Evidence map›Paper›PMID 38293908›Full record

ArticleJournal of the American Heart Association2024

Alterations of Hemostatic Molecular Markers During Acute Large Vessel Occlusion Stroke.

Xin Xu, Yiming Song, Wenbo Cao, Xuesong Bai, Xinyu Wang, Peng Gao, Jian Chen, Yanfei Chen, Bin Yang, Yabing Wang and 4 more

Registry-linked trialAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06963489 (Cerebral Large Vessel Occlusion Stroke Multiomics Biosample Cohort), which is not on this map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing 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.

NCT06963489 recruitingnot on this mapstarted 2025, after this paper: background citation

Cerebral Large Vessel Occlusion Stroke Multiomics Biosample Cohort

TypeobservationalSponsorFirst Affiliated Hospital of Wannan Medical CollegeRan2025 to 2028Enrolled500ConditionsLarge Vessel Occlusion, Acute Ischemic StrokeArmsNot applicable- observational study
3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Review
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

14 authors.

Xin XuDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0003-3395-9923
Yiming SongDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.
Wenbo CaoDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0002-3659-8505
Xuesong BaiDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0003-4324-1181
Xinyu WangDepartment of Neurology, Xuanwu Hospital Capital Medical University Beijing China.
Peng GaoDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0002-1812-594X
Jian ChenDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.
Yanfei ChenDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.
Bin YangDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.
Yabing WangDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.
Fei ChenDepartment of Neurology, Xuanwu Hospital Capital Medical University Beijing China.
Qingfeng MaDepartment of Neurology, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0002-0114-6402
Bo YuZhejiang Pushkang Biotechnology Co., Ltd Shaoxing Zhejiang China.
Liqun JiaoDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University Beijing China.ORCID 0000-0003-4982-6295

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThis study aimed to investigate regional levels of TAT (thrombin-antithrombin complex), PIC (plasmin-α2 plasmin inhibitor complex), t-PAIC (tissue plasminogen activator-plasminogen activator inhibitor complex), sTM (soluble thrombomodulin), and D-dimer, along with their associations with clinical and procedural characteristics in patients with acute ischemic stroke undergoing endovascular thrombectomy. METHODS AND

resultsWe retrospectively analyzed 166 consecutive patients with acute ischemic stroke (62±11.54 years of age, 34.3% women) using prospectively maintained clinical databases and blood samples from local ischemic (proximal to thrombus) and systemic (femoral artery, self-control) arterial compartments. Levels of TAT, PIC, t-PAIC, and D-dimer were significantly elevated, whereas sTM was significantly reduced, in local ischemic regions compared with their systemic levels. Each 1-unit increase in ischemic TAT (adjusted odds ratio [aOR], 1.086 [95% CI, 1.03-1.145];

conclusionsWe observed a hyperactive state of the coagulation-fibrinolysis system within the local ischemic region during hyperacute stroke. Rapid automated measurement of hemostatic molecular markers, particularly TAT, PIC, and sTM, during intra-arterial procedures may provide additional information for stroke risk stratification and therapeutic decision-making, and warrants further investigation.

Indexed as

HemostaticsIschemic StrokeStrokeAdultBiomarkersFemaleFibrinolysisHumansMaleRetrospective StudiesThrombectomyTissue Plasminogen ActivatorBiomarkersHemostaticsTissue Plasminogen Activatoracute ischemic strokecoagulationendovascular thrombectomyfibrinolysisoutcome

Identifiers

PMID38293908
PMCPMC11056158

What Socratic holds

Textmetadata
LicenceCC BY-NC-ND
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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 Socratic graph.