Evidence map›Paper›PMID 32307558›Full record

ArticleNeuroradiology2020

Primary endovascular treatment for acute ischemic stroke in teenage patients: a short case series.

Carmen Parra-Fariñas, Adam A Dmytriw, Ignacio Delgado-Álvarez, Ángel Sánchez-Montánez, Maria Angeles de Miquel, Teresa Sola, Ana Felipe-Rucián, Alfons Macaya, Alejandro Tomasello, Marc Ribó and 1 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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.3field-weighted citation impact, top 41% 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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 5 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Non-routine thrombectomy in pediatric arterial ischemic stroke.Diagnostic and interventional radiology (Ankara, Turkey) · 2025
    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

11 authors at 5 institutions in 2 countries.

Carmen Parra-FariñasDepartment of Radiology, Hospital Universitari Vall d'Hebron, Passeig de la Vall d'Hebron 119-129, 08035, Barcelona, Spain. carmenparrafarinas@gmail.com.
Adam A DmytriwDepartment of Medical Imaging, St. Michael's Hospital, 30 Bond Street, Toronto, Ontario, M5B 1W8, Canada.
Ignacio Delgado-ÁlvarezDiagnostic Neuroradiology Section, Department of Pediatric Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Ángel Sánchez-MontánezDiagnostic Neuroradiology Section, Department of Pediatric Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Maria Angeles de MiquelInterventional Neuroradiology Section, Department of Radiology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Teresa SolaInterventional Neuroradiology Section, Department of Radiology, Hospital Sant Joan de Deu, HM Delfos, Barcelona, Spain.
Ana Felipe-RuciánDepartment of Pediatric Neurology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Alfons MacayaDepartment of Pediatric Neurology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Alejandro TomaselloInterventional Neuroradiology Section, Department of Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Marc RibóDepartment of Medicine, Universitat Autònoma de Barcelona, Barcelona, Spain.
Élida Vázquez-MéndezDiagnostic Neuroradiology Section, Department of Pediatric Radiology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.
Vall d'Hebron Hospital Universitari · ESBellvitge University Hospital · ESDelfos Hospital · ESSt. Michael's Hospital · CAUniversitat Autònoma de Barcelona · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo analyze the safety and efficacy of primary endovascular treatment (EVT) for acute ischemic stroke (AIS) in patients younger than 18 years of age.

methodsReview of 4 patients < 18 years of age with AIS, prospectively enrolled in an electronic database registry for acute ischemic stroke patients who underwent thrombectomy at tertiary centers, from January 2011 to February 2017. Clinical and imaging data were analyzed.

resultsAll patients were female. Patients 1 to 4 were 14, 13, 16, and 13 years old, respectively. Patients 1 and 3 had left middle cerebral artery occlusion, patient 2 basilar occlusion, and patient 4 right tandem occlusion. Mean NIHSS score was 13 (7-19) on arrival and 4 (0-5) at 24 h. Patient 2 had Osler-Weber-Rendu disease and patient 4 a previously surgically repaired complete atrioventricular canal. All patients presented with clinical-radiological mismatch. CT/CTA was used in patients 1 and 4 and MRI/MRA in patients 2 and 3. Stent retriever was used in 3 patients (patients 1, 3, and 4) and direct aspiration first-pass technique in 1 (patient 2). All 4 procedures resulted in successful recanalization and 3-month functional independence.

conclusionPrimary EVT is reported in patients 13 to 16 years of age with AIS due to large vessel occlusion and clinical-radiological mismatch. Procedures were safe and effective with prompt recanalization and good clinical outcome.

Indexed as

Endovascular ProceduresAdolescentFemaleHumansIschemic StrokeNeuroimagingProspective StudiesThrombectomyAcute ischemic strokeEndovascular treatmentMechanical thrombectomyTeenage patients

Identifiers

PMID32307558
OpenAlexW3017184705

What OpenQuestion holds

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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.