Evidence map›Paper›PMID 40185805›Full record

ArticleScientific reports2025

Cold aortic flush after ventricular fibrillation cardiac arrest reduces inflammatory reaction but not neuronal loss in the pig cerebral cortex.

Lisa Barones, Wolfgang Weihs, Alexandra Schratter, Andreas Janata, Petra Kodajova, Helga Bergmeister, Lukas Kenner, Michael Holzer, Wilhelm Behringer, Sandra Högler

Abstract read
In one paragraph

Article in Scientific reports, 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
–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

10 authors.

Lisa BaronesLaboratory Animal Pathology, Department of Biological Sciences and Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria.
Wolfgang WeihsDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Alexandra SchratterDepartment of Cardiology, Klinik Floridsdorf, Vienna, Austria.
Andreas JanataDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Petra KodajovaLaboratory Animal Pathology, Department of Biological Sciences and Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria.
Helga BergmeisterCenter for Biomedical Research and Translational Surgery and Ludwig Boltzmann Institute for Cardiovascular Research, Medical University Vienna, Vienna, Austria.
Lukas KennerLaboratory Animal Pathology, Department of Biological Sciences and Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria.
Michael HolzerDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Wilhelm BehringerDepartment of Emergency Medicine, Medical University of Vienna, Vienna, Austria.
Sandra HöglerLaboratory Animal Pathology, Department of Biological Sciences and Pathobiology, University of Veterinary Medicine Vienna, Vienna, Austria. sandra.hoegler@vetmeduni.ac.at.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This study aims to retrospectively compare two resuscitation methods (extracorporeal cardiopulmonary resuscitation (ECPR) vs. emergency preservation and resuscitation (EPR)) by pathohistologically assessing pig brains in a ventricular fibrillation cardiac arrest (VFCA) model. In prospective studies from 2004 to 2006, swine underwent VFCA for 13 (n = 6), 15 (n = 14) or 17 (n = 6) minutes with ECPR (ECPR13, ECPR15 and ECPR17). Another 15 min VFCA group (n = 8) was resuscitated with EPR and chest compressions (EPR15 + CC). Brains of animals surviving for nine days (ECPR13 n = 4, ECPR15 n = 2, ECPR17 n = 1, EPR15 + CC n = 7) were harvested. Eight different brain regions were analyzed with the image analysis software QuPath using HE-staining, GFAP- and Iba1-immunohistochemistry. Only ECPR13 and EPR15 + CC animals were included in statistical analysis, due to low survival rates in the other groups. All VFCA samples showed significantly fewer viable neurons compared to shams, but no significant differences between ECPR13 and EPR15 + CC animals were observed. ECPR13 animals showed significantly more glial activation in all cerebral cortex regions compared to shams and in occipital, temporal and parietal cortex compared to EPR15 + CC. In conclusion, EPR + CC resulted in a significantly reduced inflammatory reaction in cerebral cortex compared to ECPR but did not influence the extent of neuronal death after VFCA.

Indexed as

AortaCardiopulmonary ResuscitationCerebral CortexHeart ArrestInflammationNeuronsVentricular FibrillationAnimalsCold TemperatureDisease Models, AnimalSwineECPREPRGlial responseNeuronal deathQuPathResuscitation

Identifiers

PMID40185805
PMCPMC11971268

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Registered trials

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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.