Evidence map›Paper›PMID 41603002›Full record

ArticleFrontiers in neurology2025

Low-dose urokinase thrombolysis combined with papaverine for central retinal artery occlusion: a preliminary exploration of efficacy and safety.

Hongyan Sun, Yang Geng, Wenchao Qiu, Jiahao Zhu, Mengxin Jiang, Zengqiang Xu, Wenming Wang, Yingjiang Xu, Jianwei Gao

Abstract read
In one paragraph

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 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

9 authors.

Hongyan Sun *Rongcheng Shidao People's Hospital, Rongcheng, Shandong, China.
Yang Geng *Binzhou Medical University Hospital, Binzhou, Shandong, China.
Wenchao QiuRongcheng Shidao People's Hospital, Rongcheng, Shandong, China.
Jiahao ZhuBinzhou Medical University Hospital, Binzhou, Shandong, China.
Mengxin JiangBinzhou Medical University Hospital, Binzhou, Shandong, China.
Zengqiang XuBinzhou Medical University Hospital, Binzhou, Shandong, China.
Wenming WangBinzhou Medical University Hospital, Binzhou, Shandong, China.
Yingjiang XuBinzhou Medical University Hospital, Binzhou, Shandong, China.
Jianwei GaoBinzhou Medical University Hospital, Binzhou, Shandong, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: To investigate the efficacy and safety of low-dose urokinase combined with papaverin administered via superselective ophthalmic artery thrombolysis in patients with non-arteritic central retinal artery occlusion (CRAO). Methods: A retrospective analysis was conducted on the clinical data of 20 CRAO patients who underwent ophthalmic artery thrombolysis at our hospital between December 2023 and July 2025. All procedures were performed under local anesthesia via femoral artery puncture and catheterization. A sequential injection of 400,000 IU urokinase followed by 30 mg papaverine was administered into the ophthalmic artery. Best-corrected visual acuity (BCVA, expressed in logMAR) was assessed pre- and post-operatively, and adverse events were recorded. Results: The median time from symptom onset to treatment was 7.25 h (IQR: 2.00-20.50). The mean preoperative BCVA in the affected eye was 2.38 ± 0.93 logMAR, which significantly improved to 0.33 ± 0.26 logMAR postoperatively ( Conclusion: Low-dose urokinase combined with papaverine via ophthalmic artery thrombolysis significantly improved visual acuity with a favorable safety profile in carefully selected CRAO patients, demonstrating potential for clinical application.

Indexed as

central retinal artery occlusionophthalmic artery thrombolysispapaverinesafetyurokinasevisual recovery

Identifiers

PMID41603002
PMCPMC12832333

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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.