Trial reportAJNR. American journal of neuroradiology2013
Comparison of stent-retriever devices versus the Merci retriever for endovascular treatment of acute stroke.
Trial report in AJNR. American journal of neuroradiology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
37 citing papers in PubMed, 1 synthesis or guideline pooled it, 90 citations in OpenAlex.
- Endovascular therapy for acute ischemic stroke: a systematic review and meta-analysis.Mayo Clinic proceedings · 2013Pooled it
- [Endovascular treatment for acute ischemic stroke : Multicenter Randomized Clinical Trial of Endovascular Treatment for Acute Ischemic Stroke in the Netherlands (MR CLEAN)].Der Internist · 2015Trial
- Stent retrievers in acute ischemic stroke: complications and failures during the perioperative period.AJNR. American journal of neuroradiology · 2014Trial
- The effect of distal aspiration catheter position on collateral flow in mechanical thrombectomy - anInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026Article
- Micro/Nanorobotic Systems for Imaging-Guided Closed-Loop Thrombus Recanalization.Cyborg and bionic systems (Washington, D.C.) · 2026Review
- Two Cases of Delayed Severe Stenosis after Complete Recanalization by Mechanical Thrombectomy.Journal of neuroendovascular therapy · 2025Article
- The initial experience with the Embotrap III stent-retriever in a real world setting.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024Article
- Mechanical thrombectomy in medium vessel occlusions using the novel aspiration Q catheters: an international multicenter experience.Journal of neurointerventional surgery · 2024Article
- Predictors of mTICI 2c/3 over 2b in patients successfully recanalized with mechanical thrombectomy.Annals of clinical and translational neurology · 2024Article
- The Stream Device-A Retrospective Review of 51 Cases.Journal of clinical medicine · 2023Article
- Stentrievers : An engineering review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023Review
- In Vitro Blood Clot Formation and Dissolution for Testing New Stroke-Treatment Devices.Biomedicines · 2022Article
- An Older Thrombus Delays Reperfusion after Mechanical Thrombectomy for Ischemic Stroke.Thrombosis and haemostasis · 2022Article
- [Anesthesiological management in endovascular stroke treatment].Der Anaesthesist · 2019Review
- Mechanical Thrombectomy Using the new Solitaire™ Platinum Stent-retriever : Reperfusion Results, Complication Rates and Early Neurological Outcome.Clinical neuroradiology · 2019Article
- Meta-Analysis of Endovascular Treatment for Acute M2 Occlusion.Journal of Korean Neurosurgical Society · 2019Article
- Endovascular Treatment with Intravenous Thrombolysis versus Endovascular Treatment Alone for Acute Anterior Circulation Stroke : A Meta-Analysis of Observational Studies.Journal of Korean Neurosurgical Society · 2018Article
- Efficacy and Safety of REVIVE SE Thrombectomy Device for Acute Ischemic Stroke: River JAPAN (Reperfuse Ischemic Vessels with Endovascular Recanalization Device in Japan).Neurologia medico-chirurgica · 2018Observational
- Reperfusion therapy in acute ischemic stroke: dawn of a new era?BMC neurology · 2018Review
- White Matter Hyperintensity Volume and Outcome of Mechanical Thrombectomy With Stentriever in Acute Ischemic Stroke.Stroke · 2017Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeRevascularization of large cerebral artery occlusion is the therapeutic goal in stroke therapy. Currently, many recanalization devices are in clinical use. This study compares the outcome parameters, efficacy, and safety of the new generation of stent-retriever devices with the well-established Merci retriever. MATERIALS AND
methodsAll patients who received endovascular mechanical recanalization therapy were prospectively registered. One hundred twenty-two patients were treated with either new stent retrievers, including the Trevo and Solitaire devices, or the Merci retriever system. Recanalization of the occluded vessel was assessed in accordance with the modified TICI score, and outcome parameters, including the NIHSS and mRS scores, were documented. Clinical status was recorded after neurointervention, at time of discharge, and after 90 days.
resultsThe mean age of all patients was 68 years; 54% were male, with no statistical differences in demographics between both groups. Successful recanalization (TICI 3 and TICI 2b) was achieved in 82% of patients treated with stent retrievers compared with 62% of patients treated with Merci retrievers (P = .016). In the 90-day follow-up, 65% of patients treated with stent retrievers and 35% of those treated with the Merci had achieved a good (mRS = 0-2) clinical outcome (P = .002). Patients treated with stent retrievers had a significantly shorter treatment time (72 versus 122 minutes, P < .01) and less severe intracerebral hemorrhages (10% versus 28%, P < .01).
conclusionsPatients treated with Trevo and Solitaire stents had a better revascularization rate, better clinical outcome, and lower complication rate than patients treated with the Merci retriever.
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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.