Evidence map›Paper›PMID 35743335›Full record

ArticleJournal of clinical medicine2022

Multiple Arterial Dissections and Connective Tissue Abnormalities.

Philipp Erhart, Daniel Körfer, Susanne Dihlmann, Jia-Lu Qiao, Ingrid Hausser, Peter Ringleb, Jörg Männer, Nicola Dikow, Christian P Schaaf, Caspar Grond-Ginsbach and 1 more

Open access · goldAbstract 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 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
2.1field-weighted citation impact, top 13% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Hereditary connective tissue disorders in unselected patients with spontaneous cervical artery dissection: a targeted next generation sequencing approach and systematic review.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026
    Pooled it
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  8. Intracranial Atherosclerotic Stenosis.Cerebrovascular diseases extra · 2025
    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

11 authors at 2 institutions in 1 country.

Philipp ErhartDepartment of Vascular and Endovascular Surgery, University Hospital of Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0002-4964-2448
Daniel KörferDepartment of Vascular and Endovascular Surgery, University Hospital of Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0002-8242-2076
Susanne DihlmannDepartment of Vascular and Endovascular Surgery, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Jia-Lu QiaoDepartment of Vascular and Endovascular Surgery, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Ingrid HausserInstitute of Pathology, University Hospital of Heidelberg, 69120 Heidelberg, Germany.ORCID 0000-0002-1095-4962
Peter RinglebDepartment of Neurology, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Jörg MännerInstitute of Anatomy and Embryology, UMG, University of Göttingen, 37075 Göttingen, Germany.
Nicola DikowInstitute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany.
Christian P SchaafInstitute of Human Genetics, Heidelberg University, 69120 Heidelberg, Germany.
Caspar Grond-GinsbachDepartment of Vascular and Endovascular Surgery, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Dittmar BöcklerDepartment of Vascular and Endovascular Surgery, University Hospital of Heidelberg, 69120 Heidelberg, Germany.
Heidelberg University · DEUniversity of Göttingen · DE

Funding

Heidelberger Stiftung Chirurgie 2020/371
6 · The paper itself

Abstract

backgroundAlthough patients with multiple arterial dissections in distinct arterial regions rarely present with known connective tissue syndromes, we hypothesized that mild connective tissue abnormalities are common findings in these patients.

methodsFrom a consecutive register of 322 patients with cervical artery dissection (CeAD), we identified and analyzed 4 patients with a history of additional dissections in other vascular beds. In three patients, dermal connective tissue was examined by electron microscopy. DNA from all four patients was studied by whole-exome sequencing and copy number variation (CNV) analysis.

resultsThe collagen fibers of dermal biopsies were pathologic in all three analyzed patients. One patient carried a CNV disrupting the

conclusionThree patients showed morphologic alterations of the dermal connective tissue, and two patients carried pathogenic variants in genes associated with arterial connective tissue dysfunction. The findings suggest that genetic testing should be recommended after recurrent arterial dissections, independently of apparent phenotypical signs of connective tissue disorders.

Indexed as

carotid arteryconnective tissue diseasedissectionEhlers–Danlos syndromegeneticsMarfan syndrome

Identifiers

PMID35743335
PMCPMC9224905
OpenAlexW4281734949

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.