Evidence map›Paper›PMID 36140586›Full record

ArticleDiagnostics (Basel, Switzerland)2022

The Supratrochlear Artery Sign-A New Piece in the Puzzle of Cerebral Vasospasm.

Cindy Richter, Robert Werdehausen, Jennifer Jentzsch, Dirk Lindner, Thilo Gerhards, Torsten Hantel, Khaled Gaber, Stefan Schob, Dorothee Saur, Ulf Quäschling and 3 more

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 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
0.2field-weighted citation impact, top 43% 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

13 authors at 3 institutions in 2 countries.

Cindy RichterDepartment of Neuroradiology, University of Leipzig Medical Center, 04103 Leipzig, Germany.ORCID 0000-0001-5105-9676
Robert WerdehausenDepartment of Anesthesiology and Intensive Care Medicine, University of Leipzig Medical Center, 04103 Leipzig, Germany.ORCID 0000-0002-1176-161X
Jennifer JentzschDepartment of Neuroradiology, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Dirk LindnerDepartment of Neurosurgery, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Thilo GerhardsDepartment of Neuroradiology, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Torsten HantelDepartment of Radiology and Neuroradiology, Sana Hospital Borna, 04552 Borna, Germany.
Khaled GaberDepartment of Neurosurgery, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Stefan SchobDepartment of Radiology, Halle University Hospital, 06120 Halle, Germany.
Dorothee SaurDepartment of Neurology, University of Leipzig Medical Center, 04103 Leipzig, Germany.ORCID 0000-0002-1808-0913
Ulf QuäschlingDepartment of Radiology, Kantonsspital Baselland, 4410 Liestal, Switzerland.
Karl-Titus HoffmannDepartment of Neuroradiology, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Svitlana ZiganshynaTransplant Coordinator Unit, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Dirk HalamaDepartment of Oral and Maxillofacial Surgery, University of Leipzig Medical Center, 04103 Leipzig, Germany.
Leipzig University · DEKantonsspital Baselland · CHUniversity Hospital in Halle · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundCerebral vasospasm (CVS) after subarachnoid hemorrhage (SAH) has been extensively investigated, but the impact of collateralization remains unclear. We investigated the predictive value of collateral activation for delayed cerebral ischemia (DCI)-related infarctions and functional outcome.

methodsData from 43 patients with CVS (January 2014 to August 2021) were evaluated for the angiographic presence of leptomeningeal and ophthalmic collaterals (anterior falcine artery (AFA), supratrochlear artery (STA), dorsal nasal artery (DNA)) on internal carotid artery angiograms. Vasospasm-related infarction and the modified Rankin Scale (mRS) score after six months were chosen as the endpoints.

results77% of the patients suffered from DCI-related infarctions. In 233 angiograms (at hospitalization, before spasmolysis, after six months), positive vessel signs were observed in 31 patients for STA, 35 for DNA, and 31 for AFA. The STA sign had the highest positive (84.6%) and negative (85.7%) predictive value for unfavorable outcome (mRS 4-6) in patients aged ≥50 years. DNA and AFA signs were not meaningful predictors for either endpoint. Leptomeningeal collaterals showed a positive Pearson's correlation with the STA sign in 87.5% (

conclusionsThe STA sign is associated with clinical outcome in patients with CVS after SAH aged ≥50 years, and was correlated with the occurrence of leptomeningeal collaterals.

Indexed as

cerebral vasospasmdelayed cerebral ischemiaendovascular proceduressubarachnoid hemorrhagesupratrochlear artery

Identifiers

PMID36140586
PMCPMC9498286
OpenAlexW4295210840

What OpenQuestion holds

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LicenceCC BY
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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.