Evidence map›Paper›PMID 40497512›Full record

ArticleJournal of the American Heart Association2025

Association of Intracranial Dolichoectasia and Cerebral Small Vessel Disease in Patients With Intracerebral Hemorrhage.

Kitti Thiankhaw, Larysa Panteleienko, Catriona R Stewart, Rupert Oliver, Dermot Mallon, Gareth Ambler, David J Werring

Abstract read
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–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

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. 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

7 authors.

Kitti ThiankhawStroke Research Centre, Department of Brain Repair and Rehabilitation University College London Queen Square Institute of Neurology London United Kingdom.ORCID 0000-0002-0556-541X
Larysa PanteleienkoStroke Research Centre, Department of Brain Repair and Rehabilitation University College London Queen Square Institute of Neurology London United Kingdom.ORCID 0000-0002-7342-2488
Catriona R StewartStroke Research Centre, Department of Brain Repair and Rehabilitation University College London Queen Square Institute of Neurology London United Kingdom.ORCID 0000-0002-7618-7882
Rupert OliverNational Hospital for Neurology and Neurosurgery University College London Hospitals NHS Foundation Trust London United Kingdom.
Dermot MallonDepartment of Neuroradiology, National Hospital for Neurology and Neurosurgery London United Kingdom.ORCID 0000-0001-7434-1201
Gareth AmblerDepartment of Statistical Science, Faculty of Mathematical & Physical Sciences University College London London United Kingdom.
David J WerringStroke Research Centre, Department of Brain Repair and Rehabilitation University College London Queen Square Institute of Neurology London United Kingdom.ORCID 0000-0003-2074-1861

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIntracranial arterial dolichoectasia (IADE) is associated with cerebral small vessel disease (CSVD) in populations with ischemic stroke. Whether IADE is related to CSVD markers in patients with intracerebral hemorrhage (ICH) is unclear but might be relevant for CSVD diagnosis and prognosis. We aimed to investigate the prevalence and associations of IADE in patients with ICH.

methodsWe included consecutive patients with ICH between February 2016 and September 2023. IADE was determined using magnetic resonance angiography based on validated scales assessing vessel diameter, length, and tortuosity. Neuroimaging markers of CSVD were investigated using validated magnetic resonance imaging rating scales. Left ventricular mass (LVM) was determined from transthoracic echocardiography. Multivariable binary logistic regression analyses were used to evaluate associations between IADE and CSVD.

resultsWe included 138 patients with a mean age of 66.7±11.8 years, 58.0% men. IADE was present in 16 patients (11.6%). LVM was greater in patients with IADE (183.0±61.3 g versus 155.3±51.2 g,

conclusionsIADE is found in approximately 12% of patients with ICH and is independently associated with neuroimaging markers of arteriolosclerosis but not cerebral amyloid angiopathy.

Indexed as

Cerebral HemorrhageCerebral Small Vessel DiseasesVertebrobasilar InsufficiencyAgedFemaleHumansMagnetic Resonance AngiographyMaleMiddle AgedPrevalenceRetrospective StudiesRisk Factorscerebral microbleeddolichoectasiaintracerebral hemorrhagelacunesmall vessel diseasewhite matter hyperintensity

Identifiers

PMID40497512
PMCPMC12229135

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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.