Evidence map›Paper›PMID 31338541›Full record

ArticleClinical neuroradiology2020

Efficacy and Safety of Mechanical Thrombectomy for Occlusion of the Second Segment of the Middle Cerebral Artery : Retrospective Analysis of the Tama-REgistry of Acute endovascular Thrombectomy (TREAT).

Tomoyuki Nakano, Keigo Shigeta, Takahiro Ota, Tatsuo Amano, Masayuki Ueda, Yuji Matsumaru, Yoshiaki Shiokawa, Teruyuki Hirano

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Clinical neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–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

10 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. M1, M2: Time to Bid Adieu!Stroke (Hoboken, N.J.) · 2023
    Review
  6. Comparing data from thrombectomy in m2 occlusion and proximal middle cerebral artery.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  7. Article
  8. Article
  9. Article
  10. 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

8 authors.

Tomoyuki NakanoDepartment of Neurosurgery, National Hospital Organization Disaster Medical Center, 3256, Midori-cho, 190-0014, Tachikawa-shi, Tokyo, Japan. tnakano.neurosurg@gmail.com.ORCID http://orcid.org/0000-0003-0933-1714
Keigo ShigetaDepartment of Neurosurgery, National Hospital Organization Disaster Medical Center, 3256, Midori-cho, 190-0014, Tachikawa-shi, Tokyo, Japan.
Takahiro OtaDepartment of Neurosurgery, Tokyo Metropolitan Tama Medical Center, 2-8-29, Musashi-dai, 183-8524, Fuchu-shi, Tokyo, Japan.
Tatsuo AmanoDepartment of Stroke and Cerebrovascular Medicine, Kyorin University, 6-20-2, Shinkawa, 181-8611, Mitaka-shi, Tokyo, Japan.
Masayuki UedaDepartment of Neurology and Stroke Medicine, Tokyo Metropolitan Tama Medical Center, 2-8-29, Musashi-dai, 183-8524, Fuchu-shi, Tokyo, Japan.
Yuji MatsumaruDivision of Stroke Prevention and Treatment, Department of Neurosurgery, University of Tsukuba, 2-1-1, Amakubo, 305-8576, Tsukuba, Ibaraki, Japan.
Yoshiaki ShiokawaDepartment of Neurosurgery, Kyorin University, 6-20-2, Shinkawa, 181-8611, Mitaka-shi, Tokyo, Japan.
Teruyuki HiranoDepartment of Stroke and Cerebrovascular Medicine, Kyorin University, 6-20-2, Shinkawa, 181-8611, Mitaka-shi, Tokyo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of mechanical thrombectomy in the treatment of occlusions of the second segment of the middle cerebral artery (M2) has not been firmly established.

methodsThis study analyzed data from patients who had undergone mechanical thrombectomy for the first segment of the middle cerebral artery (M1) and M2 occlusion from the Tama-REgistry of Acute endovascular Thrombectomy (TREAT) between January 2015 and March 2017, which is a multicenter database in the Tama area of Tokyo, Japan. The M1 and M2 occlusions were compared in order to evaluate the safety and efficacy of M2 thrombectomy.

resultsA total of 515 patients were registered, whereby 160 patients with M1 occlusion and 51 patients with M2 occlusion were included. While the puncture-to-reperfusion time was longer in the M2 occlusions (median 43 min, range 30-61 min vs. median 60 min, range 38-79 min, p = 0.01), no significant differences were seen in the proportion of patients with successful reperfusion, postoperative hemorrhagic complications and good outcome (modified Rankin scale ≤2 at 90 days). Younger age was the only independent factor associated with good outcome in patients with M2 occlusions as determined by the multivariate analysis (p = 0.033, odds ratio 0.91, 95% confidence interval 0.83-0.99).

conclusionThe outcome and the safety profile of mechanical thrombectomy for M2 occlusions are favorable and comparable to those of the M1 occlusion thrombectomy.

Indexed as

AgedAged, 80 and overFemaleHumansInfarction, Middle Cerebral ArteryJapanMaleMiddle Cerebral ArteryNeuroimagingPatient SafetyRegistriesRetrospective StudiesThrombectomyAcute ischemic strokeDistal vessel occlusionEndovascular therapyM2 thrombectomyReperfusion

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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.