Evidence map›Paper›PMID 38896271›Full record

ArticleClinical neuroradiology2024

Roles of Nontraditional Lipid Parameters for Predicting Restenosis in Patients with Intracranial Atherosclerotic Stenosis After Endovascular Treatment.

Guoming Li, Xuecheng Cen, Zelan Ma, Fajun Chen

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical neuroradiology, 2024. 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
–field-weighted citation impact
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. Article
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

4 authors.

Guoming LiCerebrovascular Disease Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road No. 111, 510120, Guangzhou, Guangdong, China.
Xuecheng CenNeurosurgery Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road No. 111, 510120, Guangzhou, Guangdong, China.
Zelan MaRadiology Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road No. 111, 510120, Guangzhou, Guangdong, China.
Fajun ChenNeurosurgery Department, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Dade Road No. 111, 510120, Guangzhou, Guangdong, China. 89623538@qq.com.

Funding

Specialty Program of Guangdong Hospital of Chinese Medicine YN2020QN07Traditional Chinese Medicine Bureau of Guangdong Provincial 20202069
6 · The paper itself

Abstract

purposeNontraditional lipid parameters are associated with intracranial atherosclerotic stenosis (ICAS) progression. This study aimed to investigate the association of nontraditional lipid parameters with the risk of restenosis in patients with ICAS after endovascular treatment (EVT).

methodsThis study retrospectively enrolled consecutive patients with symptomatic ICAS after successful EVT followed by at least 3 months of angiography. Participants were divided into restenosis or non-restenosis groups based on the angiographic follow-up results. The nontraditional lipid parameters were calculated from conventional lipid parameters. The COX regression models and restricted cubic splines (RCS) were used to explore the association between nontraditional lipid parameters and restenosis.

resultsThis study recruited 222 cases with 224 lesions eligible for our study, of which 56 (25%) had restenosis. Compared with the non-restenosis group, patients in the restenosis group had higher levels of the atherogenic index of plasma (AIP) (0.211, interquartile range, IQR, 0.065-0.404 vs. 0.083, IQR, -0.052-0.265, P = 0.001), remnant cholesterol (RC) (0.55, IQR, 0.33-0.77 vs. 0.30, IQR, 0.18-0.49, P < 0.001) and Castelli's index‑I (CRI-I) (4.13, IQR, 3.39-5.34 vs. 3.74, IQR, 2.94-4.81, P = 0.030). In the multivariable COX regression analysis, a 0.1 unit increase of AIP was an independent risk factor for restenosis (hazard ratio, HR = 1.20, 95% confidence interval, CI 1.05-1.35, P = 0.005) whereas such an association was not observed for RC (HR = 1.01, 95% CI 0.90-1.15, P = 0.835). The restricted cubic spline (RCS) plot revealed a linear relationship between AIP and restenosis (P for nonlinear = 0.835) but a nonlinear relationship for RC (P for nonlinear = 0.012). Patients were stratified according to tertiles (T) of AIP and RC and the risk of restenosis increased in T3 compared to T1 (HR = 3.21, 95% CI 1.35-7.62, P = 0.008 and HR = 2.99, 95% CI 1.11-8.03, P = 0.030, respectively). Furthermore, this association remained stable within each LDL‑C level subgroup.

conclusionThe AIP and RC were positively and independently associated with restenosis in patients with ICAS after EVT.

Indexed as

Endovascular ProceduresIntracranial ArteriosclerosisAgedCerebral AngiographyConstriction, PathologicFemaleHumansLipidsMaleMiddle AgedRecurrenceRetrospective StudiesRisk FactorsLipidsAtherogenic index of plasmaIntracranial atherosclerotic stenosisRemnant cholesterolRestenosisUnconventional lipid parameters

Identifiers

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.