ArticleAJNR. American journal of neuroradiology2013
A meta-analysis of observational intra-arterial stroke therapy studies using the Merci device, Penumbra system, and retrievable stents.
Article 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 19 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
19 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Functional outcomes and recanalization rates of stent retrievers in acute ischaemic stroke: A systematic review and meta-analysis.The neuroradiology journal · 2015Pooled it
- Evaluation of interval times from onset to reperfusion in patients undergoing endovascular therapy in the Interventional Management of Stroke III trial.Circulation · 2014Trial
- Impact of age and baseline NIHSS scores on clinical outcomes in the mechanical thrombectomy using solitaire FR in acute ischemic stroke study.AJNR. American journal of neuroradiology · 2014Trial
- Inter- and intraobserver agreement in scoring angiographic results of intra-arterial stroke therapy.AJNR. American journal of neuroradiology · 2014Trial
- The Effects of Balloon-Guide Catheters on Outcomes after Mechanical Thrombectomy in Acute Ischemic Strokes : A Meta-Analysis.Journal of Korean Neurosurgical Society · 2019Article
- Influence of Anesthesia Type on Outcomes after Endovascular Treatment in Acute Ischemic Stroke: Meta-Analysis.Neurointervention · 2019Article
- Meta-Analysis of Endovascular Treatment for Acute M2 Occlusion.Journal of Korean Neurosurgical Society · 2019Article
- Maximizing First-Pass Complete Reperfusion with SAVE.Clinical neuroradiology · 2018Article
- 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
- Clinical and Angiographic Outcomes with the Combined Local Aspiration and Retriever in the North American Solitaire Stent-Retriever Acute Stroke (NASA) Registry.Interventional neurology · 2018Article
- Reperfusion therapy in acute ischemic stroke: dawn of a new era?BMC neurology · 2018Review
- Intra-arterial mechanical thrombectomy stent retrievers and aspiration devices in the treatment of acute ischaemic stroke: A systematic review and meta-analysis with trial sequential analysis.European stroke journal · 2017Review
- Primary Endovascular Treatment of Acute Ischemic Stroke Using Stent Retrievers: Initial Egyptian Experience.Journal of vascular and interventional neurology · 2017Article
- Effect of Retrievable Stent Size on Endovascular Treatment of Acute Ischemic Stroke: A Multicenter Study.AJNR. American journal of neuroradiology · 2017Observational
- Catheter-based interventions for acute ischaemic stroke.European heart journal · 2016Review
- Treatment of acute cerebral artery occlusion using the Penumbra system: our early experience.Neurologia medico-chirurgica · 2014Article
- Future directions for intra-arterial therapy for acute ischaemic stroke: is there life after three negative randomized controlled studies?Interventional neurology · 2014Review
- Stability of ischemic core volume during the initial hours of acute large vessel ischemic stroke in a subgroup of mechanically revascularized patients.Neuroradiology · 2014Article
- Reperfusion therapy of acute ischaemic stroke and acute myocardial infarction: similarities and differences.European heart journal · 2014Review
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeThe time from arterial puncture to successful recanalization is an important milestone toward timely recanalization. With the significant improvement in recanalization rates by using thrombectomy devices, procedural time to recanalization is becoming a determinant factor in choosing among available devices. We aimed to assess the impact of time to recanalization on the outcome of intra-arterial stroke therapies. MATERIALS AND
methodsWe conducted a meta-analysis of studies reporting procedural times in patients with stroke treated with the MD, PS, and RS.
resultsWe identified 16 eligible studies: 4 on the MD (n = 357), 8 on the PS (n = 455), and 4 on RS (n = 113). Merci device studies described total procedural duration, while PS and RS studies described puncture-to-recanalization times. With a random-effects model, mean procedural duration for the MD was 120 minutes (95% CI, 105.7-134.2 minutes). Mean puncture to recanalization time for the PS was 64.6 minutes (95% CI, 44.4-84.8 minutes) and 54.7 minutes for RS (95% CI, 47.3-62.2 minutes). Successful recanalization was achieved in 211 of 357 patients (59.1%) in the MD studies (95% CI, 49.3-77.7), 394 of 455 (86.6%) in the PS studies (95% CI, 84.1-93.8), and 105 of 113 (92.9%) in the RS studies (95% CI, 90.9-99.9). Functional independence (mRS ≤2) was achieved in 31.5% of patients in the MD studies, 36.6% in the PS studies, and 46.9% in the RS studies.
conclusionsThe use of the PS and RS was associated with comparable procedural time to recanalization. Available data did not allow this parameter to be determined for trials using the MD. Retrievable stents achieved the highest rate of successful recanalization and functional outcome and the lowest mortality.
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