Evidence map›Paper›PMID 19437002›Full record

ArticleNeuroradiology2009

Vertebral artery ostial stent placement for atherosclerotic stenosis in 72 consecutive patients: clinical outcomes and follow-up results.

Robert A Taylor, Farhan Siddiq, Muhammad Zeeshan Memon, Adnan I Qureshi, Gabriela Vazquez, Minako Hayakawa, John C Chaloupka

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03381534 (Safety and Efficacy of Distal Embolic Protection Device in Vertebral Artery Origin Stent Angioplasty), which is not on this map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
2.4field-weighted citation impact, top 12% 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.

NCT03381534 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Safety and Efficacy of Distal Embolic Protection Device in Vertebral Artery Origin Stent Angioplasty :A Prospective, Multicenter, Randomized Controlled Trial

TypeinterventionalSponsorXuanwu Hospital, BeijingRan2017 to 2020Enrolled256ConditionsAdverse EventArmsstenting with EPD, stent assisted angioplasty
3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 30 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Use of Embolic Protection Devices in Peripheral Interventions.Interventional cardiology (London, England) · 2017
    Article
  7. Observational
  8. Article
  9. Article
  10. 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

7 authors at 3 institutions in 1 country.

Robert A TaylorZeenat Qureshi Stroke Research Center, University of Minnesota, 420 Delaware Street SE, Minneapolis, MN, 55455, USA. rataylor@umn.edu
Farhan Siddiq
Muhammad Zeeshan Memon
Adnan I Qureshi
Gabriela Vazquez
Minako Hayakawa
John C Chaloupka
CentraCare Health System · USUniversity of Iowa · USUniversity of Minnesota · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe study's purpose is to report the technical and clinical outcomes of a patient cohort that underwent vertebral artery ostium stent placement for atherosclerotic stenosis.

methodsWe retrospectively analyzed a prospectively collected database of neurointerventional procedures performed at a single center from 1999 to 2005. Outcome measures included recurrent transient neurological deficits (TNDs), stroke, and death. Kaplan-Meier analysis was used to estimate stroke- and/or death-free survival at 12 months. Cox proportional hazard was used to identify risk factors for recurrent vertebrobasilar ischemic events.

resultsSeventy-two patients with 77 treated vertebral ostial lesions were included. The 30-day stroke and/or death rate was 5.2% (n = 4), although no event was directly related to the vertebral ostium stent placement. Three procedure-related strokes were secondary to attempted stent placement at other sites (one carotid artery and two basilar arteries), and the one death was secondary to the presenting stroke severity. The mean clinical follow-up time available for 66 patients was 9 months. There were 14 TNDs (21%), two strokes (3%), and two deaths (3%) recorded in the follow-up. Recurrent vertebrobasilar ischemic events occurred in nine patients (seven TNDs and two strokes). No recurrent stroke and/or deaths were related to the treated vertebral ostium. Stroke- and/or death-free survival rate (including periprocedural stroke and/or death) was 89 +/- 5% at 12 months. No vascular risk factor was significantly associated with recurrent vertebrobasilar ischemic events.

conclusionsVertebral artery ostium stent placement can be safely and effectively performed with a low rate of recurrent stroke in the territory of the treated vessel. Patients who also underwent attempted treatment of a tandem intracranial stenosis appeared to be at highest risk for periprocedure stroke.

Indexed as

StentsAdultAgedAged, 80 and overAtherosclerosisFemaleFollow-Up StudiesHumansKaplan-Meier EstimateMaleMiddle AgedNeurosurgical ProceduresPostoperative ComplicationsProportional Hazards ModelsRetrospective StudiesRisk Factors

Identifiers

PMID19437002
OpenAlexW1973851892

What OpenQuestion holds

Textmetadata
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 OpenQuestion graph.