Evidence map›Paper›PMID 32242265›Full record

ArticleNeuroradiology2020

The "distal-to-proximal" strategy for the treatment of posterior circulation tandem occlusions: a single-centre experience.

Peng-Fei Xing, Yong-Wei Zhang, Zi-Fu Li, Lei Zhang, Hong-Jian Shen, Yong-Xin Zhang, Yi-Bin Fang, Rui Zhao, Qiang Li, Qing-Hai Huang and 4 more

Abstract read

PubMed Publisher

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 8 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it

0cells of the map it votes in

8citing papers in PubMed, 1 pooled it

1.3field-weighted citation impact, top 19% 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

8 citing papers in PubMed, 1 synthesis or guideline pooled it, 14 citations in OpenAlex.

Revascularization of vertebrobasilar tandem occlusions: a meta-analysis.Neuroradiology · 2022
Pooled it
Endovascular Treatment for Acute Posterior Circulation Tandem Lesions: Insights From the BASILAR and PERSIST Registries.Journal of stroke · 2025
Article
Management of posterior circulation tandem occlusions in acute ischemic stroke: Recanalize the dominant vertebral artery with priority.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
Article
A Review of Endovascular Treatment for Posterior Circulation Strokes.Neurointervention · 2023
Review
Endovascular treatment of acute basilar artery occlusion caused by vertebral artery stump syndrome: A clinical analysis of 37 cases.Heliyon · 2023
Article
Imaging mismatch between Alberta Stroke Program Early CT Score and perfusion imaging may be a good variable for endovascular treatment.European radiology · 2023
Article
Acute reperfusion therapy via occluded vertebral artery using a guiding sheath for posterior circulation tandem occlusion: illustrative case.Journal of neurosurgery. Case lessons · 2023
Article
A Case Series and Literature Review of Vertebral Artery Stump Syndrome.Frontiers in neurology · 2021
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

14 authors at 2 institutions in 1 country.

Peng-Fei XingDepartment of Stroke Center, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Yong-Wei ZhangDepartment of Stroke Center, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Zi-Fu LiDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Lei ZhangDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Hong-Jian ShenDepartment of Stroke Center, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Yong-Xin ZhangDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Yi-Bin FangDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Rui ZhaoDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Qiang LiDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Qing-Hai HuangDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Bo HongDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Yi XuDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Peng-Fei YangDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China.

Jian-Min LiuDepartment of Neurosurgery, Changhai Hospital, Second Military Medical University, No.168 Changhai Rd, Shanghai, 200433, China. chstroke@163.com.

Second Military Medical University · CNChanghai Hospital · CN

Funding

the Project of Research and Application of Effective Intervention Techniques for High-risk Stroke Population of China in 2017 GN-2017R0001

6 · The paper itself

Abstract

purposeData on posterior circulation tandem occlusions in acute ischemic stroke are scarce: recognition may be challenging and little is known about optimal treatment strategy. We report our endovascular treatment strategy for posterior circulation tandem occlusion.

methodsConsecutive patients with posterior circulation tandem occlusions in our centre were enrolled retrospectively. The preferred strategy was "distal-to-proximal" strategy, which means opening the distal occlusion first followed by treatment of the proximal pathology. The imaging characteristics, treatment strategy, clinical outcomes, and complications of patients with posterior circulation tandem occlusions were analyzed.

resultsIn total, 21 patients with posterior circulation tandem occlusions were enrolled in the study, which accounted for 23.6% of patients with posterior circulation stroke in our centre. The mean age was 60 years (range 32 to 80), and median pre-procedure NIHSS score was 28 (interquartile range: 13-31). Eighteen patients (85.7%) had vertebrobasilar artery tandem occlusions and 3 (14.3%) had basilar artery to basilar artery tandem occlusions. All distal occlusions were successfully recanalized (modified TICI 2b/3). Two (9.5%) of the proximal lesions were not treated. A total of 57.1% of the patients had stents implanted on the proximal occlusions. The rate of mRS 0-3 at 3 months was 57.1% and the mortality rate was 19.0%.

conclusionIn patients with acute ischaemic stroke caused by posterior circulation tandem occlusions, we favor "distal-to-proximal" strategy based on the positive results in this small series. Nevertheless, a more extensive study is required to explore the optimal treatment strategy further.

Indexed as

Endovascular ProceduresAdultAgedAged, 80 and overFemaleHumansIschemic StrokeMaleMiddle AgedNeuroimagingRetrospective StudiesEndovascular treatmentIschemic strokePosterior circulationTandem occlusion

Identifiers

PMID32242265

DOI10.1007/s00234-020-02412-0

OpenAlexW3014758063

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.