Evidence map›Paper›PMID 34645704›Full record

ArticleJournal of neurointerventional surgery2022

Embotrap Extraction & Clot Evaluation & Lesion Evaluation for NeuroThrombectomy (EXCELLENT) Registry design and methods.

Adnan H Siddiqui, Muhammad Waqas, Waleed Brinjikji, Simon F De Meyer, Karen Doyle, Jens Fiehler, Werner Hacke, Ricardo A Hanel, Tudor G Jovin, David S Liebeskind and 4 more

Registry-linked trialOpen access · hybridAbstract readMulticenter Study
In one paragraph

Article in Journal of neurointerventional surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03685578 (Embotrap eXtraction & Clot EvaLuation & Lesion Evaluation for NeuroThrombectomy), which is not on this map. Cited by 4 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 1 pooled it
0.6field-weighted citation impact, top 31% 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.

NCT03685578 completednot on this map

Embotrap eXtraction & Clot EvaLuation & Lesion Evaluation for NeuroThrombectomy

TypeobservationalSponsorCerenovus, Part of DePuy Synthes Products, Inc.Ran2018 to 2025Enrolled2,000ConditionsCerebral StrokeArmsEmboTrap® Revascularization Device, CERENOVUS Large Bore Catheter/ EMBOVAC Aspiration Catheter, CEREGLIDE 71 Intermediate Catheter
3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 1 synthesis or guideline pooled it, 8 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. 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

14 authors at 13 institutions in 5 countries.

Adnan H Siddiqui *University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA asiddiqui@ubns.com.ORCID http://orcid.org/0000-0002-9519-0059
Muhammad WaqasNeurosurgery, University at Buffalo Jacobs School of Medicine and Biomedical Sciences, Buffalo, New York, USA.ORCID http://orcid.org/0000-0003-4500-7954
Waleed BrinjikjiMayo Clinic Minnesota, Rochester, Minnesota, USA.ORCID http://orcid.org/0000-0001-5271-5524
Simon F De MeyerLaboratory for Thrombosis Research, KU Leuven, Campus Kulak Kortrijk, Kortrijk, Belgium.
Karen DoylePhysiology, CURAM, National University of Ireland Galway, Galway, Ireland.ORCID http://orcid.org/0000-0001-8984-6296
Jens FiehlerDept. of Neuroradiology, University Medical Center Hamburg Eppendorf, Hamburg, Germany.ORCID http://orcid.org/0000-0001-8533-7478
Werner HackeNeurology, University of Heidelberg, Heidelberg, Germany.
Ricardo A HanelLyerly Neurosurgery, Baptist Medical Center Downtown, Jacksonville, Florida, USA.ORCID http://orcid.org/0000-0001-7195-5806
Tudor G JovinNeurology, Cooper University Hospital, Camden, New Jersey, USA.
David S LiebeskindNeurology, UCLA, Los Angeles, California, USA.
Albert J YooNeurointervention, Texas Stroke Institute, Plano, Texas, USA.
Osama O ZaidatNeuroscience, St Vincent Mercy Hospital, Toledo, Ohio, USA.ORCID http://orcid.org/0000-0003-4881-4698
Tommy AnderssonDepartments of Radiology and Neurology, AZ Groeninge, Kortrijk, Belgium.
Raul G Nogueira *Grady Memorial Hospital, Chickasha, Georgia, USA.
Jacobs (United States) · USBaptist Medical Center Jacksonville · USCooper University Hospital · USGrady Memorial Hospital · USHeidelberg University · DEKarolinska University Hospital · SEMayo Clinic · USMercy Medical Center · USOllscoil na Gaillimhe – University of Galway · IEResearch Institute for Chromatography · BETexas Back Institute · USUCLA Health · USUniversität Hamburg · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRelationships between occlusive clot histopathology, baseline characteristics, imaging findings, revascularization rates, and clinical outcomes of stroke patients with large vessel occlusion (LVO) are not well understood. This study will assess the real-world experience on the efficacy and safety of using the EmboTrap device as the first approach in LVO patients and explore the associations between clot histological characteristics, imaging and clinical findings, revascularization rates, and clinical outcomes.

methodsProspective, global, multicenter, single-arm, imaging core laboratory, and clot analysis central laboratory observational registry. Adult patients (>18 years) with LVO, treated with EmboTrap as the first attempted device, will be eligible for study participation.

resultsUp to 1000 subjects at 50 international sites may be enrolled. Occlusive clots will be collected from at least 500 subjects. Independent central and imaging core laboratories will perform clot analysis and image adjudication. Statistical analysis will assess the association between imaging and clinical findings, clot characteristics, subject comorbidities, revascularization, and clinical outcomes. Study endpoints are functional independence (modified Rankin Scale score ≤2 at 90 days), expanded Thrombolysis In Cerebral Infarction (eTICI) score ≥2b50 rate, first-pass effect, number of passes, embolization into new territory, symptomatic intracranial hemorrhage, and 90-day mortality.

conclusionsThe EXCELLENT registry will provide reproducible effectiveness and safety data of EmboTrap for its use for mechanical thrombectomy. Additionally, the study will characterize the blood clots retrieved during mechanical thrombectomy with respect to their composition and histopathological analysis and potential correlations with clinical and imaging findings. TRIAL REGISTRATION NUMBER: NCT03685578.

Indexed as

Brain IschemiaStrokeThrombosisAdultHumansProspective StudiesRegistriesStentsThrombectomyTreatment Outcomearterystentstrokethrombectomy

Identifiers

PMID34645704
PMCPMC9304117
OpenAlexW3207314618

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.