Evidence map›Paper›PMID 36527245›Full record

ArticleAnnals of clinical and translational neurology2023

Association between collaterals, cerebral circulation time and outcome after thrombectomy of stroke.

Ying-Jia Wang, Jia-Qi Wang, Jin Qiu, Wei Li, Xian-Hui Sun, Yong-Gang Zhao, Xin Liu, Zi-Ai Zhao, Liang Liu, Thanh N Nguyen and 1 more

Abstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing 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

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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

13 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

11 authors.

Ying-Jia Wang *Department of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Jia-Qi Wang *Department of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Jin QiuDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Wei LiDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Xian-Hui SunDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Yong-Gang ZhaoDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Xin LiuDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Zi-Ai ZhaoDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Liang LiuDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.
Thanh N NguyenNeurology, Radiology, Boston Medical Center, Boston, Massachusetts, USA.
Hui-Sheng ChenDepartment of Neurology, General Hospital of Northern Theater Command, Shenyang, China.ORCID 0000-0002-7486-1992

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCerebral circulation time (CCT) and collateral score (CS) are associated with functional outcomes in acute ischemic stroke (AIS) patients after endovascular treatment (EVT), and may be related to each other. We aim to determine the relationship between CS and CCT on functional outcomes.

methodsWe retrospectively enrolled consecutive patients with anterior circulation large vessel occlusion (LVO) AIS who received EVT. CS and CCT were measured based on digital subtraction angiography (DSA). We defined CS 0-2 and 3-4 as poor and good collateral status, respectively, and used change of CCT (cCCT), which was defined as the change of stroke side CCT (sCCT) versus healthy side CCT (hCCT). Mediating analysis was used to evaluate the influence of cCCT on the association between CS and functional outcomes, and ROC curves were further used to explore the predictive ability of the interaction between cCCT and CS for functional outcomes.

resultsA total of 100 patients were enrolled in the final analysis. A higher cCCT (r = -0.239; p = 0.017) was associated with lower CS, and cCCT mediated the association of CS with functional outcome. Logistic regression analysis found that CS, cCCT and cCCT-CS interactions were independently associated with functional outcome, and cCCT-CS interaction has better predictive performance, with a higher area under curve value than CS or cCCT alone (0.79 vs. 0.75 or 0.75).

interpretationTo our knowledge, this study provides the first report of the association of collateral status with cCCT, and their interaction effect on functional outcome in AIS-LVO patients receiving EVT.

Indexed as

Brain IschemiaIschemic StrokeStrokeCerebrovascular CirculationHumansRetrospective StudiesThrombectomyTreatment Outcome

Identifiers

PMID36527245
PMCPMC9930428

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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.