Evidence map›Paper›PMID 29058047›Full record

ArticleNeuroradiology2018

Recurrent stenosis following carotid artery stenting treated with a drug-eluting balloon: a single-center retrospective analysis.

C Pohlmann, J Höltje, M Zeile, F Bonk, P P Urban, R Brüning

Abstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 17% 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

8 citing papers in PubMed, 2 syntheses or guidelines pooled it, 14 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Risk Factors for Recurrent Carotid-Artery Stenosis Following Stenting Treatment.Medical science monitor : international medical journal of experimental and clinical research · 2019
    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

6 authors at 2 institutions in 1 country.

C PohlmannAbteilung für Neurologie, Asklepios Klinik Barmbek, 22291, Hamburg, Germany.
J HöltjeRadiologie und Neuroradiologie, Asklepios Klinik Wandsbek, 22043, Hamburg, Germany.
M ZeileAsklepios Klinik Barmbek, Radiology and Neuroradiology, Rübenkamp 220, D-22291, Hamburg, Germany.
F BonkAsklepios Klinik Barmbek, Radiology and Neuroradiology, Rübenkamp 220, D-22291, Hamburg, Germany.
P P UrbanAbteilung für Neurologie, Asklepios Klinik Barmbek, 22291, Hamburg, Germany.
R BrüningAsklepios Klinik Barmbek, Radiology and Neuroradiology, Rübenkamp 220, D-22291, Hamburg, Germany. r.bruening@asklepios.com.
Asklepios Klinik Barmbek · DEAsklepios Fachklinikum Brandenburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEarly in-stent restenosis after stent-protected angioplasty of the carotid artery (SPAC) is an infrequent, but potentially harmful condition for patients with carotid artery disease.

methodsIn our retrospective single-center analysis of 176 patients with carotid artery stenting between 2009 and 2015, using duplex ultrasound, we detected 9 patients with high-grade carotid artery in-stent restenosis. All restenosis patients were treated with a drug-eluting balloon (DEB) to prevent recurrent neointimal hyperplasia. One patient had bilateral carotid artery disease with bilateral in-stent restenosis, and 1 patient needed repeated DEB treatment 19 months after the first DEB intervention, so 11 DEB procedures, in total, were performed.

resultsThe median time-interval between primary carotid artery stenting and first DEB-treatment was 9 months. In 3 of the 11 interventions, the DEB treatment was assisted by an additional stent. One repeat DEB treatment was necessary, and three DEB treatments were followed by a secondary stent. No peri-interventional complications (TIA, stroke, or death) were observed during or after DEB intervention. Therefore, in the entire group, the 1y event-free survival (EFS) was 100%, and the 2y/3y/5y EFS was 83%.

conclusionDEB intervention seems to be an effective and safe treatment for patients with high-grade in-stent restenosis after SPAC.

Indexed as

Drug-Eluting StentsUltrasonography, Doppler, DuplexAgedAged, 80 and overCardiovascular AgentsCarotid StenosisEndovascular ProceduresFemaleHumansMaleMiddle AgedPlatelet Aggregation InhibitorsRecurrenceRetrospective StudiesTreatment OutcomeCardiovascular AgentsPlatelet Aggregation InhibitorsCarotid stenosisDrug eluting balloon (DEB)In-stent restenosis after carotid artery stentingPercutaneous transluminal angioplasty (PTA)Stent-protected angioplasty of the carotid artery (SPAC)

Identifiers

PMID29058047
OpenAlexW2765091944

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.