Evidence map›Paper›PMID 42383029›Full record

ArticleFrontiers in neurology

Quantifying cerebral autoregulation following endovascular thrombectomy using wavelet transformation.

Lars Tveit, Maria Skytioti, Thor Håkon Skattør, Brian Anthony Enriquez, Anne Hege Aamodt, Karolina Skagen, Markus Wiedmann, Mona Skjelland

Abstract read
In one paragraph

Article in Frontiers in neurology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Lars TveitInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Maria SkytiotiInstitute of Basic Medical Sciences, Faculty of Medicine, University of Oslo, Oslo, Norway.
Thor Håkon SkattørInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.
Brian Anthony EnriquezDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Anne Hege AamodtDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Karolina SkagenDepartment of Neurology, Oslo University Hospital, Oslo, Norway.
Markus WiedmannDepartment of Neurosurgery, Oslo University Hospital, Oslo, Norway.
Mona SkjellandInstitute of Clinical Medicine, Faculty of Medicine, University of Oslo, Oslo, Norway.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Cerebral autoregulation (CA) is essential for protecting the brain against harmful fluctuations in cerebral blood flow (CBF) and may be severely impaired in acute ischemic stroke (AIS) patients. Continuous wavelet transform (CWT) is a robust method for quantifying CA. However, data on CWT-based metrics following endovascular thrombectomy (EVT) remain limited. Therefore, we aimed to characterize CA using CWT in AIS patients after EVT. Methods: We performed a prospective observational study recruiting patients with anterior circulation AIS treated with EVT. Continuous bilateral middle cerebral artery (MCA) blood flow velocities were obtained by transcranial doppler ultrasound (TCD) and synchronized with arterial blood pressure (ABP). CWT-derived Synchronization index gamma (SI) was calculated in the very-low frequency range (0.005-0.08 Hz). The primary outcome was an unfavorable clinical outcome at 90-days (modified Rankin Scale 3-6). Secondary outcomes were early neurological recovery, Alberta Stroke Program Early CT Score (ASPECTS), MRI-based infarct volume, and intracranial hemorrhage. Results: A total of 20 patients were included in the primary outcome analysis. There was no statistically significant difference in median Synchronization index gamma (SI) between patients with unfavorable clinical outcomes compared to patients with favorable clinical outcomes (0.61 ±0.15 vs. 0.41 ±0.20, Conclusion: CWT is a viable method for evaluating CA after EVT and may provide important information on early cerebral hemodynamics following arterial recanalization.

Indexed as

cerebral autoregulationcerebral blood flowcerebral hemodynamicscontinuous wavelet transformneuromonitoring

Identifiers

PMID42383029
PMCPMC13314523

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.