Evidence map›Paper›PMID 36649655›Full record

ArticleJournal of neural engineering2023

Spatially selective stimulation of the pig vagus nerve to modulate target effect versus side effect.

Stephan L Blanz, Eric D Musselman, Megan L Settell, Bruce E Knudsen, Evan N Nicolai, James K Trevathan, Ryan S Verner, Jason Begnaud, Aaron C Skubal, Aaron J Suminski and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Journal of neural engineering, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed
7.2field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 59 citations in OpenAlex.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Single-Electrode, Bidirectional Control of Heart Rate via Vagus Nerve Modulation in Rat Model.IEEE transactions on neural systems and rehabilitation engineering : a publication of the IEEE Engineering in Medicine and Biology Society · 2026
    Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Article
  18. Computational modeling of autonomic nerve stimulation: Vagus et al.Current opinion in biomedical engineering · 2024
    Article
  19. Article
  20. 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

15 authors at 4 institutions in 1 country.

Stephan L BlanzDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.ORCID 0000-0003-1952-0973
Eric D MusselmanDepartment of Biomedical Engineering, Duke University, Durham, NC, United States of America.ORCID 0000-0001-5295-7267
Megan L SettellDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.ORCID 0000-0002-2924-360X
Bruce E KnudsenDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.ORCID 0000-0003-0184-2050
Evan N NicolaiDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.ORCID 0000-0003-0447-568X
James K TrevathanDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.ORCID 0000-0002-7282-4872
Ryan S VernerLivaNova USA Inc., Houston, TX, United States of America.
Jason BegnaudLivaNova USA Inc., Houston, TX, United States of America.
Aaron C SkubalDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.
Aaron J SuminskiWisconsin Institute for Translational Neuroengineering (WITNe), Madison, WI, United States of America.
Justin C WilliamsDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.
Andrew J ShoffstallDepartment of Biomedical Engineering, Case Western Reserve University, Cleveland, OH, United States of America.ORCID 0000-0002-0881-2180
Warren M GrillUniversity of Wisconsin School of Medicine and Public Health, Madison, WI, United States of America.ORCID 0000-0001-5240-6588
Nicole A PelotDepartment of Biomedical Engineering, Duke University, Durham, NC, United States of America.ORCID 0000-0003-2844-0190
Kip A LudwigDepartment of Biomedical Engineering, University of Wisconsin-Madison, Madison, WI, United States of America.ORCID 0000-0003-4889-1941
University of Wisconsin–Madison · USDuke University · USLivaNova (United States) · USLouis Stokes Cleveland VA Medical Center · US

Funding

Modeling Activation and Block of Autonomic Nerves for Analysis and DesignOT2OD025340 · OD · DUKE UNIVERSITY · PI GRILL, WARREN M. · 2017 to 2021
$5.9M
NIH HHS OT2 OD025340
6 · The paper itself

Abstract

Electrical stimulation of the cervical vagus nerve using implanted electrodes (VNS) is FDA-approved for the treatment of drug-resistant epilepsy, treatment-resistant depression, and most recently, chronic ischemic stroke rehabilitation. However, VNS is critically limited by the unwanted stimulation of nearby neck muscles-a result of non-specific stimulation activating motor nerve fibers within the vagus. Prior studies suggested that precise placement of small epineural electrodes can modify VNS therapeutic effects, such as cardiac responses. However, it remains unclear if placement can alter the balance between intended effect and limiting side effect. We used an FDA investigational device exemption approved six-contact epineural cuff to deliver VNS in pigs and quantified how epineural electrode location impacts on- and off-target VNS activation. Detailed post-mortem histology was conducted to understand how the underlying neuroanatomy impacts observed functional responses. Here we report the discovery and characterization of clear neuroanatomy-dependent differences in threshold and saturation for responses related to both effect (change in heart rate) and side effect (neck muscle contractions). The histological and electrophysiological data were used to develop and validate subject-specific computation models of VNS, creating a well-grounded quantitative framework to optimize electrode location-specific activation of nerve fibers governing intended effect versus unwanted side effect.

Indexed as

Vagus Nerve StimulationAnimalsElectrodes, ImplantedHeartHeart RateSwineVagus Nerveeffect vs side effectneuromodulationvagus nerveVNS

Identifiers

PMID36649655
PMCPMC10339030
OpenAlexW4316926648

What OpenQuestion holds

Textmetadata
LicenceTDM
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.