Evidence map›Paper›PMID 37325226›Full record

ArticleFrontiers in neurology2023

Enhanced external counter pulsation therapy in patients with symptomatic and severe intracranial steno-occlusive disease: a randomized clinical trial protocol.

Vijay K Sharma, Anil Gopinathan, Benjamin Y Q Tan, Poay Huan Loh, Jennifer Hung, David Tang, Christopher Chua, Amanda C Y Chan, Jonathan J Y Ong, Amanda Chin and 12 more

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03921827 (External Counterpulsation Therapy for Symptomatic and Severe Steno-occlusive Disease of Intracranial Internal Carotid or Middle Cerebral Artery and Impaired Cerebral Vasodilatory Reserve), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.8field-weighted citation impact, top 25% 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.

NCT03921827 nacompletednot on this map

External Counterpulsation Therapy for Symptomatic and Severe Steno-occlusive Disease of Intracranial Internal Carotid or Middle Cerebral Artery and Impaired Cerebral Vasodilatory Reserve

TypeinterventionalSponsorNational University of SingaporeRan2019 to 2024Enrolled130ConditionsIschemic StrokeArmsEnhance External Counterpulsation Therapy
3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. 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

22 authors at 2 institutions in 1 country.

Vijay K SharmaDivisin of Neurology, National University Hospital, Singapore, Singapore.
Anil GopinathanDepartment of Diagnostic Imaging, National University Hospital, Singapore, Singapore.
Benjamin Y Q TanDivisin of Neurology, National University Hospital, Singapore, Singapore.
Poay Huan LohDepartment of Cardiology, National University Hospital, Singapore, Singapore.
Jennifer HungDivisin of Neurology, National University Hospital, Singapore, Singapore.
David TangDivisin of Neurology, National University Hospital, Singapore, Singapore.
Christopher ChuaDivisin of Neurology, National University Hospital, Singapore, Singapore.
Amanda C Y ChanDivisin of Neurology, National University Hospital, Singapore, Singapore.
Jonathan J Y OngDivisin of Neurology, National University Hospital, Singapore, Singapore.
Amanda ChinDivisin of Neurology, National University Hospital, Singapore, Singapore.
Mingxue JingDivisin of Neurology, National University Hospital, Singapore, Singapore.
Yihui GohDivisin of Neurology, National University Hospital, Singapore, Singapore.
Sibi SunnyDivisin of Neurology, National University Hospital, Singapore, Singapore.
Chin Howe KeatDivisin of Neurology, National University Hospital, Singapore, Singapore.
Zhang KaDivisin of Neurology, National University Hospital, Singapore, Singapore.
Shivani PandyaDivisin of Neurology, National University Hospital, Singapore, Singapore.
Lily Y H WongDivisin of Neurology, National University Hospital, Singapore, Singapore.
Jin Tao ChenDivisin of Neurology, National University Hospital, Singapore, Singapore.
Leonard L L YeoDivisin of Neurology, National University Hospital, Singapore, Singapore.
Bernard P L ChanDivisin of Neurology, National University Hospital, Singapore, Singapore.
Hock Luen TeohDivisin of Neurology, National University Hospital, Singapore, Singapore.
Arvind K SinhaDepartment of Diagnostic Imaging, National University Hospital, Singapore, Singapore.
National University Hospital · SGNational University of Singapore · SG

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Intracranial stenosis is prevalent among Asians and constitutes a common cause of cerebral ischemia. While the best medical therapy carries stroke recurrence rates in excess of 10% per year, trials with intracranial stenting have been associated with unacceptable peri-procedural ischemic events. Cerebral ischemic events are strongly related to the severity of intracranial stenosis, which is high in patients with severe intracranial stenosis with poor vasodilatory reserve. Enhanced External Counter Pulsation (EECP) therapy is known to improve myocardial perfusion by facilitating the development of collateral blood vessels in the heart. In this randomized clinical trial, we evaluate whether EECP therapy may be useful in patients with severe stenosis of intracranial internal carotid (ICA) or middle cerebral artery (MCA). The review of literature, methods of evaluation, status of currently used therapeutic approaches, and trial protocol have been presented. Clinical trial registration: ClinicalTrials.gov, Identifier: NCT03921827.

Indexed as

cerebral vasodilatory reserveenhanced external counter pulsation (EECP)intracranial stenosisischemic stroketranscranial Doppler

Identifiers

PMID37325226
PMCPMC10262049
OpenAlexW4380871400

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

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.