Evidence map›Paper›PMID 31353425›Full record

ArticleNeuroradiology2019

Angioplasty and/or stenting after thrombectomy in patients with underlying intracranial atherosclerotic stenosis.

Chuanjie Wu, Wansheng Chang, Di Wu, Changming Wen, Jing Zhang, Rui Xu, Xin Liu, Yajun Lian, Nanchang Xie, Chuanhui Li and 5 more

Abstract readMulticenter Study
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 36 citations in OpenAlex.

  1. Pooled it
  2. 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
  3. Article
  4. Article
  5. Article
  6. Observational
  7. Article
  8. Article
  9. Article
  10. Management strategies of unanticipated intracranial stenosis during mechanical thrombectomy for acute stroke: A survey of academic neurointerventionalists.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  11. Review
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Direct angioplasty for acute ischemic stroke due to intracranial atherosclerotic stenosis-related large vessel occlusion.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2020
    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

15 authors at 6 institutions in 1 country.

Chuanjie WuDepartment of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China.
Wansheng ChangDepartment of Neurology, The Second People's Hospital of Liaocheng, Liaocheng, Shandong, China.
Di WuDepartment of Neurology and China-America Institute of Neuroscience, Xuanwu Hospital Capital Medical University, Beijing, China.
Changming WenDepartment of Neurology, Nanyang City Center Hospital, Nanyang, Henan, China.
Jing ZhangDepartment of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China.
Rui XuDepartment of Neurology, People's Hospital of Rizhao, Rizhao, Shandong, China.
Xin LiuDepartment of Neurology, People's Hospital of Rizhao, Rizhao, Shandong, China.
Yajun LianDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Nanchang XieDepartment of Neurology, The First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China.
Chuanhui LiDepartment of Emergency, Xuanwu Hospital Capital Medical University, Beijing, China.
Wenjing WeiDepartment of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China.
Wenbo ZhaoDepartment of Neurology, Xuanwu Hospital Capital Medical University, Beijing, China.
Zhengfei MaDepartment of Neurology, Suzhou Municipal Hospital, Suzhou, Anhui, China.
Zongen GaoDepartment of Neurology, Shengli Oilfield General Hospital, Dongying, Shandong, China.
Xunming JiDepartment of Neurosurgery, Xuanwu Hospital Capital Medical University, Beijing, China. jixm@ccmu.edu.cn.ORCID http://orcid.org/0000-0003-0293-2744
Capital Medical University · CNFirst Affiliated Hospital of Zhengzhou University · CNPeople’s Hospital of Rizhao · CNFourth People's Hospital of Liaocheng · CNShengli Oilfield Central Hospital · CNSuzhou Municipal Hospital · CN

Funding

National Key R&D Program of China 2017YFC1308401National Natural Science Foundation of China 81620108011National Natural Science Foundation of China 81701287
6 · The paper itself

Abstract

purposeTo investigate the imaging and clinical outcomes of emergent angioplasty and/or stenting or neither in patients of emergent large-vessel occlusion (ELVO) with underlying severe intracranial atherosclerotic stenosis (ICAS).

methodsIn this multicenter prospective cohort study, we included patients of ELVO with underlying ICAS. Patients received emergent angioplasty and/or stenting or neither after mechanical thrombectomy at the interventionists' discretion. The primary outcome was recanalization rate at 24 h, which was defined as a modified arterial occlusive lesion score of 2 or 3.

resultsA total of 113 consecutive patients with underlying ICAS > 70% in anterior cerebral circulation were enrolled in this study. Of these, 81 (71.7%) received emergent angioplasty and/or stenting after thrombectomy. Patients in the emergent angioplasty and/or stenting group were significantly more likely to have recanalization at 24 h (adjusted OR [aOR], 3.782; 95% confidence interval [CI], 1.821-9.125; P = 0.02) and less likely to have early neurologic deterioration (aOR, 0.299; 95% CI, 0.110-0.821; P = 0.01). However, emergent angioplasty and/or stenting was not significantly associated with symptomatic intracranial hemorrhage (aOR, 0.710; 95% CI, 0.199-2.622; P = 0.67), asymptomatic intracranial hemorrhage (aOR, 1.325; 95% CI, 0.567-3.031; P = 0.81), death at 90 days (aOR, 0.581; 95% CI, 0.186-2.314; P = 0.41), and functional independence at 90 days (aOR, 1.752; 95% CI, 0.774-3.257; P = 0.16), compared with patients that received neither.

conclusionEmergent angioplasty and/or stenting is possible in patients of ELVO with ICAS and may reduce the risk of reocclusion and early neurologic deterioration with no increased risk of intracranial hemorrhage and death than those received neither.

Indexed as

AngioplastyStentsThrombectomyAgedCohort StudiesFemaleHumansIntracranial ArteriosclerosisIntracranial ThrombosisMaleMiddle AgedPatient SelectionTomography, X-Ray ComputedTreatment OutcomeAngioplastyIntracranial atherosclerotic stenosisMechanical thrombectomyReocclusionStenting

Identifiers

PMID31353425
OpenAlexW2993699157

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.