Evidence map›Paper›PMID 21225420›Full record

ArticleNeuroradiology2012

Initial experience with a self-expanding retrievable stent for recanalization of large vessel occlusions in acute ischemic stroke.

Bijoy K Menon, Puneet Kochar, Andrew Ah-Seng, Mohammed A Almekhlafi, Jayesh Modi, John H Wong, Mark E Hudon, Will Morrish, Andrew M Demchuk, Mayank Goyal

Abstract read
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Article in Neuroradiology, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing 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

17 citing papers in PubMed.

  1. Trial
  2. Early single center experience with the solitaire thrombectomy device for the treatment of acute ischemic stroke.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2011
    Trial
  3. Posterior circulation ischemic stroke-a review part II: imaging and acute treatment.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Review
  4. Review
  5. Endovascular treatment of severe acute basilar artery occlusion.Journal of clinical neuroscience : official journal of the Neurosurgical Society of Australasia · 2015
    Article
  6. Review
  7. Review
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  17. A systems approach towards intra-arterial management of acute ischemic stroke: need for novel outcome measures and a focus on sequence rather than steps.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2011
    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

10 authors.

Bijoy K MenonDepartment of Clinical Neurosciences, University of Calgary, Calgary, Canada.
Puneet Kochar
Andrew Ah-Seng
Mohammed A Almekhlafi
Jayesh Modi
John H Wong
Mark E Hudon
Will Morrish
Andrew M Demchuk
Mayank Goyal

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionQuicker recanalization results in better clinical outcomes in patients with acute ischemic strokes. We describe our experience with the use of a self-expanding, fully retrievable stent in acute intracranial occlusions.

methodsPatients who underwent intra-arterial procedures with a self-expanding, fully retrievable stent for acute ischemic strokes at our center in 2009 were included in this study. The primary outcome was recanalization [Thrombolysis in Myocardial Infarction (TIMI) grade 2/3] at end of procedure. Secondary endpoints were procedural interval times, incidence of vasospasm, rupture of vessels, device-related complications, groin complications, postprocedural intracerebral hemorrhage (ICH) on noncontrast CT, and all-cause mortality.

resultsFourteen patients (mean age 62.1 years, range 34-81 years; six males) were included in the study. Sites of occlusion are as follows: M1 middle cerebral artery (MCA, n = 8), M2 MCA (n = 1), proximal basilar artery (n = 1), and distal basilar artery (n = 4). An additional device or technique was used in 9 of 14 patients prior to the use of the retrievable stent. Twelve out of 14 (85.7%) achieved TIMI 2-3 recanalization with 4 of 14 (28.6%) achieving TIMI 3. Eight of 14 (57.1%) patients had modified Rankin Scale (0-2) at 3 months or discharge. ICH on follow-up CT was noted in 28.6% (4 of 14) of patients. All-cause mortality was 2 of 14 (14.3%).

conclusionUse of a novel self-expanding, fully retrievable stent resulted in fast and very high recanalization rates in acute ischemic strokes with intravascular occlusions.

Indexed as

StentsAdultAgedAged, 80 and overBrain IschemiaCerebral AngiographyCerebral RevascularizationDevice RemovalEndpoint DeterminationFemaleHumansMaleMiddle AgedStrokeTomography, X-Ray ComputedTreatment Outcome

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Registered trials

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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.