Evidence map›Paper›PMID 32748080›Full record

ArticleNeuroradiology2021

Mechanical thrombectomy in isolated large vessel posterior cerebral artery occlusions.

Muhammad Zeeshan Memon, Marina Kushnirsky, Marie Christine Brunet, Vasu Saini, Sebastian Koch, Dileep R Yavagal

Abstract read
PubMed Publisher
In one paragraph

Article in Neuroradiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 3 pooled it
3.1field-weighted citation impact, top 7% 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, 3 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Pooled it
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  3. Acute isolated posterior cerebral artery stroke treated with mechanical thrombectomy: A single-center experience and review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Pooled it
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  6. Perfusion imaging parameters predict long-term clinical outcome in isolated posterior cerebral artery occlusion stroke patients.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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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

6 authors at 1 institution in 1 country.

Muhammad Zeeshan MemonDepartments of Neurology and Neurosurgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine Miami, FL, Miami, USA. zeeshanmemon@gmail.com.ORCID http://orcid.org/0000-0003-0207-1999
Marina KushnirskyDepartments of Neurology and Neurosurgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine Miami, FL, Miami, USA.
Marie Christine BrunetDepartments of Neurology and Neurosurgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine Miami, FL, Miami, USA.
Vasu SainiDepartments of Neurology and Neurosurgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine Miami, FL, Miami, USA.
Sebastian KochDepartments of Neurology and Neurosurgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine Miami, FL, Miami, USA.
Dileep R YavagalDepartments of Neurology and Neurosurgery, Jackson Memorial Hospital, University of Miami Miller School of Medicine Miami, FL, Miami, USA.
University of Miami · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeMechanical thrombectomy (MT) in posterior circulation large vessel occlusion (LVO), including posterior cerebral artery (PCA), has not been validated since all five major MT trials excluded such patients. To evaluate the feasibility and preliminary safety and efficacy of MT in isolated PCA occlusion stroke patients with new-generation MT devices.

methodsEndovascularly treated acute ischemic stroke (AIS) patients were identified from a prospectively collected database and their baseline characteristics were noted. Clinical outcomes were angiographic recanalization, a favorable clinical outcome at 3 months on modified Rankin Scale (mRS) and visual field (VF) deficit improvement on confrontation test, rate of intracranial hemorrhage (ICH), and mortality at 3 months.

resultsA total of 355 AIS patients underwent MT from January 2018 to December 2019. Isolated PCA MT was performed in 15 consecutive patients. The mean age was 64 ± 17 years, and 9(60%) were women. Median presentation NIHSS was 9 (interquartile range 5-15). MT devices used were stent retrievers in 6 patients and combined aspiration and stent retriever in 9 patients. Complete revascularization (TICI 2c or 3) was achieved in 12/15 patients. 3-month VF normalization was seen in 7/12 of the patients. Post-procedure symptomatic ICH occurred in 1/15 of patients. mRS score of 0-2 was achieved in 9/15 of patients but one patient was dead at 3 months post procedure.

conclusionMT is feasible and can achieve successful reperfusion in isolated PCA occlusions and resulted in favorable motor and visual outcomes in this small series of ischemic stroke patients.

Indexed as

Brain IschemiaStrokeFemaleHumansInfant, NewbornPosterior Cerebral ArteryRetrospective StudiesStentsThrombectomyTreatment OutcomeLarge vessel occlusionMechanical thrombectomyPosterior cerebral arteryStrokeVisual field outcomes

Identifiers

PMID32748080
OpenAlexW3047293663

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.