Evidence map›Paper›PMID 38497590›Full record

ArticleEuropean journal of neurology2024

Cerebral amyloid angiopathy decades after red blood cell transfusions: a report of two cases from a prospective cohort.

K Kaushik, M J H Wermer, E S van Etten

Open access · goldAbstract readCase Reports
In one paragraph

Article in European journal of neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
3.3field-weighted citation impact, top 8% 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

6 citing papers in PubMed, 9 citations in OpenAlex.

  1. Clinical Management of Cerebral Amyloid Angiopathy.Journal of clinical medicine · 2025
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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

3 authors at 2 institutions in 1 country.

K KaushikDepartment of Neurology, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.ORCID 0000-0003-1429-6853
M J H WermerDepartment of Neurology, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.ORCID 0000-0002-6838-9521
E S van EttenDepartment of Neurology, Leiden University Medical Centre (LUMC), Leiden, The Netherlands.ORCID 0000-0002-8301-6846
Leiden University Medical Center · NLUniversity Medical Center Groningen · NL

Funding

Dutch Brain FoundationDutch Heart Foundation 2016T86Netherlands Organization for Scientific Research VIDI 9171337
6 · The paper itself

Abstract

background and purposePatients who underwent red blood cell (RBC) transfusion from donors who later developed multiple spontaneous intracerebral hemorrhages (ICHs) have recently been identified to have increased risk of ICH themselves. This increased risk of ICH was hypothesized to be related to iatrogenic cerebral amyloid angiopathy (iCAA) transmission. Two cases are presented who had RBC transfusion as an infant and presented with CAA at a relatively young age decades later.

methodCases were identified by prospectively asking all patients at our CAA outpatient clinic (November 2023 to January 2024) about a medical history with RBC transfusion or history with a high likelihood for RBC transfusion (e.g., hemolytic disease, trauma with massive hemorrhage). Eligible patients were all diagnosed with CAA, CAA with concomitant hypertensive arteriopathy or iCAA, and without hereditary CAA.

resultsBetween November 2023 and January 2024, 2/35 (6%, 95% confidence interval 2%-19%) outpatient clinic patients had a history of RBC transfusion and none had a high likelihood medical history. The cases presented at age 47 and 57 and had already developed severe CAA.

conclusionsRed blood cell transfusion might be a possible mechanism for iCAA; however, further prospective data collection and experimental evidence concerning blood transmission of amyloid-β are needed.

Indexed as

Cerebral Amyloid AngiopathyErythrocyte TransfusionCohort StudiesFemaleHumansMaleMiddle AgedProspective Studiesblood transfusioncerebral amyloid angiopathyiatrogenic CAAintracerebral hemorrhageprionRBC transfusionred blood cellstroketransmission

Identifiers

PMID38497590
PMCPMC11235683
OpenAlexW4392912451

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.