Evidence map›Paper›PMID 36216458›Full record

ArticleJournal of the American Heart Association2022

Prevention of Oxidative Damage in Spinal Cord Ischemia Upon Aortic Surgery: First-In-Human Results of Shock Wave Therapy Prove Safety and Feasibility.

Michael Graber, Felix Nägele, Bernhard Tobias Röhrs, Jakob Hirsch, Leo Pölzl, Bernhard Moriggl, Agnes Mayr, Felix Troger, Elke Kirchmair, Julian Frederik Wagner and 9 more

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
  3. Review
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

19 authors.

Michael GraberDepartment of Cardiac Surgery Medical University of Innsbruck Austria.ORCID 0000-0003-2150-5473
Felix NägeleDepartment of Cardiac Surgery Medical University of Innsbruck Austria.ORCID 0000-0002-9666-341X
Bernhard Tobias RöhrsInstitute of Molecular Biology/CMBI University of Innsbruck Austria.
Jakob HirschDepartment of Cardiac Surgery Medical University of Innsbruck Austria.ORCID 0000-0003-4747-7802
Leo PölzlDepartment of Cardiac Surgery Medical University of Innsbruck Austria.ORCID 0000-0002-6552-8899
Bernhard MorigglDivision of Clinical and Functional Anatomy Medical University of Innsbruck Austria.
Agnes MayrDepartment of Radiology Medical University of Innsbruck Austria.ORCID 0000-0001-9363-873X
Felix TrogerDepartment of Radiology Medical University of Innsbruck Austria.ORCID 0000-0002-0401-5045
Elke KirchmairDepartment of Cardiac Surgery Medical University of Innsbruck Austria.
Julian Frederik WagnerDepartment of Anesthesiology Medical University of Innsbruck Austria.
Martha NowosielskiDepartment of Neurology Medical University of Innsbruck Austria.ORCID 0000-0002-8068-315X
Lukas MayerDepartment of Neurology Medical University of Innsbruck Austria.ORCID 0000-0002-2856-0101
Jakob VoelklInstitute for Physiology and Pathophysiology Johannes Kepler University Linz Linz Austria.
Ivan TancevskiDepartment of Internal Medicine II Medical University of Innsbruck Austria.ORCID 0000-0001-5116-8960
Dirk MeyerInstitute of Molecular Biology/CMBI University of Innsbruck Austria.ORCID 0000-0002-4020-4484
Michael GrimmDepartment of Cardiac Surgery Medical University of Innsbruck Austria.
Michael KnoflachDepartment of Neurology Medical University of Innsbruck Austria.ORCID 0000-0001-5576-6562
Johannes HolfeldDepartment of Cardiac Surgery Medical University of Innsbruck Austria.ORCID 0000-0001-6623-0595
Can Gollmann-TepeköylüDepartment of Cardiac Surgery Medical University of Innsbruck Austria.ORCID 0000-0001-6584-3488

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Spinal cord ischemia (SCI) remains a devastating complication after aortic dissection or repair. A primary hypoxic damage is followed by a secondary damage resulting in further cellular loss via apoptosis. Affected patients have a poor prognosis and limited therapeutic options. Shock wave therapy (SWT) improves functional outcome, neuronal degeneration and survival in murine spinal cord injury. In this first-in-human study we treated 5 patients with spinal cord ischemia with SWT aiming to prove safety and feasibility. Methods and Results Human neurons were subjected to ischemic injury with subsequent SWT. Reactive oxygen species and cellular apoptosis were quantified using flow cytometry. Signaling of the antioxidative transcription factor NRF2 (nuclear factor erythroid 2-related factor 2) and immune receptor Toll-like receptor 3 (TLR3) were analyzed. To assess whether SWT act via a conserved mechanism, transgenic

Indexed as

Aortic DissectionExtracorporeal Shockwave TherapySpinal Cord InjuriesSpinal Cord IschemiaAgedAnimalsFeasibility StudiesHumansIschemiaMiceNF-E2-Related Factor 2Oxidative StressQuality of LifeReactive Oxygen SpeciesSpinal CordToll-Like Receptor 3NF-E2-Related Factor 2Reactive Oxygen SpeciesToll-Like Receptor 3shock wave therapyspinal cord ischemiaspinal cord regenerationToll‐Like receptor 3

Identifiers

PMID36216458
PMCPMC9673656

What OpenQuestion holds

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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.