Evidence map›Paper›PMID 24335542›Full record

ArticleAJNR. American journal of neuroradiology2014

Acute basilar artery occlusion: outcome of mechanical thrombectomy with Solitaire stent within 8 hours of stroke onset.

J M Baek, W Yoon, S K Kim, M Y Jung, M S Park, J T Kim, H K Kang

Abstract readControlled Clinical Trial
In one paragraph

Article in AJNR. American journal of neuroradiology, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 3 pooled it
–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

24 citing papers in PubMed, 3 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Guideline
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  10. DWI-pc-ASPECT score in basilar artery occlusion: is 6 points or less always indicative of a bad outcome?Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2019
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  11. Article
  12. Observational
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  15. Review
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  17. Mechanical thrombectomy in acute basilar artery occlusion: A safety and efficacy single centre study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2016
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  18. Review
  19. Article
  20. Mechanical thrombectomy in patients with acute basilar occlusion using stent retrievers.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015
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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.

J M BaekFrom the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).
W YoonFrom the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.) radyoon@jnu.ac.kr.
S K KimFrom the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).
M Y JungFrom the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).
M S ParkNeurology (M.S.P., J.T.K.), Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Republic of Korea.
J T KimNeurology (M.S.P., J.T.K.), Chonnam National University Medical School, Chonnam National University Hospital, Gwangju, Republic of Korea.
H K KangFrom the Departments of Radiology (J.M.B., W.Y., S.K.K., M.Y.J., H.K.K.).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeMechanical thrombectomy with a stent retriever applied shortly after symptom onset could increase good functional outcomes and improve survival in patients with acute basilar artery occlusion, but this has not yet been studied. This study evaluated the efficacy and safety of mechanical thrombectomy with a Solitaire stent within 8 hours of stroke onset in patients with acute basilar artery occlusion. MATERIALS AND

methodsWe analyzed 25 consecutive patients with acute basilar artery occlusion who were treated with mechanical thrombectomy by use of the Solitaire stent within 8 hours of stroke symptom onset. Successful recanalization was defined as TICI grade 2b or 3. Good outcome was defined as mRS score of 0-2 at 3 months. Clinical and radiologic data in patients with good outcomes were compared with those with poor outcomes.

resultsSuccessful recanalization was achieved in 96% (24/25) of patients, and 48% (12/25) of patients had good outcomes. Eighty-eight percent (22/25) of patients survived to 3 months. The median NIHSS score on admission was significantly lower in patients with good outcomes than in those with poor outcomes (9.5 versus 14, P = .005). Procedure-related complications occurred in 2 patients (8%). No symptomatic intracerebral hemorrhages occurred.

conclusionsThe current study suggests that mechanical thrombectomy by use of a Solitaire stent within 8 hours of stroke onset increases good outcomes and improves survival in patients with acute basilar artery occlusion.

Indexed as

StentsAgedBlood Vessel ProsthesisDevice RemovalEquipment Failure AnalysisFemaleHumansMaleMechanical ThrombolysisMiddle AgedProsthesis DesignRadiographyStrokeTreatment OutcomeVertebrobasilar Insufficiency

Identifiers

PMID24335542
PMCPMC7964531

What OpenQuestion holds

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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.