Evidence map›Paper›PMID 32607747›Full record

ArticleNeuroradiology2020

Use of intracranial stent as rescue therapy after mechanical thrombectomy failure-9-year experience in a comprehensive stroke centre.

C Pérez-García, C Gómez-Escalonilla, S Rosati, L López-Ibor, J A Egido, P Simal, M Moreu

Registry-linked trialAbstract 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. It is linked to trial NCT04986774 (Rescue Intracranial Stenting in Acute Ischemic Stroke), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
2.0field-weighted citation impact, top 12% 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.

NCT04986774 nacompletednot on this map

Rescue Intracranial Stenting in Acute Ischemic Stroke

TypeinterventionalSponsorCan Tho Stroke International Services HospitalRan2019 to 2021Enrolled85ConditionsAcute Stroke, Ischemic Stroke, Intracranial Atherosclerosis, Stent StenosisArmsRescue intracranial stenting
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 15 citations in OpenAlex.

  1. Acute intracranial stenting in acute ischemic stroke with underlying atherosclerosis: A two-center retrospective study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  2. RETRACTED: Rescue intracranial stenting in acute ischemic stroke (study).Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  3. Article
  4. Granulocytes-Rich Thrombi in Cerebral Large Vessel Occlusion Are Associated with Increased Stiffness and Poorer Revascularization Outcomes.Neurotherapeutics : the journal of the American Society for Experimental NeuroTherapeutics · 2023
    Article
  5. Review
  6. Article
  7. Review
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.

C Pérez-GarcíaInterventional Neuroradiology, Hospital Clínico San Carlos, Calle del Prof Martín Lagos s/n, 28040, Madrid, Spain. cperezgarcia.med@gmail.com.ORCID https://orcid.org/0000-0002-5450-148X
C Gómez-EscalonillaNeurology, Hospital Clínico San Carlos, Calle del Profesor Martín Lagos s/n, 28040, Madrid, Spain.ORCID https://orcid.org/0000-0002-4809-0805
S RosatiInterventional Neuroradiology, Hospital Clínico San Carlos, Calle del Prof Martín Lagos s/n, 28040, Madrid, Spain.ORCID https://orcid.org/0000-0002-5613-1291
L López-IborInterventional Neuroradiology, Hospital Clínico San Carlos, Calle del Prof Martín Lagos s/n, 28040, Madrid, Spain.ORCID https://orcid.org/0000-0003-0537-5189
J A EgidoNeurology, Hospital Clínico San Carlos, Calle del Profesor Martín Lagos s/n, 28040, Madrid, Spain.ORCID https://orcid.org/0000-0003-1698-9127
P SimalNeurology, Hospital Clínico San Carlos, Calle del Profesor Martín Lagos s/n, 28040, Madrid, Spain.ORCID https://orcid.org/0000-0002-5555-5308
M MoreuInterventional Neuroradiology, Hospital Clínico San Carlos, Calle del Prof Martín Lagos s/n, 28040, Madrid, Spain.ORCID https://orcid.org/0000-0002-9001-0661
Hospital Clínico San Carlos · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is no established rescue treatment in patients with mechanical thrombectomy (MT) failure. Our aim is to analyse whether the use of an intracranial stent improves prognosis in these patients.

methodsRetrospective analysis of a prospective cohort of patients with ischemic stroke due to middle cerebral artery occlusion (MCA) or distal intracranial carotid artery (ICA) occlusion, from September 2009 to April 2019 in our comprehensive stroke care centre. Patients with MT failure were identified and dichotomized into two groups according to whether or not an intracranial stent was implanted. We analysed clinical outcomes in both groups.

resultsThere was MT failure in 60 patients (14%) of the 433 with large vessel occlusion in distal ICA and proximal MCA. A stent was placed in 20 of them (33.3%). Compared to patients without rescue stenting, they showed better rates of independence at 3 months (mRS ≤ 2) 45% vs 2.5% (p < 0.001) and lower mortality 15% vs 50% (p = 0.009), maintaining statistical significance after multivariate analysis, without a significant increase of the rate of symptomatic intracranial haemorrhage (p = 0.209).

conclusionPlacement of an intracranial stent as rescue therapy after MT failure was associated with better clinical outcome without significant increase in haemorrhagic complications. We believe that this procedure should be appraised in these patients.

Indexed as

Endovascular ProceduresStentsAgedFemaleHumansIschemic StrokeMalePrognosisReoperationRetrospective StudiesThrombectomyTreatment FailureIntracranial stenosisIntracranial stentRescue stentingStroke

Identifiers

PMID32607747
OpenAlexW3038258187

What OpenQuestion holds

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Registered trials

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.