Evidence map›Paper›PMID 32055943›Full record

ArticleNeuroradiology2020

Thrombectomy in acute vertebrobasilar occlusion: a single-centre experience.

Dong Hyuk Lee, Seung Hwan Kim, Hyungon Lee, Su Bin Kim, Dongah Lee, Young Jin Heo, Jin Wook Baek, Hye Jin Kim, Jung-Soo Kim, Jung Hyun Park and 3 more

Abstract read
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In one paragraph

Article in Neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 4 pooled it
1.2field-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

9 citing papers in PubMed, 4 syntheses or guidelines pooled it, 11 citations in OpenAlex.

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  4. Pooled it
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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

13 authors at 5 institutions in 1 country.

Dong Hyuk LeeDepartment of Neurosurgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan, Republic of Korea.
Seung Hwan KimDepartment of Neurosurgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan, Republic of Korea.
Hyungon LeeDepartment of Neurosurgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan, Republic of Korea.
Su Bin KimDepartment of Neurosurgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan, Republic of Korea.
Dongah LeeDepartment of Neurology, Inje University Haeundae Paik Hospital, Busan, South Korea.
Young Jin HeoDepartment of Radiology, Inje University Busan Paik Hospital, Busan, South Korea.
Jin Wook BaekDepartment of Radiology, Inje University Busan Paik Hospital, Busan, South Korea.
Hye Jin KimDepartment of Neurology, Hanseo Hospital, Busan, South Korea.
Jung-Soo KimDepartment of Neurosurgery, Dongnam Institute of Radiological and Medical Sciences, Busan, South Korea.
Jung Hyun ParkDepartment of Neurosurgery, Kosin University Gospel Hospital, Busan, South Korea.
Hae Woong JeongDepartment of Radiology, Inje University Busan Paik Hospital, Busan, South Korea.
Hae Yu KimDepartment of Neurosurgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan, Republic of Korea.
Sung-Chul JinDepartment of Neurosurgery, Inje University Haeundae Paik Hospital, 875, Haeun-daero, Haeundae-gu, Busan, Republic of Korea. kusmal@outlook.kr.ORCID http://orcid.org/0000-0001-5282-9329
Inje University Haeundae Paik Hospital · KRInje University Busan Paik Hospital · KRHanseo University · KRDongnam Institute of Radiological & Medical Sciences · KRKosin University Gospel Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAcute vertebrobasilar occlusion (VBO) has a grave clinical course; however, thrombectomy in VBO patients has rarely been reported. We retrospectively evaluated the clinical and radiological outcomes of thrombectomy in VBO patients.

methodsFrom March 2010 to December 2017, 38 patients with 40 acute VBOs underwent thrombectomy at our hospital. Thrombectomy was performed using catheter aspiration (n = 11, 26.8%) or a stent retriever (n = 29, 70.7%).

resultsGood clinical outcomes (3-month modified Rankin scale (mRS) of 2 or lower) were achieved in 9 cases (22.5%), and successful recanalization (thrombolysis in cerebral infarction (TICI) grade of 2b or 3) was achieved in 35 cases (87.5%). Good clinical outcomes were significantly related to aetiologies other than atherosclerosis (p = 0.020) and lower National Institutes of Health Stroke Scale (NIHSS) scores on admission (p = 0.025). The clinical and radiological outcomes did not differ significantly between catheter aspiration and stent retriever thrombectomy (p = 1.000 and p = 0.603, respectively); however, stent retriever thrombectomy had a shorter procedure time than catheter aspiration (59.7 ± 31.2 vs. 84.5 ± 35.1 min, p = 0.037).

conclusionIn our series, good clinical outcomes were associated with a lower NIHSS score on admission and stroke aetiologies other than atherosclerosis. The two thrombectomy modalities showed similar clinical and radiological outcomes. However, stent retrievers seemed to allow more rapid recanalization than catheter aspiration in VBO.

Indexed as

AgedFemaleHumansMaleRetrospective StudiesThrombectomyVertebrobasilar InsufficiencyAtherosclerosisCatheter aspirationStent retrieversThrombectomyVertebrobasilar occlusion

Identifiers

PMID32055943
OpenAlexW3006429665

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Registered trials

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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.