Evidence map›Paper›PMID 26908591›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2016

ARTS (Aspiration-Retriever Technique for Stroke): Initial clinical experience.

Francesco Massari, Nils Henninger, Juan Diego Lozano, Anand Patel, Anna Luisa Kuhn, Mary Howk, Mary Perras, Christopher Brooks, Matthew J Gounis, Peter Kan and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06254755 (Comparison of Clinical and Radiological Outcomes Between Suction Aspiration Method and Combination Method of Intra-arterial Therapy), which is not on this map. Cited by 88 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
88citing papers in PubMed, 5 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.

NCT06254755 naenrolling by invitationnot on this mapstarted 2022, after this paper: background citation

Comparison of Clinical and Radiological Outcomes Between Suction Aspiration Method and Combination Method of Intra-arterial Therapy (IAT) in Large Artery Occlusion: Randomized Open-labelled Prospective Multicenter Trials

TypeinterventionalSponsorInje University Haeundae Paik HospitalRan2022 to 2027Enrolled1,132ConditionsAcute Cerebral Ischemia Requiring for Mechanical ThrombectomyArmsmechanical thrombectomy
3 · Its place in the literature

Who cites it

88 citing papers in PubMed, 5 syntheses or guidelines pooled it.

  1. Endovascular treatment strategies for simultaneous bilateral anterior circulation occlusions in acute ischemic stroke: A single-center experience and systematic review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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28 more citing papers are in PubMed but not listed here.

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.

Francesco MassariDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA massarimd@gmail.com.
Nils HenningerDepartments of Neurology and Psychiatry, University of Massachusetts, Worcester, USA.
Juan Diego LozanoDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.
Anand PatelDepartments of Neurology and Psychiatry, University of Massachusetts, Worcester, USA.
Anna Luisa KuhnDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.
Mary HowkDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.
Mary PerrasDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.
Christopher BrooksDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.
Matthew J GounisDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.
Peter KanDepartment of Neurosurgery, Baylor College of Medicine, Houston, USA.
Ajay K WakhlooDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.
Ajit S PuriDivision Neuroimaging and Intervention (NII) and New England Center for Stroke Research, Department of Radiology, University of Massachusetts, Worcester, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA new generation of highly navigable large-bore aspiration catheters and retriever devices for intracranial mechanical thrombectomy has markedly improved recanalization rates, time and clinical outcomes. We report collected clinical data utilizing a new technique based on combined large lumen aspiration catheter and partially resheathed stent retriever (ARTS: Aspiration (catheter)-(stent) Retriever Technique for Stroke). This technique is applied, especially in presence of bulky/rubbery emboli, when resistance is felt while retracting the stent retriever; at that point the entire assembly is locked and removed in-toto under continuous aspiration with additional flow arrest.

methodsA retrospective data analysis was performed to identify patients with large cerebral artery acute ischemic stroke treated with ARTS. The study was conducted between August 2013 and February 2015 at a single high volume stroke center. Procedural and clinical data were captured for analysis.

resultsForty-two patients (median age 66 years) met inclusion criteria for this study. The ARTS was successful in achieving Thrombolysis in Cerebral Infarction (TICI) ≥2b revascularization in 97.6% of cases (TICI 2b = 18 patients, TICI 3 = 23 patients). Patients' median National Institutes of Health Stroke Scale score at admission was 18 (6-40). A 3-month follow-up modified Rankin Scale value of 0-2 was achieved in 65.7% of the successfully treated patients (average 2.4). Two patients (4.8%) developed symptomatic intraparenchymal hemorrhages. Six procedure unrelated deaths were observed.

conclusionsWe found that ARTS is a fast, safe and effective method for endovascular recanalization of large vessel occlusions presenting within the context of acute ischemic stroke.

Indexed as

CathetersAgedBrain IschemiaComputed Tomography AngiographyEquipment DesignFemaleHumansIntracranial ThrombosisMagnetic Resonance ImagingMaleMechanical ThrombolysisPatient SelectionRetrospective StudiesStrokeSuctionTreatment Outcomeaspiration cathetermechanical thrombectomystent retrieverStrokeTICI

Identifiers

PMID26908591
PMCPMC4984370

What OpenQuestion holds

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Registered trials

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.