Evidence map›Paper›PMID 32734357›Full record

ArticleClinical neuroradiology2021

Direct Stenting of Intracranial Atherosclerosis-related Acute Large Vessel Occlusion.

Joong-Goo Kim, Dae Chul Suh, Yunsun Song, Jay Chol Choi, Deok Hee Lee

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
1.9field-weighted citation impact, top 13% 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

14 citing papers in PubMed, 21 citations in OpenAlex.

  1. RESCUE-ICAS: Rationale and Study Design.Stroke (Hoboken, N.J.) · 2023
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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

5 authors at 2 institutions in 1 country.

Joong-Goo KimDepartment of Neurology, Jeju National University Hospital, Jeju, Korea (Republic of).ORCID http://orcid.org/0000-0002-4166-6023
Dae Chul SuhDepartment of Radiology, Asan Medical Center, College of Medicine, University of Ulsan, Olympicro 43-gil 88, 05505, Seoul, Songpa-gu, Korea (Republic of). dcsuh@amc.seoul.kr.ORCID http://orcid.org/0000-0003-1561-5596
Yunsun SongDepartment of Radiology, Asan Medical Center, College of Medicine, University of Ulsan, Olympicro 43-gil 88, 05505, Seoul, Songpa-gu, Korea (Republic of).ORCID http://orcid.org/0000-0003-4738-0533
Jay Chol ChoiDepartment of Neurology, Jeju National University Hospital, Jeju, Korea (Republic of).
Deok Hee LeeDepartment of Radiology, Asan Medical Center, College of Medicine, University of Ulsan, Olympicro 43-gil 88, 05505, Seoul, Songpa-gu, Korea (Republic of).
Asan Medical Center · KRJeju National University Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeEndovascular reperfusion therapy (ERT) in patients with intracranial atherosclerosis (ICAS)-related acute large vessel occlusion (ALVO) may require different strategies based on the underlying culprit plaque lesion. This study investigated the effectiveness and safety of direct stent placement in ICAS-related ALVO compared with initially attempted mechanical thrombectomy (MT) with or without rescue treatment.

methodsDirect stenting for ICAS-related ALVO was performed in 30 consecutive patients between January 1, 2012, and December 31, 2018. As a control for comparison, MT with or without rescue stenting for patients with ICAS-related ALVO was performed in 73 consecutive patients during the same period. Clinical outcomes were assessed by measuring modified Rankin Scale (mRS) at 90 days.

resultsPatients who underwent direct stenting and those who underwent MT with or without rescue stenting showed no significant differences in baseline characteristics. There was a higher proportion of patients with mRS 0-2 at 90 days in the direct stenting group than in the MT with or without rescue stenting group [24 (80.0%) vs. 34 (46.6%); p = 0.004]. Successful recanalization to modified thrombolysis in cerebral infarction category 2b or 3 was achieved in 93.3% of patients who underwent direct stenting, and in 90.4% of patients who underwent MT with or without rescue stenting.

conclusionDirect stenting is an effective and safe option for ICAS-related ALVO. Further studies are needed to confirm that endovascular treatments are effective and safe in patients with ALVO and underlying ICAS.

Indexed as

Intracranial ArteriosclerosisThrombectomyHumansStentsTreatment OutcomeAngioplastyCerebral infarctionEmbolectomyIntracranial arteriosclerosisReperfusion

Identifiers

PMID32734357
OpenAlexW3046822322

What OpenQuestion holds

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Read underepoch 390

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.