Evidence map›Paper›PMID 37022485›Full record

ArticleNeuroradiology2023

Evaluation of extent vs velocity of cortical venous filing in stroke outcome after endovascular thrombectomy.

Wenjin Shang, Kaiyi Zhong, Liming Shu, Zhuhao Li, Hua Hong

Abstract read
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In one paragraph

Article in Neuroradiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.4field-weighted citation impact, top 36% 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

3 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Article
  3. Advances in Collateral Neuroimaging for Acute Ischemic Stroke: Redefining Time and Tissue Windows in the Reperfusion Era.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

5 authors at 2 institutions in 1 country.

Wenjin Shang *Department of Neurology, The First Affiliated Hospital, SunYat-sen University, Guangzhou, Guangdong Province, China.ORCID http://orcid.org/0000-0003-3158-2595
Kaiyi Zhong *Department of Neurology, The First Affiliated Hospital, SunYat-sen University, Guangzhou, Guangdong Province, China.ORCID http://orcid.org/0000-0002-2477-6650
Liming ShuDepartment of Neurology, The Second Affiliated Hospital, Guangzhou Medical University, Guangzhou, Guangdong Province, China.ORCID http://orcid.org/0000-0002-9400-6272
Zhuhao LiDepartment of Radiology, The First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, Guangdong Province, China.ORCID http://orcid.org/0000-0002-4751-8611
Hua HongDepartment of Neurology, The First Affiliated Hospital, SunYat-sen University, Guangzhou, Guangdong Province, China. honghua@mail.sysu.edu.cn.ORCID http://orcid.org/0000-0002-6237-074X
Sun Yat-sen University · CNSecond Affiliated Hospital of Guangzhou Medical University · CN

Funding

Guangdong Provincial Clinical Research Center for Neurological Diseases 2020B1111170002Guangdong Provincial Engineering Center for Major Neurological Disease Treatment, Guangdong Provincial Translational Medicine Innovation Platform for Diagnosis and Treatment of Major Neurological Diseases, Guangzhou Clinical Research and Translational Cent 201604020010Guangdong Provincial Key Laboratory of Diagnosis and Treatment of Major Neurological Diseases 2020B1212060017Southern China International Joint Research Center for Early Intervention and Functional Rehabilitation of Neurological Diseases 2015B050501003Southern China International Joint Research Center for Early Intervention and Functional Rehabilitation of Neurological Diseases 2020A0505020004
6 · The paper itself

Abstract

purposeAbnormal venous drainage may affect the prognosis of patients undergoing endovascular reperfusion therapy (ERT). Herein, time-resolved dynamic computed tomography arteriography (dCTA) was applied to evaluate the relationship between the velocity and extent of cortical venous filling (CVF), collateral status and outcomes.

methodsThirty-five consecutive patients with acute anterior circulation occlusion who underwent ERT within 24 h of onset and successfully recanalized were enrolled. All patients underwent dCTA before ERT. Slow first or end of CVF was considered to occur when the time point of CVF appearance or disappearance on the affected side occurred after than that on the healthy side, whereas an equal CVF, a CVF reduced by ≤ 50%, or by > 50% on the affected side, were considered good, intermediate, and poor CVF extent, respectively.

resultsSlow first CVF (29 patients, 82.8%), slow end of CVF (29, 85.7%), and intermediate extent of CVF (7, 20.0%) were not associated with collateral status or outcomes. Poor extent of CVF (6, 17.1%) was associated with poor collateral status, higher proportion of midline shift, larger final infarct volume, higher modified Rankin Scale (mRS) score at discharge, and higher proportion of in-hospital mortality. All patients with transtentorial herniation had poor extent of CVF, and those with poor CVF extent had an mRS score ≥ 3 at discharge.

conclusionPoor CVF extent, as assessed by dCTA, is a more accurate and specific marker than slow CVF to identify patients at high risk for poor outcomes after ERT.

Indexed as

Brain IschemiaEndovascular ProceduresStrokeCollateral CirculationEdetic AcidFilingHumansRetrospective StudiesThrombectomyTreatment OutcomeCDTAEdetic AcidAngiographyEndovascular reperfusion therapyPrognosisStrokeVenous flow

Identifiers

PMID37022485
OpenAlexW4362658358

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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.