Delayed reperfusion therapy for ischemic stroke tandem occlusion with subsequent secondary prophylaxis of cerebral ischemic events: A case report and literature review.

Anton A Khilchuk, Sergey G Shcherbak, Kirill D Gukov, Sergey V Vlasenko

Open access · goldAbstract readCase Reports

In one paragraph

Article in Radiology case reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it

0cells of the map it votes in

0citing papers in PubMed

–field-weighted citation impact, top 83% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

4 authors at 2 institutions in 1 country.

Anton A KhilchukInterventional Radiology Department, City Hospital #40, 9 Borisova str., Sestroretsk, Saint Petersburg 197706, Russian Federation.

Sergey G ShcherbakMedical Faculty, Saint-Petersburg State University, Saint Petersburg, Russian Federation.

Kirill D GukovInterventional Radiology Department, City Hospital #40, 9 Borisova str., Sestroretsk, Saint Petersburg 197706, Russian Federation.

Sergey V VlasenkoInterventional Radiology Department, City Hospital #40, 9 Borisova str., Sestroretsk, Saint Petersburg 197706, Russian Federation.

St Petersburg University · RUCity Hospital No. 40 · RU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Mechanical thrombectomy is currently the gold standard treatment of large vessel occlusions, especially in anterior circulation acute ischemic stroke. At the same time, the problem of tandem occlusions seems especially important since most of the major clinical mechanical thrombectomy studies did not specifically evaluate patients with concomitant extracranial occlusions or critical stenoses. To date, there is no universally accepted optimal treatment strategy for such tandem lesions in acute ischemic stroke: it remains unclear which lesion - intracranial or extracranial - should be treated first. The selected reperfusion method should be based on the patients' individual characteristics, data from non-invasive radiologic studies, and the stroke team experience. We present a case of successful reperfusion therapy of acute tandem occlusion of the right internal carotid artery, followed by contralateral carotid artery stenting in a patient with stenosing extracranial atherosclerosis.

Indexed as

Acute carotid occlusionAcute ischemic strokeBalloon angioplastyMechanical thrombectomyStentingTandem occlusion

Identifiers

PMID34630806

DOI10.1016/j.radcr.2021.09.012

PMCPMC8493513

OpenAlexW3202997584

What OpenQuestion holds

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LicenceCC BY-NC-ND

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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.