Evidence map›Paper›PMID 33722966›Full record

ReviewJournal of neurointerventional surgery2021

Preclinical testing platforms for mechanical thrombectomy in stroke: a review on phantoms, in-vivo animal, and cadaveric models.

Yang Liu, Mehdi Abbasi, Jorge L Arturo Larco, Ramanathan Kadirvel, David F Kallmes, Waleed Brinjikji, Luis Savastano

Open access · greenAbstract readReview
In one paragraph

Review in Journal of neurointerventional surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
3.2field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 28 citations in OpenAlex.

  1. Review
  2. A novel method for preparing clot analogs under dynamic vortical flow for testing mechanical thrombectomy devices.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  3. Are orbital branches of the middle meningeal artery underestimated? A human cadaveric angiographic study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  4. Overcoming the black box of aspiration thrombectomy in acute ischemic stroke: An early clinical experience of using contrast injections to understand clot-catheter interactions.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
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  15. A Review of the Advancements in theFrontiers in medical technology · 2022
    Review
  16. A Thrombectomy Model Based on Ex Vivo Whole Human Brains.AJNR. American journal of neuroradiology · 2021
    Article
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.

Yang LiuRadiology, Mayo Clinic, Rochester, Minnesota, USA.ORCID http://orcid.org/0000-0002-9132-0258
Mehdi AbbasiRadiology, Mayo Clinic, Rochester, Minnesota, USA.ORCID http://orcid.org/0000-0001-6978-2563
Jorge L Arturo LarcoNeurosurgery, Mayo Clinic, Rochester, Minnesota, USA.
Ramanathan KadirvelRadiology, Mayo Clinic, Rochester, Minnesota, USA.ORCID http://orcid.org/0000-0002-6786-9953
David F KallmesRadiology, Mayo Clinic, Rochester, Minnesota, USA.
Waleed BrinjikjiRadiology, Mayo Clinic, Rochester, Minnesota, USA.ORCID http://orcid.org/0000-0001-5271-5524
Luis SavastanoNeurosurgery, Mayo Clinic, Rochester, Minnesota, USA Savastano.luis@mayo.edu.
Mayo Clinic · US

Funding

Impact of Clot Histological and Physical Properties on Revascularization Strategies in Acute Ischaemic Stroke - Administrative SupplementR01NS105853 · NINDS · MAYO CLINIC ROCHESTER · PI BRINJIKJI, WALEED · 2018 to 2022
$2.0M
NINDS NIH HHS R01 NS105853
6 · The paper itself

Abstract

Preclinical testing platforms have been instrumental in the research and development of thrombectomy devices. However, there is no single model which fully captures the complexity of cerebrovascular anatomy, physiology, and the dynamic artery-clot-device interaction. This article provides a critical review of phantoms, in-vivo animal, and human cadaveric models used for thrombectomy testing and provides insights into the strengths and limitations of each platform. Articles published in the past 10 years that reported thrombectomy testing platforms were identified. Characteristics of each test platform, such as intracranial anatomy, artery tortuosity, vessel friction, flow conditions, device-vessel interaction, and visualization, were captured and benchmarked against human cerebral vessels involved in large-vessel occlusion stroke. Thrombectomy phantoms have been constructed from silicone, direct 3D-printed polymers, and glass. These phantoms represent oversimplified patient-specific cerebrovascular geometry but enable adequate visualization of devices and clots under appropriate flow conditions. They do not realistically mimic the artery-clot interaction. For the animal models, arteries from swine, canines, and rabbits have been reported. These models can reasonably replicate the artery-clot-device interaction and have the unique value of evaluating the safety of thrombectomy devices. However, the vasculature geometries are substantially less complex and flow conditions are different from human cerebral arteries. Cadaveric models are the most accurate vascular representations but with limited access and challenges in reproducibility of testing conditions. Multiple test platforms should be likely used for comprehensive evaluation of thrombectomy devices. Interpretation of the testing results should take into consideration platform-specific limitations.

Indexed as

StrokeThrombectomyAnimalsCadaverDogsHumansRabbitsReproducibility of ResultsResearchSwineblood flowdeviceinterventionstrokethrombectomy

Identifiers

PMID33722966
PMCPMC8364863
OpenAlexW3139017256

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.