Evidence map›Paper›PMID 33903178›Full record

ArticleStroke and vascular neurology2021

Association between coexisting intracranial artery and extracranial carotid artery atherosclerotic diseases and ipsilateral cerebral infarction: a Chinese Atherosclerosis Risk Evaluation (CARE-II) study.

Chunxiu Jiang, Jing Zhang, Jianbin Zhu, Xianlong Wang, Zhibo Wen, Xihai Zhao, Chun Yuan, CARE-II Investigators

Registry-linked trialOpen access · goldAbstract readMulticenter Study
In one paragraph

Article in Stroke and vascular neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02017756 (A Phase II Study of Chinese Atherosclerosis Risk Evaluation), which is not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.5field-weighted citation impact, top 17% of its field
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.

NCT02017756 unknown statusnot on this map

A Phase II Study of Chinese Atherosclerosis Risk Evaluation: Investigation of Carotid Atherosclerotic Disease in Patients With Ischemic Cerebrovascular Events

TypeobservationalSponsorTsinghua UniversityRan2012 to 2014Enrolled1,000ConditionsIschemic Stroke, Transient Ischemic Attack, Carotid Atherosclerotic Disease
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 18 citations in OpenAlex.

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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

8 authors at 4 institutions in 2 countries.

Chunxiu Jiang *Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.ORCID 0000-0002-5289-7759
Jing Zhang *Department of Radiology, Foshan Women and Children Hospital Affiliated to Southern Medical University, Foshan, China.
Jianbin ZhuDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Xianlong WangDepartment of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Zhibo Wen *Department of Radiology, Zhujiang Hospital, Southern Medical University, Guangzhou, China zhibowen@163.com xihaizhao@tsinghua.edu.cn.ORCID 0000-0002-0497-0923
Xihai Zhao *Center for Biomedical Imaging Research, Department of Biomedical Engineering, Tsinghua University, Beijing, China zhibowen@163.com xihaizhao@tsinghua.edu.cn.ORCID 0000-0001-8953-0566
Chun YuanDepartment of Radiology, University of Washington, Seattle, Washington, USA.
CARE-II Investigators
Zhujiang Hospital · CNFoshan Maternity and Child Health Care Hospital · CNTsinghua University · CNUniversity of Washington · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundTo evaluate the association between coexisting intracranial and extracranial carotid artery atherosclerotic diseases and ipsilateral acute cerebral infarct (ACI) in symptomatic patients by using magnetic resonance (MR) vessel wall imaging.

methodsSymptomatic patients were recruited from a cross-sectional, multicentre study of Chinese Atherosclerosis Risk Evaluation (CARE-II). All patients underwent MR imaging for extracranial carotid arterial wall, intracranial artery and brain. Coexisting intracranial stenosis ≥50% and extracranial carotid artery mean wall thickness (MWT) ≥1 mm and plaque compositions at the same side were evaluated and the ipsilateral ACI was identified. The association between coexisting atherosclerotic diseases and ACI was evaluated using logistic regression.

results351 patients were recruited. Patients with ipsilateral ACI had significantly greater prevalence of coexisting intracranial stenosis ≥50% and carotid MWT ≥1 mm (20.5% vs 4.9%, p<0.001), calcification (15.1% vs 4.4%, p=0.001) and lipid-rich necrotic core (LRNC) (19.2% vs 7.8%, p=0.002) compared with those without. Coexisting intracranial artery stenosis ≥50% and carotid MWT ≥1 mm (OR 5.043, 95% CI 2.378 to 10.694; p<0.001), calcification (OR 3.864, 95% CI 1.723 to 8.664; p=0.001) and LRNC (OR 2.803, 95% CI 1.455 to 5.401; p=0.002) were significantly associated with ipsilateral ACI. After adjusting for confounding factors, the aforementioned associations remained statistically significant (intracranial stenosis ≥50% coexisting with carotid MWT ≥1 mm: OR 4.313, 95% CI 1.937 to 9.601, p<0.001; calcification: OR 3.606, 95% CI 1.513 to 8.593, p=0.004; LRNC: OR 2.358, 95% CI 1.166 to 4.769, p=0.017).

conclusionsCoexistence of intracranial artery severe stenosis and extracranial carotid artery large burden and intraplaque components of calcification and LRNC are independently associated with ipsilateral ACI. TRIAL REGISTRATION NUMBER: https://www.clinicaltrials.gov/. Unique identifier: NCT02017756.

Indexed as

AtherosclerosisCerebral InfarctionCarotid ArteriesChinaCross-Sectional StudiesHumansRisk FactorsatherosclerosisMRIstrokevessel wall

Identifiers

PMID33903178
PMCPMC8717767
OpenAlexW3159869423

What Socratic holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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 Socratic graph.