Evidence map›Paper›PMID 28948399›Full record

ArticleBiomedical microdevices2017

Interventional magnetic resonance imaging guided carotid embolectomy using a novel resonant marker catheter: demonstration of preclinical feasibility.

Jeffrey K Yang, Andre M Cote, Caroline D Jordan, Sravani Kondapavulur, Aaron D Losey, David McCoy, Andrew Chu, Jay F Yu, Teri Moore, Carol Stillson and 9 more

Open access · greenAbstract read
In one paragraph

Article in Biomedical microdevices, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 pooled it
0.8field-weighted citation impact, top 24% 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
  4. Review
  5. Article
  6. 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

19 authors at 1 institution in 1 country.

Jeffrey K YangDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Andre M CoteDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Caroline D JordanDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Sravani Kondapavulur
Aaron D LoseyDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
David McCoyDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Andrew ChuPenumbra, Inc, Alameda, CA, USA.
Jay F YuDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Teri MooreDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Carol StillsonDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Fabio SettecaseDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Matthew D AlexanderDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Andrew NicholsonDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Daniel L CookeDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Maythem SaeedDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Dave BarryPenumbra, Inc, Alameda, CA, USA.
Alastair J MartinDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Mark W WilsonDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA.
Steven W HettsDepartment of Radiology and Biomedical Imaging, UCSF, San Francisco, CA, USA. steven.hetts@ucsf.edu.
Penumbra (United States) · US

Funding

Engaging University of California Stakeholders for Biorespository ResearchUL1TR000004 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI GRANDIS, JENNIFER RUBIN · 2012 to 2015
$78.0M
Endovascular Magnetic Catheter for Interventional MRIR01EB012031 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HETTS, STEVEN WILLIAM, MARTIN, ALASTAIR J · 2011 to 2021
$4.8M
Improved sensitivity and safety for endovascular MR imaging at 3TR21EB020283 · NIBIB · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI HETTS, STEVEN WILLIAM, ZHANG, XIAOLIANG · 2016 to 2017
$429k
NIBIB NIH HHS R01 EB012031NIBIB NIH HHS R21 EB020283
6 · The paper itself

Abstract

To assess the visualization and efficacy of a wireless resonant circuit (wRC) catheter system for carotid artery occlusion and embolectomy under real-time MRI guidance in vivo, and to compare MR imaging modality with x-ray for analysis of qualitative physiological measures of blood flow at baseline and after embolectomy. The wRC catheter system was constructed using a MR compatible PEEK fiber braided catheter (Penumbra, Inc, Alameda, CA) with a single insulated longitudinal copper loop soldered to a printed circuit board embedded within the catheter wall. In concordance with IACUC protocol (AN103047), in vivo carotid artery navigation and embolectomy were performed in four farm pigs (40-45 kg) under real-time MRI at 1.5T. Industry standard clots were introduced in incremental amounts until adequate arterial occlusion was noted in a total of n=13 arteries. Baseline vasculature and restoration of blood flow were confirmed via MR and x-ray imaging, and graded by the Thrombolysis in Cerebral Infarction (TICI) scale. Wilcoxon signed-rank tests were used to analyze differences in recanalization status between DSA and MRA imaging. Successful recanalizations (TICI 2b/3) were compared to clinical rates reported in literature via binomial tests. The wRC catheter system was visible both on 5° sagittal bSSFP and coronal GRE sequence. Successful recanalization was demonstrated in 11 of 13 occluded arteries by DSA analysis and 8 of 13 by MRA. Recanalization rates based on DSA (0.85) and MRA (0.62) were not significantly different from the clinical rate of mechanical aspiration thrombectomy reported in literature. Lastly, a Wilcoxon signed rank test indicated no significant difference between TICI scores analyzed by DSA and MRA. With demonstrated compatibility and visualization under MRI, the wRC catheter system is effective for in vivo endovascular embolectomy, suggesting progress towards clinical endovascular interventional MRI.

Indexed as

CatheterizationCathetersEmbolectomyMagnetic Resonance ImagingAnimalsCarotid ArteriesSwineEmbolectomyInterventional MRIStrokeWireless resonant marker

Identifiers

PMID28948399
PMCPMC5896013
OpenAlexW2758338029

What OpenQuestion holds

Textmetadata
LicenceTDM
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.