Evidence map›Paper›PMID 39698669›Full record

ArticleQuantitative imaging in medicine and surgery2024

Association between perforator stroke after middle cerebral artery elective stenting and arterial remodeling patterns: a high-resolution MRI-based retrospective cohort study.

Ziyao Wang, Wentao Gong, Chao Liu, Rui Chen, Yingkun He, Sen Wei, Yu Fu, Xuan Cui, Wei You, Youxiang Li and 1 more

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In one paragraph

Article in Quantitative imaging in medicine and surgery, 2024. 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
–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

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3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

11 authors.

Ziyao Wang *Department of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.
Wentao Gong *Department of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.
Chao LiuDepartment of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.
Rui ChenDepartment of Magnetic Resonance, the First Affiliated Hospital of Zhengzhou University, Zhengzhou, China.
Yingkun HeCerebrovascular and Neurosurgery Department of Stroke Center, Zhengzhou University People's Hospital, Zhengzhou, China.
Sen WeiDepartment of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.
Yu FuDepartment of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.
Xuan CuiDepartment of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.
Wei YouDepartment of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.
Youxiang LiDepartment of Neurosurgery, Beijing Tiantan Hospital and Beijing Neurosurgical Institute, Capital Medical University, Beijing, China.
Sheng GuanDepartment of Neurointervention, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Patterns of arterial remodeling may be associated with outcomes in patients with severe middle cerebral artery (MCA) stenosis after endovascular treatment (EVT). This study aims to investigate the potential correlation between arterial remodeling patterns in patients with severe MCA stenosis, and plaque characteristics and procedure-related perforator stroke (PS). Methods: Consecutive patients with MCA atherosclerotic disease who underwent EVT at the First Affiliated Hospital of Zhengzhou University from January 2018 to June 2023 were retrospectively enrolled in this study. The clinical and surgical data of the patients were evaluated. Remodeling index values >1.05, 0.95-1.05, and <0.95 indicated positive remodeling (PR), intermediate remodeling (IR), and negative remodeling (NR), respectively. Based on the remodeling index values calculated by high-resolution magnetic resonance imaging (HR-MRI), the arterial remodeling patterns were classified as NR or non-NR; non-NR was defined as both PR and IR. The primary endpoint was procedure-related PS. Plaque characteristics included the plaque area, plaque burden, contrast-enhancement ratio, and plaque distribution. Plaque features and the incidence of procedure-related PS were compared between the NR and non-NR groups. Differences in the categorical variables between the patients with NR and non-NR were assessed using the Chi-square test (χ Results: A total of 65 patients (mean age: 57.6 years) were enrolled in the study. Of the patients, 45 (69.2%) showed NR and 20 (30.8%) showed non-NR. The primary endpoint of procedure-related PS occurred in 3 patients (3/65, 4.6%). On HR-MRI, the entire cohort had a mean plaque area of 10.0 mm Conclusions: PS after MCA elective stenting may be related to non-NR based on HR-MRI. Further prospective and multicenter studies need to be conducted to confirm these findings.

Indexed as

arterial remodelingmagnetic resonance imaging (MRI)middle cerebral artery stenosisPerforator stroke (PS)

Identifiers

PMID39698669
PMCPMC11651958

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