Evidence map›Paper›PMID 29761219›Full record

ArticleClinical neuroradiology2019

Intracranial Rescue Stent Angioplasty After Stent-Retriever Thrombectomy : Multicenter Experience.

Robert Forbrig, Hannah Lockau, Fabian Flottmann, Tobias Boeckh-Behrens, Christoph Kabbasch, Maximilian Patzig, Anastasios Mpotsaris, Jens Fiehler, Thomas Liebig, Goetz Thomalla and 7 more

Abstract readCase ReportsMulticenter 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 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

15 citing papers in PubMed, 25 citations in OpenAlex.

  1. Acute intracranial stenting in acute ischemic stroke with underlying atherosclerosis: A two-center retrospective study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  2. Intracranial stenting for large vessel intracranial atherosclerotic disease: Retrospective study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  3. Determinants of day-1 stent patency following rescue intracranial stenting in failed intracranial thrombectomy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
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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

17 authors at 5 institutions in 1 country.

Robert ForbrigInstitute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany. robert.forbrig@med.uni-muenchen.de.ORCID http://orcid.org/0000-0002-1054-1463
Hannah LockauDepartment of Radiology, University Hospital of Cologne, Cologne, Germany.
Fabian FlottmannDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Tobias Boeckh-BehrensDepartment of Neuroradiology, University Hospital Rechts der Isar, Technical University Munich, Munich, Germany.
Christoph KabbaschDepartment of Radiology, University Hospital of Cologne, Cologne, Germany.
Maximilian PatzigInstitute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Anastasios MpotsarisDepartment of Radiology, University Hospital of Cologne, Cologne, Germany.
Jens FiehlerDepartment of Diagnostic and Interventional Neuroradiology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Thomas LiebigInstitute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Goetz ThomallaDepartment of Neurology, University Medical Center Hamburg-Eppendorf, Hamburg, Germany.
Oezguer A OnurDepartment of Neurology, University Hospital of Cologne, Cologne, Germany.
Silke WunderlichDepartment of Neurology, University Hospital Rechts der Isar, Technical University Munich, Munich, Germany.
Kornelia KreiserDepartment of Neuroradiology, University Hospital Rechts der Isar, Technical University Munich, Munich, Germany.
Moriz HerzbergInstitute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
Frank A WollenweberNeurological Clinic and Policlinic, Ludwig-Maximilians-University Hospital Munich, Munich, Germany.
Sascha ProthmannDepartment of Neuroradiology, University Hospital Rechts der Isar, Technical University Munich, Munich, Germany.
Franziska DornInstitute of Neuroradiology, University Hospital, LMU Munich, Marchioninistraße 15, 81377, Munich, Germany.
LMU Klinikum · DETUM Klinikum · DEUniversity Hospital Cologne · DEUniversität Hamburg · DELudwig-Maximilians-Universität München · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeStent-retriever thrombectomy (SRT) for acute intracranial large artery occlusion (LAO) may not result in permanent recanalization in rare cases, e.g. due to an underlying stenosis or dissection. In this specific patient group, rescue stent angioplasty (RSA) may be the only treatment option to achieve permanent vessel patency and potentially a good clinical outcome. To date, the experience with RSA is limited.

methodsIn this retrospective analysis, interventional and clinical data of patients with acute intracranial LAO of the anterior and posterior circulation who underwent RSA after SRT due to an underlying lesion between 2012-2017 in four neurovascular centers were studied.

resultsIn this study 34 patients (mean age 67 years) were included whereby 18 patients had anterior circulation LAO and 16 patients posterior circulation LAO. The SRT maneuver count ranged between 1 and 15 (median 2). Indications for RSA were an immediate re-occlusion in 25 (74%), and a persistent high-grade stenosis in 9 patients (26%). The RSA was technically feasible in 33 patients (97%). A mTICI 2b/3 result was obtained in 26 patients (76%). Median onset-to-recanalization time was 248 min (range 80-650 min). After 3 months 10/34 patients (29%) had a good clinical outcome (modified Rankin Scale, mRS 0-2). In detail, 4/18 patients (22%) with anterior circulation LAO and 6/16 patients (38%) with posterior circulation LAO were functionally independent.

conclusionThe use of RSA can be considered for acute intracranial LAO in cases with immediate re-occlusion or high-grade stenosis after SRT alone.

Indexed as

StentsAdultAgedAged, 80 and overAngioplastyCarotid StenosisCerebral Arterial DiseasesConstriction, PathologicDevice RemovalEndovascular ProceduresFemaleFibrinolytic AgentsHumansInfarction, Middle Cerebral ArteryMagnetic Resonance ImagingMaleFibrinolytic AgentsAcute intracranial large artery occlusionPermanent revascularizationRescue stent angioplastyStent-retriever thrombectomyUnderlying vessel lesion

Identifiers

PMID29761219
OpenAlexW2804931662

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.