Evidence map›Paper›PMID 40908999›Full record

ArticleFrontiers in neurology2025

Quantitative histopathologic profiling of arterial dissection-related thrombi in acute ischemic stroke: etiological comparisons.

Gang Cai, XuMing Fang, Jun Li, YuanHua Cheng, YanHui Zhang, Lan Chu

Abstract read
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Article in Frontiers in neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

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2citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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3 · Its place in the literature

Who cites it

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

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Gang CaiDepartment of Neurology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
XuMing FangDepartment of Neurology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Jun LiDepartment of Neurology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
YuanHua ChengDepartment of Pathology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
YanHui ZhangDepartment of Pathology, Affiliated Hospital of Guizhou Medical University, Guiyang, China.
Lan ChuInstitute of Neuroscience, Soochow University, Suzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Arterial dissection is an important etiology of stroke in young adults and may demonstrate distinct thrombus characteristics. While most studies have focused on compositional differences between cardioembolic (CE) and non-cardioembolic thrombi, systematic analyses of dissection-related thrombi remain scarce. This study characterized the compositions of dissection thrombi, compared them with those of non-dissection thrombi, and explored compositional variations among stroke etiologies. Materials and methods: We retrospectively analyzed the clinical data and thrombi of 230 patients with acute ischemic stroke (AIS). The thrombi were stained with hematoxylin and eosin (H&E) and digitally scanned, and their composition was analyzed based on quantified red blood cell (RBC), fibrin/other component (F/O), and white blood cell (WBC) ratios and the total thrombus area. Comparisons were made between dissection-related AIS and non-dissection etiologies (large artery atherosclerosis [LAA], CE, stroke of other determined etiology [SOE], and stroke of undetermined etiology [SUE]). Results: Among the 230 patients with acute ischemic stroke, 16 (7.0%) had dissection-related stroke and 214 (93.0%) had non-dissection stroke (59 LAA, 124 CE, 2 SOE, and 29 SUE). Compared to those in the non-dissection group, the patients in the dissection group were significantly younger and had a lower prevalence of hypertension and atrial fibrillation but higher tandem lesion frequency (all Conclusion: The H&E-based thrombus composition analysis did not differentiate arterial dissection from other stroke etiologies. LAA thrombi exhibited the smallest thrombus burden among the major stroke subtypes.

Indexed as

acute ischemic strokearterial dissectionetiologythrombectomythrombus

Identifiers

PMID40908999
PMCPMC12404956

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