Evidence map›Paper›PMID 40110482›Full record

ArticleFrontiers in aging neuroscience2025

Cognitive outcomes after extracranial-intracranial bypass surgery in elderly patients diagnosed with atherosclerotic cerebral steno-occlusive artery disease.

Yu Duan, Jian Li, Xin Zhang, Shihong Li, Qiliang Chai, Yingying Zhang, Guohui Huang, Ziwei Xu, Zhuyu Li, Renling Mao and 1 more

Abstract read
In one paragraph

Article in Frontiers in aging neuroscience, 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

11 authors.

Yu Duan *Department of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.
Jian Li *Department of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.
Xin ZhangDepartment of Neurosurgery, Huashan Hospital, Fudan University, Shanghai, China.
Shihong LiDepartment of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.
Qiliang ChaiDepartment of Medical Ultrasonics, Huadong Hospital, Fudan University, Shanghai, China.
Yingying ZhangDepartment of Neurology, Zhongshan Hospital, Fudan University, Shanghai, China.
Guohui HuangDepartment of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.
Ziwei XuDepartment of Neurology, Huadong Hospital, Fudan University, Shanghai, China.
Zhuyu LiDepartment of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.
Renling MaoDepartment of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.
Dongwei DaiDepartment of Neurosurgery, Huadong Hospital, Fudan University, Shanghai, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The safety and clinical effectiveness of extracranial-intracranial (EC-IC) bypass surgery in elderly patients with atherosclerotic internal carotid artery and/or middle cerebral artery steno-occlusive (ACMSO) disease remain ambiguous. Here, we analyzed our experience of EC-IC bypass surgery to evaluate its clinical safety and effect on the cognitive function for elderly patients with ACMSO. Methods: This retrospective study enrolled patients >60 years of age diagnosed with ACMSO who underwent EC-IC bypass surgery at the authors' center between January 2018 and January 2021. Indications for bypass surgery included symptomatic ACMSO defined by cerebral angiography and evidence of relative hypoperfusion in the territories of steno-occlusive arteries based on computed tomography perfusion (CTP) neuroimaging. All patients underwent the Montreal Cognitive Assessment preoperatively and 2 years after bypass surgery. Clinical data, such as the National Institute of Health Stroke Scale and cognitive function scores, and CTP parameters were retrospectively analyzed. Results: The study cohort ultimately included data from 65 patients (60-68 years of age; median age, 66 years) who underwent 82 bypass surgeries. The patency rate of bridge arteries was 100% on intraoperative fluoroscopy and 95.0% (76/80) according to cerebral angiography at the last follow-up. The perioperative stroke rate was 1.54 % and the mortality rate was 3.08% in the 2nd year of follow-up. Compared with preoperative data, the mismatch volume of CTP was reduced ( Conclusion: EC-IC bypass surgery was safe and improved cognitive function in elderly patients diagnosed with ACMSO. Reversible cerebral perfusion function is one of the better prognoses, which needs to be confirmed in future study.

Indexed as

arterial steno-occlusive diseasebypass surgerycerebral perfusioncognitive functionelderly

Identifiers

PMID40110482
PMCPMC11920139

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.