Evidence map›Paper›PMID 26872664›Full record

ArticleJournal of neurology2016

Endovascular mechanical thrombectomy in basilar artery occlusion: variables affecting recanalization and outcome.

Nicola Gilberti, Massimo Gamba, Enrico Premi, Angelo Costa, Veronica Vergani, Ilenia Delrio, Raffaella Spezi, Dikran Mardighian, Michele Frigerio, Roberto Gasparotti and 2 more

Abstract read
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In one paragraph

Article in Journal of neurology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
2.9field-weighted citation impact, top 10% 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

12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Long-term outcome of endovascular therapy for acute basilar artery occlusion.Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism · 2021
    Observational
  8. Observational
  9. Article
  10. Article
  11. Patient selection for mechanical thrombectomy in posterior circulation emergent large-vessel occlusion.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2018
    Article
  12. 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

12 authors at 2 institutions in 1 country.

Nicola GilbertiStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy. nicgilbe@tin.it.
Massimo GambaStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Enrico PremiStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Angelo CostaStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Veronica VerganiStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Ilenia DelrioStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Raffaella SpeziStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Dikran MardighianNeuroradiologia, Università degli Studi di Brescia, Brescia, Italy.
Michele FrigerioNeuroradiologia, Università degli Studi di Brescia, Brescia, Italy.
Roberto GasparottiNeuroradiologia, Università degli Studi di Brescia, Brescia, Italy.
Alessandro PadovaniClinica Neurologica, Università degli Studi di Brescia, Brescia, Italy.
Mauro MagoniStroke Unit, Neurologia Vascolare, Spedali Civili di Brescia, Piazzale Spedali Civili 1, 25123, Brescia, Italy.
Azienda Socio Sanitaria Territoriale degli Spedali Civili di Brescia · ITUniversity of Brescia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Ischemic stroke due to basilar artery occlusion (BAO) is frequently associated with a poor prognosis. To date the most effective therapeutic approach has not been established and little is known about the predictors of clinical outcome. The aim of this study was to describe safety and efficacy of intra-arterial mechanical thrombectomy (IAMT) through latest generation devices in patients with BAO, focusing on those variables that may affect recanalization and clinical outcome. We analyzed retrospectively a series of 32 patients with BAO who underwent IAMT. We assessed the association of some clinical and neuroradiological features with recanalization rate and clinical outcome. Successful recanalization was achieved in 28 out of 32 patients (87.5 %). Symptomatic intracerebral hemorrhage (SICH) was observed in 2/32 patients (6.3 %) and mortality in the first 3 months was 25.0 %. At 3-month follow up evaluation, 13/32 patients (40.6 %) showed a good functional outcome (mRS score ≤2). There were no statistical differences in term of age, gender, risk factors, cause of stroke, recanalization rate, pre-treatment pc-ASPECTS score and SICH frequencies between patients with favorable and unfavorable outcome. Increased length of thrombi was associated with unfavorable clinical outcome at 3 months. Recanalization rate was not affected by any of the variables considered. In BAO, IAMT through newest generation devices has high recanalization rates and low complication frequencies. Length of BAO is an important predictor of clinical outcome.

Indexed as

AdultAgedAged, 80 and overArterial Occlusive DiseasesBasilar ArteryEndovascular ProceduresFemaleHumansMaleMiddle AgedPostoperative ComplicationsRetrospective StudiesThrombectomyTreatment OutcomeVertebrobasilar InsufficiencyAcute ischemic strokeBasilar arteryEndovascular thrombectomyStroke treatment

Identifiers

PMID26872664
OpenAlexW2253404485

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.