Evidence mapPaperPMID 39081338Full record

ArticleFrontiers in neurology2024

Prospective randomized controlled trial on the safety and neuroprotective efficacy of remote administration of hypothermia over spleen during acute ischemic stroke with mechanical thrombectomy: rationale, design, and protocol.

Honglian Duan, Zhe Cheng, Xiaokun Geng, Gary B Rajah, Jie Gao, Yang Guo, Lipeng Cai, Yanna Tong, Fengwu Li, Qian Jiang and 2 more

Abstract read
In one paragraph

Article in Frontiers in neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

12 authors.

Honglian Duan *Department of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Zhe Cheng *Department of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Xiaokun GengDepartment of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Gary B RajahDepartment of Neurosurgery, Munson Medical Center, Traverse City, MI, United States.
Jie GaoDepartment of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Yang GuoDepartment of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Lipeng CaiDepartment of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Yanna TongDepartment of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Fengwu LiLuhe Institute of Neuroscience, Capital Medical University, Beijing, China.
Qian JiangLuhe Institute of Neuroscience, Capital Medical University, Beijing, China.
Zhenzhen HanDepartment of Neurology and Stroke Center, Beijing Luhe Hospital, Capital Medical University, Beijing, China.
Yuchuan DingDepartment of Neurosurgery, Wayne State University School of Medicine, Detroit, MI, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Brain inflammation plays a key role in ischemia/reperfusion (I/R) injury and is the main cause of "ineffective or futile recanalization" after successful mechanical thrombectomy (MT) in acute ischemic stroke (AIS). One of the primary sources of inflammatory cells after AIS are derived from the spleen. As an innovative and potential neuroprotective strategy after stroke, Remote Administration of Hypothermia (RAH) temporarily suppresses immune activities in the spleen, reduces the release of inflammatory cells and cytokines into blood, and thus reversibly diminishes inflammatory injury in the brain. Methods: This single-center, prospective, randomized controlled study (RCT) is proposed for AIS patients with anterior circulation large vessel occlusion (LVO). Subjects will be randomly assigned to either the control or intervention groups in a 1:1 ratio ( Discussion: This study aims to examine the safety and preliminary effectiveness of RAH over the spleen during endovascular therapy in AIS patients. The results of this study are expected to facilitate larger randomized clinical trials and hopefully prove RAH administration confers adjuvant neuroprotective properties in AIS treated with MT. Clinical trial registration: https://www.chictr.org.cn/. Identifier ChiCTR 2300077052.

Indexed as

brain inflammationineffective recanalizationlarge vessel occlusionneuroprotectionspleen immune reaction

Identifiers

PMID39081338
PMCPMC11286455

What Socratic holds

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LicenceCC BY
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Registered trials

None linked

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.