Evidence map›Paper›PMID 25187774›Full record

ReviewInterventional neurology2013

Endovascular treatment of cervical artery dissection: ten case reports and review of the literature.

Frank Ahlhelm, Robyn Melanie Benz, Stephan Ulmer, Philippe Lyrer, Christoph Stippich, Stefan Engelter

Abstract readReview
In one paragraph

Review in Interventional neurology, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 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

14 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Internal Carotid Artery Dissection Treated with C-Guard Stent.The International journal of angiology : official publication of the International College of Angiology, Inc · 2022
    Article
  8. Review
  9. Article
  10. Article
  11. Article
  12. Article
  13. Endovascular reconstruction of internal carotid artery dissection in patients with acute ischemic stroke using the Wingspan stent.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2016
    Article
  14. Emergency management of ischemic stroke in children.Current treatment options in neurology · 2015
    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

6 authors.

Frank AhlhelmDivision of Diagnostic and Interventional Neuroradiology, Department of Radiology, University of Basel Hospital, Basel, Switzerland.
Robyn Melanie BenzDivision of Diagnostic and Interventional Neuroradiology, Department of Radiology, University of Basel Hospital, Basel, Switzerland.
Stephan UlmerDivision of Diagnostic and Interventional Neuroradiology, Department of Radiology, University of Basel Hospital, Basel, Switzerland.
Philippe LyrerDepartment of Neurology, University of Basel Hospital, Basel, Switzerland.
Christoph StippichDivision of Diagnostic and Interventional Neuroradiology, Department of Radiology, University of Basel Hospital, Basel, Switzerland.
Stefan EngelterDepartment of Neurology, University of Basel Hospital, Basel, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThe role of endovascular treatment in cases of cervical artery dissection (CeAD) is debatable. With an increasing number of endovascular therapies such as endovascular recanalization and embolization the number of complications such as iatrogenic dissection is also rising. We report our experience with endovascular stenting in the treatment of patients presenting with CeAD.

methodsWe included all consecutive patients with CeAD (n = 168) treated in our hospital between 2001 and 2010 for our retrospective study. Patients with CeAD were considered eligible for stenting: (1) in iatrogenic dissections and (2) in noniatrogenic dissections if they suffered from recurrent ischemic events despite antithrombotic treatment.

resultsDuring our observation period 10 out of 168 patients presenting with CeAD were selected for stenting. Several types of stents were used. Stenting was technically successful in 8 but unsuccessful in 2 patients with complete arterial occlusion. Stent-related clinically apparent complications occurred in 3 of the 10 patients. All were transient. During a mean follow-up of 47 (±24.8) months none of the patients had new cerebrovascular ischemic events.

conclusionIn our patient sample stenting due to dissection is a rare procedure performed in less than 10% of CAD patients. It should be considered as a feasible rescue treatment in cases of impending stroke despite optimal antithrombotic therapy.

Indexed as

Cervical artery dissectionEndovascular treatmentStentingStroke

Identifiers

PMID25187774
PMCPMC4138958

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.