Evidence map›Paper›PMID 30567455›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2019

Gadolinium to the rescue for mechanical thrombectomy in acute ischemic stroke.

Shailesh Male, Tapan Mehta, Huseyin Tore, Coridon Quinn, Andrew W Grande, Ramachandra P Tummala, Bharathi D Jagadeesan

Open access · greenAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.3field-weighted citation impact, top 35% 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

4 citing papers in PubMed, 7 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

7 authors at 1 institution in 1 country.

Shailesh Male1 Department of Neurology, University of Minnesota, Minneapolis, Minnesota, USA.ORCID https://orcid.org/0000-0002-3217-7869
Tapan Mehta1 Department of Neurology, University of Minnesota, Minneapolis, Minnesota, USA.
Huseyin Tore2 Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA.
Coridon Quinn3 Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, USA.
Andrew W Grande3 Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, USA.
Ramachandra P Tummala3 Department of Neurosurgery, University of Minnesota, Minneapolis, Minnesota, USA.
Bharathi D Jagadeesan2 Department of Radiology, University of Minnesota, Minneapolis, Minnesota, USA.
University of Minnesota · US

Funding

Institutional Career Development CoreKL2TR002492 · NCATS · UNIVERSITY OF MINNESOTA · PI INGBAR, DAVID H · 2018 to 2022
$6.3M
NCATS NIH HHS KL2 TR002492
6 · The paper itself

Abstract

introductionMechanical thrombectomy in the setting of acute ischemic stroke (AIS) requires cerebral digital subtraction angiography (DSA), typically performed with iodinated contrast medium. We present a case of emergent cerebral DSA and mechanical thrombectomy using gadolinium-based contrast for cerebral DSA in a patient with a history of anaphylaxis to iodinated contrast agents (ICs). CASE REPORT: A 72-year-old man developed left ventricle assist device thrombus while on anticoagulation. During hospitalization he suffered right middle cerebral artery occlusion with a National Institutes of Health stroke scale score of 10. He had a history of anaphylaxis and the advanced directives revealed do not resuscitate/do not intubate status. We performed an emergent DSA as part of thrombectomy procedure using gadolinium-based contrast mixed in 1:1 proportion with normal saline. The images obtained were of adequate quality and the patient underwent successful thrombectomy with modified thrombolysis in cerebral infarction 2B recanalization.

conclusionGadolinium-based contrast agents could be effective alternatives for cerebral DSA in patients undergoing mechanical thrombectomy for AIS who have a history of anaphylactic reaction to ICs.

Indexed as

Contrast MediaGadoliniumAgedAnaphylaxisAngiography, Digital SubtractionBrain IschemiaCerebral InfarctionDrug HypersensitivityHeart-Assist DevicesHumansMaleStrokeThrombectomyContrast MediaGadoliniumallergyangiogramcontrastGadoliniumstrokethrombectomy

Identifiers

PMID30567455
PMCPMC6547216
OpenAlexW2906501630

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.