Evidence map›Paper›PMID 26490830›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2015

Mechanical thrombectomy in patients with acute basilar occlusion using stent retrievers.

Angelo António Silva Carneiro, João Tiago Lopes Rodrigues, José Pedro Rocha Pereira, José Viriato Alves, João Abel Marques Xavier

Abstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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.

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2 · The registry

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3 · Its place in the literature

Who cites it

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

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4 · The record

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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

5 authors.

Angelo António Silva CarneiroNeuroradiology Department, Centro Hospitalar do Porto, Portugal angelocarneiro.neurorradiologia@chporto.min-saude.pt.
João Tiago Lopes RodriguesNeuroradiology Department, Centro Hospitalar do Porto, Portugal.
José Pedro Rocha PereiraNeuroradiology Department, Centro Hospitalar do Porto, Portugal.
José Viriato AlvesNeuroradiology Department, Centro Hospitalar do Porto, Portugal.
João Abel Marques XavierNeuroradiology Department, Centro Hospitalar do Porto, Portugal.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEarly arterial recanalisation with stent retrievers (SR) has been recently demonstrated to improve clinical outcome of patients with large-vessel occlusion of the anterior circulation. However, the benefit of SR thrombectomy in the setting of acute basilar artery occlusion (BAO) has not been proven yet. This study evaluated a series of consecutive patients with BAO treated with SR, focusing on the efficacy, safety and clinical results.

methodsWe analysed 24 consecutive patients with acute BAO who were treated with SR mechanical thrombectomy. Good clinical outcome at three months was defined as mRS ≤ 2. Data from patients with good outcome were compared to that from patients with poor outcome.

resultsSufficient recanalisation (TICI 2 b or 3) was achieved in 63% (15/24) of patients. At three months, 33% (8/24) of patients had died; good clinical outcome was obtained in 21% (5/24). Age (46 vs. 60 years old, p = 0.05) and time from symptoms onset to recanalisation (370 vs. 521 minutes, p = 0.048) was significantly lower in patients with good outcome as compared to patients with poor outcome. There were three cases (12.5%) of periprocedural complications, all of them related to arterial wall dissection/perforation.

conclusionsSR thrombectomy might be an efficient and safe treatment for patients with acute BAO occlusion and might help improve outcome.

Indexed as

Basilar ArteryStentsFemaleHumansMaleMiddle AgedStrokeThrombectomyTreatment OutcomeBasilar artery occlusionstent retrieversthrombectomy

Identifiers

PMID26490830
PMCPMC4757358

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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.