Evidence map›Paper›PMID 25879929›Full record

Observational studyPloS one2015

Impact of temporary opening using a stent retriever on clinical outcome in acute ischemic stroke.

Dongbeom Song, Ji Hoe Heo, Dong Ik Kim, Dong Joon Kim, Byung Moon Kim, Kijeong Lee, Joonsang Yoo, Hye Sun Lee, Hyo Suk Nam, Young Dae Kim

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact, top 94% of its field
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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. 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 at 1 institution in 1 country.

Dongbeom SongDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Ji Hoe HeoDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Dong Ik KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.
Dong Joon KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.
Byung Moon KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.
Kijeong LeeDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Joonsang YooDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Hye Sun LeeDepartment of Biostatistics, Yonsei University College of Medicine, Seoul, Korea.
Hyo Suk NamDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Young Dae KimDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Yonsei University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStent retriever has a distinct ability to restore blood flow temporarily before achieving final reperfusion. There has been a limited report regarding the clinical impact of it. We investigated if temporary opening of occluded vessels using a stent retriever before final reperfusion might improve clinical outcome in acute ischemic stroke patients who received the endovascular reperfusion treatment.

methodsWe enrolled consecutive ischemic stroke patients who had an initial occlusive lesion in the anterior circulation and achieved final reperfusion (Thrombolysis In Cerebral Infarction [TICI] ≥2) by endovascular treatment. Temporary opening was defined as the presence of ante grade flow (TICI≥2) during deployment of a stent retriever. Favorable outcome was defined as a modified Rankin scale score≤2 at 90 day.

resultsA total of 98 patients were included in the study and temporary opening was achieved in 49 (50%). Temporary opening was associated with favorable outcome (odds ratio, 7.825; 95% confidence interval, 1.592-38.461; p = 0.011) in the multivariate analysis. The probability of having a favorable outcome tended to decrease as time from onset to final reperfusion increased in patients without temporary opening. However, this trend was not evident in the patient with temporary opening. The beneficial effect of temporary opening on clinical outcome seemed to be present in patients with good collaterals but not in patients with poor collaterals.

conclusionsTemporary opening of occluded vessel using a stent retriever may be beneficial for improving clinical outcome in acute ischemic stroke patients.

Indexed as

Endovascular ProceduresStentsThrombectomyAgedBrain IschemiaFemaleHumansMaleReperfusionRetrospective StudiesStrokeTreatment Outcome

Identifiers

PMID25879929
PMCPMC4399833
OpenAlexW2024732046

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.