Evidence map›Paper›PMID 28473340›Full record

ArticleAJNR. American journal of neuroradiology2017

Impact of Anesthesia on the Outcome of Acute Ischemic Stroke after Endovascular Treatment with the Solitaire Stent Retriever.

A Slezak, R Kurmann, L Oppliger, A Broeg-Morvay, J Gralla, G Schroth, H P Mattle, M Arnold, U Fischer, S Jung and 4 more

Open access · hybridAbstract readComparative Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 6 pooled it
3.5field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 6 syntheses or guidelines pooled it, 34 citations in OpenAlex.

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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

14 authors at 3 institutions in 2 countries.

A SlezakFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0002-6276-4837
R KurmannFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0001-9609-2082
L OppligerFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0001-9974-6790
A Broeg-MorvayFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0002-8454-3680
J GrallaDiagnostic and Interventional Neuroradiology (J.G., G.S., P.M.).ORCID http://orcid.org/0000-0003-1953-9033
G SchrothDiagnostic and Interventional Neuroradiology (J.G., G.S., P.M.).ORCID http://orcid.org/0000-0002-5264-9405
H P MattleFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0001-7968-1731
M ArnoldFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0002-4274-4644
U FischerFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0003-0521-4051
S JungFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.).ORCID http://orcid.org/0000-0003-2781-7961
R GreifAnesthesiology and Pain Medicine (R.G., F.N.), University Hospital Bern and University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0003-0160-2073
F NeffAnesthesiology and Pain Medicine (R.G., F.N.), University Hospital Bern and University of Bern, Bern, Switzerland.ORCID http://orcid.org/0000-0002-2851-7322
P MordasiniDiagnostic and Interventional Neuroradiology (J.G., G.S., P.M.).ORCID http://orcid.org/0000-0003-1712-4168
M-L MonoFrom the Departments of Neurology (A.S., R.K., L.O., A.B.-M., H.P.M., M.A., U.F., S.J., M.-L.M.) marie-luise.mono@insel.ch.ORCID http://orcid.org/0000-0003-4886-0010
MACOM (United States) · USSociety of Interventional Radiology · USUniversity Hospital of Bern · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeGeneral anesthesia during endovascular treatment of acute ischemic stroke may have an adverse effect on outcome compared with conscious sedation. The aim of this study was to examine the impact of the type of anesthesia on the outcome of patients with acute ischemic stroke treated with the Solitaire stent retriever, accounting for confounding factors. MATERIALS AND

methodsFour-hundred one patients with consecutive acute anterior circulation stroke treated with a Solitaire stent retriever were included in this prospective analysis. Outcome was assessed after 3 months by the modified Rankin Scale.

resultsOne-hundred thirty-five patients (31%) underwent endovascular treatment with conscious sedation, and 266 patients (69%), with general anesthesia. Patients under general anesthesia had higher NIHSS scores on admission (17 versus 13,

conclusionsIn this single-center study, the anesthetic management during stent retriever thrombectomy with general anesthesia or conscious sedation had no impact on the outcome of patients with large-vessel occlusion in the anterior circulation.

Indexed as

Anesthesia, GeneralProcedural SedationStentsAgedAged, 80 and overBrain IschemiaDevice RemovalEndovascular ProceduresFemaleHumansIntraoperative ComplicationsMagnetic Resonance ImagingMaleMiddle AgedPostoperative ComplicationsProspective Studies

Identifiers

PMID28473340
PMCPMC7959912
OpenAlexW2611372481

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.