Evidence map›Paper›PMID 32161286›Full record

ArticleScientific reports2020

Safety and Effectiveness of Neuro-thrombectomy on Single compared to Biplane Angiography Systems.

Adrien Guenego, Pascal J Mosimann, Max Wintermark, Jeremy J Heit, Kevin Zuber, Tomas Dobrocky, Jean Albert Lotterie, Patrick Nicholson, David G Marcellus, Jean Marc Olivot and 9 more

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
1.9field-weighted citation impact, top 14% 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, 18 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Modeling optimal patient transport in a stroke network capable of remote telerobotic endovascular therapy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  5. Article
  6. Analysis of 565 thrombectomies for anterior circulation stroke: A Brazilian registry.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022
    Article
  7. Article
  8. Article
  9. 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

19 authors at 5 institutions in 4 countries.

Adrien Guenego *Interventional and Diagnostic Neuroradiology Department, Toulouse University Hospital, Toulouse, France. adrienguenego@gmail.com.
Pascal J Mosimann *Interventional and diagnostic Neuroradiology, Bern, Switzerland.
Max WintermarkInterventional and Diagnostic Neuroradiology, Stanford Medical Center, California, USA.
Jeremy J HeitInterventional and Diagnostic Neuroradiology, Stanford Medical Center, California, USA.
Kevin ZuberStatistics department, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
Tomas DobrockyInterventional and diagnostic Neuroradiology, Bern, Switzerland.
Jean Albert LotterieStereotaxic Neurosurgery Department, Toulouse University Hospital, Toulouse, France.
Patrick NicholsonInterventional and Diagnostic Neuroradiology, Toronto Hospital, Toronto, Canada.
David G MarcellusInterventional and Diagnostic Neuroradiology, Stanford Medical Center, California, USA.ORCID http://orcid.org/0000-0002-8871-6630
Jean Marc OlivotVascular Neurology, Stroke Department, Toulouse University Hospital, Toulouse, France.
Nestor GonzalezNeurosurgery and Interventional Neuroradiology Department, Cedars Sinai Hospital, Los Angeles, USA.
Raphaël BlancInterventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
Vitor Mendes PereiraInterventional and Diagnostic Neuroradiology, Toronto Hospital, Toronto, Canada.
Jan GrallaInterventional and diagnostic Neuroradiology, Bern, Switzerland.
Johannes KaesmacherInterventional and diagnostic Neuroradiology, Bern, Switzerland.
Robert FahedInterventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
Michel PiotinInterventional Neuroradiology, Fondation Ophtalmologique Adolphe de Rothschild, Paris, France.
Christophe CognardInterventional and Diagnostic Neuroradiology Department, Toulouse University Hospital, Toulouse, France.
RADON Investigators
Université Fédérale de Toulouse Midi-Pyrénées · FRFondation Ophtalmologique Adolphe de Rothschild · FRStanford Medicine · USToronto General Hospital · CACedars-Sinai Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

An increasing number of centers not necessarily equipped with biplane (BP) angiosuites are performing mechanical thrombectomy (MT) in acute ischemic stroke patients. We assessed whether MT performed on single-plane (SP) is equivalent in terms of safety, effectiveness, radiation and contrast agent exposure. Consecutive patients treated by MT in four high volume centers between January 2014 and May 2017 were included. Demographic and MT characteristics were assessed and compared between SP and BP. Of 906 patients treated by MT, 576 (64%) were handled on a BP system. After multivariate analysis, contrast load and fluoroscopy duration were significantly lower in the BP group [100vs200mL, relative effect 0.85 (CI: 0.79-0.92), p = 0.0002; 22 vs 27 min, relative effect 0.84 (CI: 0.76-0.93), p = 0.0008, respectively]. There was no difference in recanalization (modified Thrombolysis-In-Cerebral-Infarction 2b-3), good clinical outcome (modified Rankin Scale 0-2), complications rates, procedure duration or radiation exposure. A three-vessel diagnostic angiogram performed prior to MT led to a significant increase in procedure duration (15% increase, p = 0.05), radiation exposure (33% increase, p < 0.0001) and contrast load (125% increase, p < 0.0001). Mechanical neuro-thrombectomy seems equally safe and effective on a single or biplane angiography system despite increased contrast load and fluoroscopy duration on the former.

Indexed as

AdultAgedAged, 80 and overAngiographyFemaleHumansMaleMechanical ThrombolysisMiddle AgedRisk FactorsStrokeThrombectomyTreatment OutcomeYoung Adult

Identifiers

PMID32161286
PMCPMC7066129
OpenAlexW3011334062

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.