Evidence map›Paper›PMID 31122921›Full record

ArticleAJNR. American journal of neuroradiology2019

First-Line Sofia Aspiration Thrombectomy Approach within the Endovascular Treatment of Ischemic Stroke Multicentric Registry: Efficacy, Safety, and Predictive Factors of Success.

G Marnat, X Barreau, L Detraz, R Bourcier, B Gory, A Sgreccia, F Gariel, J Berge, P Menegon, M Kyheng and 5 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07231380 (Plunger Stroke Trial), which is not on this map. Cited by 19 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 3 pooled it
4.6field-weighted citation impact, top 5% 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.

NCT07231380 narecruitingnot on this mapstarted 2026, after this paper: background citation

Plunger Stroke Trial: A Comparison of Cyclic Manual Direct Aspiration Thrombectomy (Plunger Technique) vs. Static Manual Direct Aspiration Thrombectomy for Treatment of Acute Large Vessel Occlusion Stroke With the Raptor Aspiration Catheter

TypeinterventionalSponsorVanderbilt University Medical CenterRan2026 to 2027Enrolled500ConditionsAcute Ischemic Stroke Patients, Large Vessel OcclusionArmsPlunger Technique, Static Manual Aspiration Thrombectomy
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 37 citations in OpenAlex.

  1. Efficacy and safety of SOFIA aspiration catheter for mechanical thrombectomy via ADAPT and Solumbra echniques in acute ischemic stroke: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
  2. SOFIA catheter for direct aspiration of large vessel occlusion stroke: A single-center cohort and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
    Pooled it
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  17. Relationship between the first pass effect and the platelet-lymphocyte ratio in acute ischemic stroke.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2021
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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

15 authors at 7 institutions in 2 countries.

G MarnatFrom the Interventional and Diagnostic Neuroradiology Department (G.M., X.B., F.G., J.B., P.M.), Bordeaux University Hospital, Bordeaux, France gaultier.marnat@chu-bordeaux.fr.ORCID 0000-0002-7611-7753
X BarreauFrom the Interventional and Diagnostic Neuroradiology Department (G.M., X.B., F.G., J.B., P.M.), Bordeaux University Hospital, Bordeaux, France.ORCID 0000-0002-4932-1484
L DetrazInterventional and Diagnostic Neuroradiology Department (L.D., R.B.), Nantes University Hospital, Nantes, France.ORCID 0000-0003-4022-6242
R BourcierInterventional and Diagnostic Neuroradiology Department (L.D., R.B.), Nantes University Hospital, Nantes, France.ORCID 0000-0002-6506-4019
B GoryDepartment of Diagnostic and Therapeutic Neuroradiology (B.G.), University Hospital of Nancy, Nancy, France.ORCID 0000-0001-8424-4464
A SgrecciaDepartment of Radiology (A.S.), Ospedali Riuniti, Siena, Italy.ORCID 0000-0002-0834-644X
F GarielFrom the Interventional and Diagnostic Neuroradiology Department (G.M., X.B., F.G., J.B., P.M.), Bordeaux University Hospital, Bordeaux, France.ORCID 0000-0003-4636-2034
J BergeFrom the Interventional and Diagnostic Neuroradiology Department (G.M., X.B., F.G., J.B., P.M.), Bordeaux University Hospital, Bordeaux, France.ORCID 0000-0002-0709-2222
P MenegonFrom the Interventional and Diagnostic Neuroradiology Department (G.M., X.B., F.G., J.B., P.M.), Bordeaux University Hospital, Bordeaux, France.ORCID 0000-0002-9656-2846
M KyhengUniversité Lille (M.K., J.L.), Centre Hospitalier Universitaire Lille, Lille, France.ORCID 0000-0002-8915-0915
J LabreucheUniversité Lille (M.K., J.L.), Centre Hospitalier Universitaire Lille, Lille, France.ORCID 0000-0002-3384-0423
A ConsoliDepartment of Neuroradiology (A.C.), Foch Hospital, Suresnes, France.ORCID 0000-0001-6640-8541
R BlancFrom the Interventional and Diagnostic Neuroradiology Department (G.M., X.B., F.G., J.B., P.M.), Bordeaux University Hospital, Bordeaux, France.ORCID 0000-0002-3975-3865
B LapergueDepartment of Neurology (B.L.), Stroke Center, Foch Hospital, Suresnes, France.ORCID 0000-0002-8993-2175
ETIS Investigators
Université de Bordeaux · FRCentre Hospitalier Universitaire de Nantes · FRUniversité de Lille · FRAzienda Ospedaliero Universitaria Ospedali Riuniti · ITCentre Hospitalier Régional et Universitaire de Nancy · FRHôpital Foch · FRImagerie Adaptative Diagnostique et Interventionnelle · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeAfter publications on the effectiveness of mechanical thrombectomy by stent retrievers in acute ischemic stroke with large-vessel occlusion, alternative endovascular approaches have been proposed using first-line aspiration catheters. Several devices are currently available to perform A Direct Aspiration First Pass Technique. The Sofia catheter aspiration has been widely used by interventionalists, but data are scarce about its efficacy and safety. Our aim was to report our multicenter thrombectomy experience with first-line Sofia catheter aspiration and to identify independent prognostic factors of clinical and procedural outcomes. MATERIALS AND

methodsWe performed a retrospective analysis of the prospectively maintained Endovascular Treatment of Ischemic Stroke multicentric registry. Data from consecutive patients who benefited from thrombectomy with a first-line Sofia approach between January 2013 and April 2018 were studied. We excluded other first-line approaches (stent retriever or combined aspiration and stent retriever) and extracranial occlusions. Baseline characteristics, procedural data, and angiographic and clinical outcomes were analyzed.

resultsDuring the study period, 296 patients were treated. Mean age and initial NIHSS score were, respectively, 69.5 years and 16. Successful reperfusion, defined by the modified TICI 2b/3, was obtained in 86.1% (

conclusionsThe first-line contact aspiration approach appeared safe and efficient with Sofia catheters. These devices achieved very high reperfusion rates with a low requirement for stent retriever rescue therapy, especially for M1 occlusions.

Indexed as

CathetersAgedBrain IschemiaEndovascular ProceduresFemaleHumansMaleMiddle AgedRegistriesReperfusionRetrospective StudiesStrokeThrombectomyTreatment Outcome

Identifiers

PMID31122921
PMCPMC7028582
OpenAlexW2946558714

What OpenQuestion holds

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Registered trials

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.