Evidence map›Paper›PMID 40913213›Full record

Trial reportTranslational stroke research2025

The Effect of Remote Ischemic Conditioning in Patients Treated with Endovascular Therapy: A RESIST Trial Post Hoc Study.

Rolf Ankerlund Blauenfeldt, David Charles Hess, David Gaist, Boris Modrau, Jan Brink Valentin, Søren Paaske Johnsen, Niels Hjort, Anne Brink Behrndtz, Martin Faurholdt Gude, Wenbo Zhao and 3 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Translational stroke research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03481777 (Remote Ischemic Conditioning in Patients With Acute Stroke), which is not on this map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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.

NCT03481777 nacompletednot on this map

Remote Ischemic Conditioning in Patients With Acute Stroke: a Multicenter Randomized, Patient-assessor Blinded, Sham-controlled Study

TypeinterventionalSponsorGrethe AndersenRan2018 to 2023Enrolled1,500ConditionsStroke, Acute, Ischemic Stroke, Hemorrhagic Stroke, Intracerebral HemorrhageArmsRemote Ischemic Conditioning, Sham Remote Ischemic Conditioning
3 · Its place in the literature

Who cites it

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

  1. Pooled it
  2. Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. 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

13 authors.

Rolf Ankerlund BlauenfeldtDepartment of Neurology, Aarhus University Hospital, Palle Juul Jensens Boulevard 165, Entrance J 518, 8200, Aarhus N, Aarhus, Denmark. rolfblau@rm.dk.
David Charles HessDepartment of Neurology, Medical College of Georgia, Augusta University, Augusta, GA, USA.
David GaistResearch Unit for Neurology, Odense University Hospital, University of Southern Denmark, Odense, Denmark.
Boris ModrauDepartment of Neurology, Aalborg University Hospital, Aalborg, Denmark.
Jan Brink ValentinDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Søren Paaske JohnsenDanish Center for Health Services Research, Department of Clinical Medicine, Aalborg University, Aalborg, Denmark.
Niels HjortDepartment of Neurology, Aarhus University Hospital, Palle Juul Jensens Boulevard 165, Entrance J 518, 8200, Aarhus N, Aarhus, Denmark.
Anne Brink BehrndtzDepartment of Neurology, Regional Hospital Gødstrup, Gødstrup, Denmark.
Martin Faurholdt GudeDepartment of Clinical Medicine, Aarhus University, Aarhus, Denmark.
Wenbo ZhaoDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jonas JensenDepartment of Neuroradiology, Aarhus University Hospital, Aarhus, Denmark.
Grethe AndersenDepartment of Neurology, Aarhus University Hospital, Palle Juul Jensens Boulevard 165, Entrance J 518, 8200, Aarhus N, Aarhus, Denmark.
Claus Ziegler SimonsenDepartment of Neurology, Aarhus University Hospital, Palle Juul Jensens Boulevard 165, Entrance J 518, 8200, Aarhus N, Aarhus, Denmark.

Funding

Aase and Ejnar Danielsens Foundation 10-002120Manufacturer Vilhelm Pedersen and Wife's foundation NNF16OC0023474National Institute of Health 1R01NS112511-01A1Novo Nordisk Fonden NNF00052924TrygFonden 120636
6 · The paper itself

Abstract

Remote ischemic conditioning (RIC) is a simple, non-invasive procedure that has been shown to be safe and feasible in multiple smaller clinical trials. Recent large randomized controlled trials have yielded mixed results regarding clinical effect. Patients with severe stroke may experience greater benefit from cerebroprotective interventions, highlighting the need for adjunctive therapies to enhance endovascular therapy (EVT) outcomes. This post hoc analysis of the RESIST trial evaluates the effect of RIC in the subgroup of patients who underwent EVT. Eligible patients were adults (≥ 18 years old), independent in activities of daily living, who had prehospital stroke symptoms with a duration of less than 4 h. They were randomized to RIC or sham. The primary analysis was performed using the entire range ("shift analysis") of the modified Rankin scale (mRS) at 90 days. A total of 737 patients had acute ischemic stroke, and 134 received EVT. The median (IQR) age was 74 (62, 82) years, median NIHSS was 16 (8, 20), and 52 (39%) were female. Median (IQR) overall adherence to RIC/sham was 81% (56, 96). Intravenous thrombolysis (IVT) was initiated in 76 out of the 134 (57%) EVT-treated patients. There was no significant effect of RIC on mRS in EVT-treated patients, OR (95% CI) 1.26 (0.68-2.32). When IVT was given in addition to EVT, RIC was associated with improved functional outcome at 90 days, adjusted OR 2.46 (1.05, 5.78), p = 0.038 but not without adjunctive IVT, aOR 0.57 (0.21-1.53). The effect of RIC was present only in patients achieving complete reperfusion (mTICI 3) following EVT and IVT (54 out of 134 patients). RIC treatment in addition to IVT and EVT was associated with significantly improved functional outcome at 90 days, observed only in patients who achieved complete reperfusion. These results should only serve as hypothesis-generating for future trials. ClinicalTrials.gov:NCT03481777.

Indexed as

Endovascular ProceduresIschemic PreconditioningIschemic StrokeAgedAged, 80 and overFemaleHumansMaleMiddle AgedTreatment OutcomeAcute ischemic strokeCerebroprotectionEndovascular therapyIntravenous thrombolysisNeuroprotectionRemote ischemic conditioningStroke

Identifiers

PMID40913213
PMCPMC12596283

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Registered trials

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.