle Cerebral Artery Occlusion Patients Achieving Successful Recanalization After Transfer.

Jonathan M Parish, Jeremy B Rhoten, Dale Strong, Tanushree Prasad, Andrew Hines, Joe D Bernard, Jonathan Clemente, Rahul Karamchandani, Andrew W Asimos, William R Stetler

Open access · diamondAbstract read
In one paragraph

Article in Cureus, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.3field-weighted citation impact, top 42% 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

1 citing paper in PubMed, 2 citations in OpenAlex.

  1. Article
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 4 institutions in 1 country.

Jonathan M ParishNeurological Surgery, Carolina Neurosurgery & Spine Associates, Charlotte, USA.
Jeremy B RhotenNeurology, Atrium Health, Charlotte, USA.
Dale StrongInformation and Analytics Services, Atrium Health, Charlotte, USA.
Tanushree PrasadInformation and Analytics Services, Atrium Health, Charlotte, USA.
Andrew HinesInterventional Radiology, Charlotte Radiology, Charlotte, USA.
Joe D BernardNeurological Surgery, Carolina Neurosurgery & Spine Associates, Charlotte, USA.
Jonathan ClementeRadiology, Charlotte Radiology, Charlotte, USA.
Rahul KaramchandaniNeurology, Atrium Health, Charlotte, USA.
Andrew W AsimosEmergency Medicine, Atrium Health, Charlotte, USA.
William R StetlerNeurological Surgery, Carolina Neurosurgery & Spine Associates, Charlotte, USA.
Atrium Medical Cente · USNeurological Surgery · USRadiology Associates · USCarolina Neurosurgery and Spine Associates · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Anterior temporal artery (ATA) visualization on computed tomography angiography (CTA) has been previously associated with good outcomes in middle cerebral artery (MCA) occlusions, but not in the setting of patients who initially present to non-thrombectomy centers. Methods We retrospectively identified acute MCA (M1) occlusion patients who underwent mechanical thrombectomy after transfer from non-thrombectomy-capable centers. Neuroradiologists confirmed the MCA (M1) as the most proximal site of occlusion on CTA and assessed for visualization of the ATA. Thrombolysis in Cerebral Infarction (TICI) 2b or greater revascularization scores were confirmed by neurointerventionalists blinded to patient outcomes. Ninety-day modified Rankin scale (mRS) scores were obtained via a structured telephone questionnaire. Results We identified 102 M1 occlusion patients over a three-and-a-half-year period presenting to a non-thrombectomy-capable center who underwent transfer and mechanical thrombectomy. There were no significant differences in age, gender, race, comorbidities, or median National Institute of Health Stroke Scale (NIHSS) scores between the ATA visualized (n = 47) versus non-visualized (n = 55) cohort, and no significant differences in baseline Alberta Stroke Program Early Computed Tomography (ASPECT) scores, post-intervention TICI scores, or interval from last known well to revascularization. There was a strong trend in functional independent outcome (mRS ≤ 2) for patients with ATA visualization (63.8% vs. 45.5%, p = 0.064). Conclusion For patients presenting to non-thrombectomy centers without CT perfusion capability, ATA visualization should be further investigated as an outcome predictor, given its association with functional independence after successful recanalization. This article was previously presented as a meeting abstract at the 2021 International Stroke Conference on March 17-19, 2021.

Indexed as

cerebral perfusion imagingcomputed tomography angiographyneuroimagingstrokethrombectomy

Identifiers

PMID35733487
PMCPMC9205537
OpenAlexW4283362969

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.