Evidence map›Paper›PMID 29322232›Full record

ArticleClinical neuroradiology2019

Mechanical Thrombectomy Using the new Solitaire™ Platinum Stent-retriever : Reperfusion Results, Complication Rates and Early Neurological Outcome.

Johannes Pfaff, Stefan Rohde, Tobias Engelhorn, Arnd Doerfler, Martin Bendszus, Markus Alfred Möhlenbruch

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 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.

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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. The initial experience with the Embotrap III stent-retriever in a real world setting.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
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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

6 authors.

Johannes PfaffDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0003-0672-5718
Stefan RohdeDepartment of Radiology and Neuroradiology, Klinikum Dortmund, Dortmund, Germany.ORCID http://orcid.org/0000-0002-6184-8617
Tobias EngelhornDepartment of Neuroradiology, Erlangen University Hospital, Erlangen, Germany.ORCID http://orcid.org/0000-0001-7341-3584
Arnd DoerflerDepartment of Neuroradiology, Erlangen University Hospital, Erlangen, Germany.ORCID http://orcid.org/0000-0002-3076-3231
Martin BendszusDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany.ORCID http://orcid.org/0000-0002-9094-6769
Markus Alfred MöhlenbruchDepartment of Neuroradiology, Heidelberg University Hospital, Heidelberg, Germany. markus.moehlenbruch@med.uni-heidelberg.de.ORCID http://orcid.org/0000-0002-5075-704X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe application of radiopaque markers to the Solitaire™ stent-retriever for better visibility during mechanical thrombectomy (MT) has the potential to alter the well-known characteristics of the device; however, it is uncertain whether this adjustment influences efficacy or safety of the enhanced stent-retriever.

methodsRetrospective analysis of stroke databases of three comprehensive stroke centers. Our investigation was focused on technical and angiographic parameters, including procedure times, reperfusion results (thrombolysis in cerebral infarction, TICI), periprocedural complications and favorable early neurological recovery at discharge (modified Rankin scale ≤2 or National Institutes of Health Stroke Scale, NIHSS = 0 or ∆NIHSS ≥ 10), from consecutive patients with acute anterior circulation ischemic stroke treated with a Solitaire™ Platinum stent-retriever between October 2016 and March 2017.

resultsA total of 75 patients (male: n = 27, 36%, age in years: mean (SD): 75 (±12), median baseline NIHSS: 17 (interquartile range IQR: 11-21), n = 41, 54.7% received additional i. v. thrombolytics) were treated with a median number of 2 device passes (range: 1-5). The median time from groin puncture to final TICI was 56 min (IQR: 41-79). In 69 patients (92%) TICI 2b-3 was achieved. Early neurological recovery was seen in 47 (62.7%) patients. The following periprocedural complications occurred: vasospasms (n = 7, 9.3%), emboli into a new territory (n = 4, 5.3%), symptomatic intracranial hemorrhage (n = 3, 4%), difficulties during device delivery/deployment (n = 1, 1.3%).

conclusionThe usage of the Solitaire™ Platinum stent-retriever for MT in acute ischemic stroke patients was highly effective and was not accompanied by an increased periprocedural complication rate.

Indexed as

PlatinumStentsAgedBrain IschemiaDevice RemovalFemaleHumansMaleMechanical ThrombolysisReperfusionRetrospective StudiesStrokeTreatment OutcomePlatinumAcute ischemic strokeMechanical thrombectomySolitaire™ PlatinumStent-retrieverVisibility

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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.