Evidence map›Paper›PMID 31364456›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2020

Safety and efficacy of the use of large bore intermediate suction catheters alone or in combination for the treatment of acute cerebral venous sinus thrombosis: A multicenter experience.

Sudeepta Dandapat, Edgar A Samaniego, Viktor Szeder, Fazeel M Siddiqui, Gary R Duckwiler, Ume Kiddy, Waldo R Guerrero, Binbin Zheng, David Hasan, Colin Derdeyn and 1 more

Open access · bronzeAbstract readMulticenter Study
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 2 pooled it
1.3field-weighted citation impact, top 21% 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

10 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 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

11 authors at 3 institutions in 1 country.

Sudeepta DandapatDepartment of Neurology, University of Iowa Carver College of Medicine, Comprehensive Stroke Center, Iowa City, IA, USA.ORCID https://orcid.org/0000-0003-3744-7845
Edgar A SamaniegoDepartment of Neurology, University of Iowa Carver College of Medicine, Comprehensive Stroke Center, Iowa City, IA, USA.
Viktor SzederDivision of Interventional Neuroradiology, Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.ORCID https://orcid.org/0000-0003-0703-8258
Fazeel M SiddiquiDepartment of Neurology, Southern Illinois University School of Medicine, Comprehensive Stroke Center, Springfield, IL, USA.
Gary R DuckwilerDivision of Interventional Neuroradiology, Department of Radiological Sciences, David Geffen School of Medicine, University of California, Los Angeles, CA, USA.
Ume KiddyDepartment of Neurology, Southern Illinois University School of Medicine, Comprehensive Stroke Center, Springfield, IL, USA.
Waldo R GuerreroDepartment of Neurology, University of Iowa Carver College of Medicine, Comprehensive Stroke Center, Iowa City, IA, USA.
Binbin ZhengDepartment of Neurology, University of Iowa Carver College of Medicine, Comprehensive Stroke Center, Iowa City, IA, USA.
David HasanDepartment of Neurosurgery, University of Iowa Carver College of Medicine, Comprehensive Stroke Center, Iowa City, IA, USA.
Colin DerdeynDepartment of Radiology, University of Iowa Carver College of Medicine, Comprehensive Stroke Center, Iowa City, IA, USA.
Santiago Ortega-GutierrezDepartment of Neurology, University of Iowa Carver College of Medicine, Comprehensive Stroke Center, Iowa City, IA, USA.
University of Iowa · USSouthern Illinois University School of Medicine · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeSystemic anticoagulation is the standard treatment for cerebral venous sinus thrombosis (CVST). Several endovascular techniques have been described as salvage therapy for anticoagulation refractory CVST cases. We aim to evaluate the safety and feasibility of endovascular aspiration thrombectomy using the new generation, large bore suction catheters alone or in combination with stentriever devices for the treatment of CVST.

methodsWe collected data on 16 consecutive patients with CVST who received endovascular aspiration thrombectomy at three large academic centers. Second generation reperfusion catheters were used as a large bore suction catheter and advanced to the affected sinus using a coaxial technique. Suction was performed using pump suction. At times, a stentriever was used as an anchor to facilitate advancing the suction catheter and to increase thrombectomy capabilities.

resultsMedian decade of age was the 50s and nine patients were women. Fifty percent of the patients had multiple sinuses involved. All patients received systemic anticoagulation prior to endovascular aspiration thrombectomy. The most common reason to pursue endovascular aspiration thrombectomy in CVST patients was deterioration of initial clinical status (10/16). The mean time from admission to endovascular aspiration thrombectomy was 1.5 days (range 0-6 days). Good recanalization was obtained in all patients. There were no major peri-procedural complications. Most patients were discharged to either home or a rehabilitation facility.

conclusionEndovascular aspiration treatment using large bore suction catheters for CVST is a safe and feasible approach for the treatment of anticoagulation refractory CVST. Heterogeneity of the clinical and radiological presentation requires further investigation to optimize patient selection before evaluating the efficacy of this technique in larger prospective studies.

Indexed as

CathetersAcademic Medical CentersAdolescentAdultAgedAged, 80 and overAnticoagulantsCatheterizationChildFemaleHumansMaleMiddle AgedReperfusionRetrospective StudiesSinus Thrombosis, IntracranialAnticoagulantsaspirationcerebral venous thrombosislarge bore suction cathetersThrombectomythrombolysis

Identifiers

PMID31364456
PMCPMC6997993
OpenAlexW2965351502

What OpenQuestion holds

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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.