Evidence map›Paper›PMID 32428424›Full record

ReviewJournal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism2020

Biomechanics and hemodynamics of stent-retrievers.

Anna Luisa Kühn, Zeynep Vardar, Afif Kraitem, Robert M King, Vania Anagnostakou, Ajit S Puri, Matthew J Gounis

Open access · greenAbstract readComparative StudyReview
In one paragraph

Review in Journal of cerebral blood flow and metabolism : official journal of the International Society of Cerebral Blood Flow and Metabolism, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
1.7field-weighted citation impact, top 15% 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, 25 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Mechanical thrombectomy using the Nimbus stent-retriever - initial experiences in a single-center observational study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Observational
  8. Review
  9. Impact of the Internal Carotid Artery Morphology onFrontiers in medical technology · 2021
    Article
  10. 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

7 authors at 1 institution in 1 country.

Anna Luisa KühnNew England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Zeynep VardarNew England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.ORCID 0000-0002-7510-9524
Afif KraitemNew England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.ORCID 0000-0002-8523-4695
Robert M KingNew England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Vania AnagnostakouNew England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Ajit S PuriNew England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.
Matthew J GounisNew England Center for Stroke Research, Department of Radiology, University of Massachusetts Medical School, Worcester, MA, USA.ORCID 0000-0002-8034-2785
University of Massachusetts Chan Medical School · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In 2015, multiple randomized clinical trials showed an unparalleled treatment benefit of stent-retriever thrombectomy as compared to standard medical therapy for the treatment of a large artery occlusion causing acute ischemic stroke. A short time later, the HERMES collaborators presented the patient-level pooled analysis of five randomized clinical trials, establishing class 1, level of evidence A for stent-retriever thrombectomy, in combination with intravenous thrombolysis when indicated to treat ischemic stroke. In the years following, evidence continues to mount for expanded use of this therapy for a broader category of patients. The enabling technology that changed the tide to support endovascular treatment of acute ischemic stroke is the stent-retriever. This review summarizes the history of intra-arterial treatment of stroke, introduces the biomechanics of embolus extraction with stent-retrievers, describes technical aspects of the intervention, provides a description of hemodynamic implications of stent-retriever embolectomy, and proposes future directions for a more comprehensive, multi-modal endovascular approach for the treatment of acute ischemic stroke.

Indexed as

Administration, IntravenousBiomechanical PhenomenaCombined Modality TherapyDevice RemovalEndovascular ProceduresFibrinolytic AgentsHemodynamicsHumansIschemic StrokeProsthesis DesignRandomized Controlled Trials as TopicStentsThrombectomyFibrinolytic AgentsAcute ischemic strokeendovascularlarge vessel occlusionstent-retrieverthrombectomy

Identifiers

PMID32428424
PMCPMC7820689
OpenAlexW3027096229

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.