Evidence map›Paper›PMID 32799746›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2020

Validation and comparison of drug eluting stent to bare metal stent for restenosis rates following vertebral artery ostium stenting: A single-center real-world study.

Long Li, Xu Wang, Bin Yang, Yabing Wang, Peng Gao, Yanfei Chen, Fengshui Zhu, Yan Ma, Haitao Chi, Xiao Zhang and 7 more

Registry-linked trialOpen access · greenAbstract readComparative StudyValidation Study
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05644314 (Efficacy of Drug-Eluting Vertebral Artery Stenting Treatment for Atherosclerotic Vertebral Arteries Stenosis in Real-World Clinical Observations), which is not on this map. Cited by 16 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 1 pooled it
1.8field-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.

NCT05644314 narecruitingnot on this mapstarted 2022, after this paper: background citation

Efficacy of Drug-Eluting Vertebral Artery Stenting Treatment for Atherosclerotic Vertebral Arteries Stenosis in Real-World Clinical Observations: a Prospective, Multicenter, Open-access, Single-arm Clinical Study

TypeinterventionalSponsorNanfang Hospital, Southern Medical UniversityRan2022 to 2029Enrolled144ConditionsIschemic Stroke, Vertebral Artery StenosisArmsThe drug-eluting stent
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
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  11. Relationship between serum endothelin-1 and in-stent restenosis following vertebral artery stenting.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
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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

17 authors at 3 institutions in 2 countries.

Long LiDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0003-2807-5728
Xu WangDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Bin YangDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yabing WangDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Peng GaoDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yanfei ChenDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Fengshui ZhuDepartment of Interventional Neuroradiology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yan MaDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Haitao ChiDepartment of Neurology, Dalian University Affiliated Xinhua Hospital, Dalian, China.
Xiao ZhangDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xuesong BaiDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yao FengDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID https://orcid.org/0000-0001-7923-8158
Adam A DmytriwDivision of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, University of Toronto, Toronto, Canada.
Tao HongDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Yang HuaDepartment of Vascular Ultrasonography, Xuanwu Hospital, Capital Medical University, Beijing, China.
Liqun JiaoDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Feng LingDepartment of Neurosurgery, Xuanwu Hospital, Capital Medical University, Beijing, China.
Capital Medical University · CNDalian University · CNUniversity of Toronto · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeWhile drug-eluting stents (DES) have been widely applicated in coronary stenosis, uncertainty persists concerning the relative performance and clinical benefit in patients undergoing vertebral artery stenting when compared with a bare metal stent (BMS). We sought to compare in-stent restenosis (ISR) rates of DES and BMS in the treatment of vertebral artery ostium (VAO) stenosis. MATERIALS AND

methodsThis study analyzed a single-center prospective cohort. Over 1.5-year period (January 2014-June 2015), 137 consecutive patients underwent VAO stenting involving deployment of 76 DES and 74 BMS. Patient demographics, comorbidities, stenosis severity, stent diameters and lengths, periprocedural complications, imaging and duplex ultrasonography follow-up and recurrent symptoms were assessed.

resultsTechnical success was achieved in all patients. Mean VAO stenosis at presentation were 82.4 ± 7.2% in the DES group and 83.3 ± 7.5% in the BMS group and were reduced to 12.5 ± 4.5% and 11.3 ± 4.0%. Mean stent diameter was 3.53 ± 0.40 mm in DES and 5.05 ± 0.40 mm in BMS (p < 0.0001). Mean follow-up was 12.3 months for DES and 11.7 months for BMS. The use of DES was associated with significant lower ISR rates compared with BMS (18.4% vs. 31.1%; OR = 2.628, p = 0.021). Recurrent symptoms rates were similar in DES vs. BMS (2.6% vs 2.7%, p = 0.680). Stent type and stent diameter were independent risk factors for ISR (P = 0.026).

conclusionOur results suggest superior efficacy of deploying DES for the treatment of VAO stenosis with lower ISR rates as compared to BMS, but do not support significant differences in periprocedural risk and recurrent symptoms rate.

Indexed as

Drug-Eluting StentsVertebral ArteryCerebral AngiographyComputed Tomography AngiographyFemaleHumansIntracranial ArteriosclerosisMagnetic Resonance ImagingMaleMetalsMiddle AgedPlatelet Aggregation InhibitorsProspective StudiesRecurrenceStentsUltrasonography, Doppler, DuplexMetalsPlatelet Aggregation Inhibitorsbare metal stentdrug-eluting stentin-stent restenosisstenosisVertebral artery ostium

Identifiers

PMID32799746
PMCPMC7645189
OpenAlexW3049081247

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.