Evidence map›Paper›PMID 32615827›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2021

Favorable first-pass recanalization rates with NeVa™ thrombectomy device in acute stroke patients: Initial clinical experience.

Cetin K Akpinar, Atilla O Ozdemir, Erdem Gurkas, Adnan B Bilgic, Ozlem Aykac, Yusuf Inanc, Semih Giray

Open access · bronzeAbstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 1 pooled it
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

15 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. The use of the NeVa stent-retriever for bail-out mechanical thrombectomy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  4. Article
  5. The initial experience with the Walrus balloon guide catheter - Results from two high-volume thrombectomy centres.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  6. First pass results of mechanical thrombectomy with two-drop zone NeVaInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    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. Article
  10. Article
  11. The Stream Device-A Retrospective Review of 51 Cases.Journal of clinical medicine · 2023
    Article
  12. A prospective, first-in-human use of the NeVa mechanical thrombectomy device for patients with acute coronary syndromes.EuroIntervention : journal of EuroPCR in collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology · 2022
    Article
  13. Article
  14. Article
  15. 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 3 institutions in 1 country.

Cetin K AkpinarInterventional Neurology, Neurology Clinic, Sağlık Bilimleri University, Samsun Training and Research Hospital, Samsun, Turkey.ORCID https://orcid.org/0000-0001-9512-1048
Atilla O OzdemirDepartment of Neurology, Neurocritical Care, Cerebrovascular Disease, Interventional Neurology, Eskisehir Osmangazi University, Eskisehir, Turkey.
Erdem GurkasInterventional Neurology, Neurology Clinic, Sağlık Bilimleri University, Lütfi Kırdal Training and Research Hospital, İstanbul, Turkey.
Adnan B BilgicInterventional Neurology, Neurology Clinic, Sağlık Bilimleri University, Samsun Training and Research Hospital, Samsun, Turkey.
Ozlem AykacDepartment of Neurology, Neurocritical Care, Cerebrovascular Disease, Interventional Neurology, Eskisehir Osmangazi University, Eskisehir, Turkey.
Yusuf InancDepartment of Neurology, Neurocritical Care, Cerebrovascular Disease, Interventional Neurology, Gaziantep University, Gaziantep, Turkey.
Semih GirayDepartment of Neurology, Neurocritical Care, Cerebrovascular Disease, Interventional Neurology, Gaziantep University, Gaziantep, Turkey.
Sağlık Bilimleri Üniversitesi · TREskişehir Osmangazi University · TRGaziantep University · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe NeVa™ thrombectomy device (Vesalio LLC, Nashville, USA) has been reported to succeed in large vessel occlusion thrombectomy in animal, in-vitro, and clinical studies. Designed with Drop Zone technology, a closed distal tip, and strong expansive radial force, the device demonstrated particular efficiency in resistant "white" thrombi in preclinical research. Our goal is to determine the safety and performance of this novel stent retriever on first-pass rates and overall recanalization.

methodsThe Interventional Neurology Database is a prospectively maintained database of anterior and posterior circulation stroke thrombectomy cases. We retrospectively analyzed cases where the NeVa™ thrombectomy device was used as the first-line treatment strategy. Data collection occurred between January 2019 and January 2020. First-pass recanalization, final recanalization, 90-day functional outcome, complication, and bleeding rates are reported.

resultsOne hundred eighteen patients were treated with the NeVa™ thrombectomy device. The mean patient age was 69 ± 14 years, the median baseline National Institutes of Health Stroke Scale was 14, and the median initial Alberta Stroke Program Early Computed Tomography score was 8. The median time from groin puncture to successful recanalization was 29 min (interquartile range (IQR): 20-40). First-pass recanalization rates were 56.8% (modified treatment in cerebral infarction (mTICI) 2b/3) and 44.9% (mTICI 2c/3). Final successful recanalization rate was 95.8% (thrombolysis in cerebral infarction 2b/3). Favorable functional outcome (modified Rankin Scale 0-2) was 53% in the "first-pass" subgroup and 42.4% in the total patient population. The median number of passes to achieve the final recanalization score was 1 (IQR 1-2). The rate of embolization into new territory was 1.7%. Four patients (3.3%) had symptomatic hemorrhage.

conclusionsIn our experience, the NeVa™ device demonstrated high first-pass and overall recanalization rates along with a good safety profile.

Indexed as

Brain IschemiaStrokeAgedAged, 80 and overAnimalsHumansMiddle AgedRetrospective StudiesStentsThrombectomyTreatment OutcomeAcute strokeexcellent outcomefirst-pass recanalizationNeVa™ devicethrombectomy device

Identifiers

PMID32615827
PMCPMC7903549
OpenAlexW3040416655

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.