Evidence map›Paper›PMID 38091189›Full record

ArticleTranslational stroke research2025

Platelet Analysis in the Thrombus Plus Serum BNP for Detecting Clot-Related Atrial Fibrillation. Results From the ITACAT Multicentric Registry.

Jorge Pagola, Jesus Juega, Laura Dorado, Maria Hernandez-Perez, Carlos Lazaro, Alvaro Garcia-Tornel, Marta Olive, Manuel Requena, Marta Rubiera, Marian Muchada and 12 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Translational stroke research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 38% 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

1 citing paper in PubMed, 1 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 7 institutions in 2 countries.

Jorge PagolaStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain. jorge.pagola@vallhebron.cat.
Jesus JuegaStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Laura DoradoStroke Unit, Department of Neurology, Germans Trias i Pujol University Hospital, Badalona, Spain.
Maria Hernandez-PerezStroke Unit, Department of Neurology, Germans Trias i Pujol University Hospital, Badalona, Spain.
Carlos LazaroStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Alvaro Garcia-TornelStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Marta OliveStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Manuel RequenaStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Marta RubieraStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Marian MuchadaStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Noelia Rodriguez-VillatoroStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
David Rodriguez-LunaStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Helena QuesadaStroke Unit Department of Neurology Bellvitge University Hospital, Hospitalet de Llobregat, Barcelona, Spain.
David HernandezDepartment of Neuroradiology, Vall d'Hebron University Hospital, Barcelona, Spain.
Carlos PiñanaDepartment of Neuroradiology, Vall d'Hebron University Hospital, Barcelona, Spain.
Carolina de-la-TorreProteomics Unit, Josep Carreras Leukaemia Research Institute (IJC), Badalona, Spain.
Marc RiboStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
Jessica CamachoDepartment of Pathology Vall d'Hebron University Hospital, Barcelona, Spain.
Santiago Ramon-Y-CajalDepartment of Pathology Vall d'Hebron University Hospital, Barcelona, Spain.
Alejandro TomaselloDepartment of Neuroradiology, Vall d'Hebron University Hospital, Barcelona, Spain.
Carlos MolinaStroke Unit, Department of Neurology, Vall d'Hebron University Hospital, Vall d'Hebron Research Institute, Autonomous University of Barcelona, Medicine Department, Passeig de la Vall d'Hebron, 119-129, 08035, Barcelona, Spain.
ITACAT Study Group
Hebron University · PSUniversitat Autònoma de Barcelona · ESVall d'Hebron Hospital Universitari · ESHospital Universitari Germans Trias i Pujol · ESBellvitge University Hospital · ESJosep Carreras Leukaemia Research Institute · ESVall d'Hebron Institut de Recerca · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Occult atrial fibrillation (AF) is a common cause of cryptogenic stroke. This study aimed to investigate the utility of surrogate markers within the clot (clot markers), in combination with serum biomarkers, to identify AF-associated clots in patients who underwent mechanical thrombectomy. Each retrieved thrombus was analyzed to identify fibrin, red blood cells, platelets - CD61 staining (PLT) and T-CD4 lymphocyte/macrophage/monocyte (CD4) profile. Serum biomarkers such as D-dimer, lipoprotein (A), and brain natriuretic peptide (BNP) were also assessed in the acute phase of the stroke. Patients with stroke-related AF and large artery atherosclerosis (LAA) stroke were compared by matched case-control design to identify markers associated with AF clot profile. The predictive abilities of clot markers and serum biomarkers to detect AF clot were tested in patients with cryptogenic stroke. In patients with AF clot, the PLT percentage was higher (66.64% vs. 55.43%, OR = 1.03); CD4 percentage was lower (3.84% vs. 7.95%, OR = 0.95); and BNP marker was higher (2114 pg/ml vs. 276 pg/ml, OR = 1.04) compared to LAA clot. PLT was independently associated to AF-clot (OR, 1.04) but demonstrated moderate ability to identify AF-clot cases (C-test 0.668, p = 0.018). The combination of PLT with BNP significantly improved AF-clot prediction (C-test 0.847, p < 0.001). The clot composition of patients with cryptogenic stroke and AF detection showed four-fold higher PLT and BNP pattern of risk than patients with cryptogenic stroke without AF detection (38.5% vs. 8.7%) (OR = 1.40). Integrating intra-thrombus platelet with serum BNP offers a promising approach for detecting AF-associated clots in patients with cryptogenic stroke.

Indexed as

Atrial FibrillationBlood PlateletsNatriuretic Peptide, BrainStrokeThrombosisAgedAged, 80 and overBiomarkersCase-Control StudiesFemaleHumansMaleMiddle AgedRegistriesBiomarkersNatriuretic Peptide, BrainAtrial fibrillationDiagnosisIntracranial thrombusStroke

Identifiers

PMID38091189
OpenAlexW4389686924

What OpenQuestion holds

Textmetadata
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.