Evidence map›Paper›PMID 37002791›Full record

ArticleCNS neuroscience & therapeutics2023

Is STA really a low-flow graft? A quantitative ultrasonographic study of the flow of STA for cerebral revascularization in MMD patients.

Yunyu Wen, Yanxia Gou, Baoping Wang, Zhibin Wang, Siyuan Chen, Shichao Zhang, Guozhong Zhang, Mingzhou Li, Wenfeng Feng, Songtao Qi and 1 more

Open access · goldAbstract read
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Article in CNS neuroscience & therapeutics, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.5field-weighted citation impact, top 18% 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

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3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

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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 1 institution in 1 country.

Yunyu WenDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Yanxia GouDepartment of Stomatology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Baoping WangDepartment of Ultrasound, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Zhibin WangDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Siyuan ChenDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Shichao ZhangDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Guozhong ZhangDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Mingzhou LiDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Wenfeng FengDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-9007-9194
Songtao QiDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.ORCID 0000-0001-7600-9528
Gang WangDepartment of Neurosurgery, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Nanfang Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveDirect revascularization remains an important tool in the treatment of patients with Moyamoya disease (MMD). The superficial temporal artery (STA) is the most commonly used donor vessel for direct bypass, and an STA graft has traditionally been considered a low-flow graft for flow augmentation. This study aimed to quantitatively evaluate the blood flow of the STA after direct revascularization.

methodsAll direct revascularization procedures performed between 2018 and 2021 by one experienced neurosurgeon were screened. Quantitative ultrasound was used to measure the flow data of the patient's bilateral parietal branch of the STA(STA-PB), the bilateral frontal branch of the STA(STA-FB), and the left radial artery. Data on the patients' basic information, Suzuki grade, Matsushima type, anastomosis type, and blood biochemical parameters were collected and analyzed using univariate and multivariate models. An MBC Scale scoring system was proposed to evaluate the recipient artery network of the middle cerebral artery (MCA) tree. The relationship between MBC Scale score and STA graft flow was statistically analyzed.

resultsIn total, 81 patients (43 males and 38 females) successfully underwent STA-MCA bypass and were included in this study. The mean flow rates in the STA-PB graft on 1 day preoperatively, 1 day postoperatively, 7 days postoperatively, and >6 months postoperatively (long-term) were 10.81, 116.74, 118.44, and 56.20 mL/min respectively. Intraoperative graft patency was confirmed in all patients. Comparing the preoperative and all postoperative time points, the STA-PB flow rates were statistically significant (p < 0.001). The MCA-C score was significantly associated with postoperative flow rate on day 1 (p = 0.007).

conclusionThe STA is a useful donor artery for direct revascularization inpatients with MMD and can provide sufficient blood supply to the ischemic cerebral territory.

Indexed as

Cerebral RevascularizationMoyamoya DiseaseFemaleHumansMaleMiddle Cerebral ArteryTemporal Arteriescerebrovascular diseaseMoyamoya diseasequantitative ultrasonographySTA-MCA bypassstroke

Identifiers

PMID37002791
PMCPMC10401118
OpenAlexW4362455429

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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.