Evidence map›Paper›PMID 34689457›Full record

ArticleNeurointervention2021

CaRotid Artery Filtering Technique (CRAFT): A Technique for Carotid Artery Stenting with Intrinsic Embolic Protection.

Michelle Foo, Yifan Ren, Jay Gajera, Christen D Barras, Hong Kuan Kok, Ashu Jhamb, Hussein Abbouchie, Julian Maingard, Duncan Mark Brooks, Hamed Asadi

Open access · diamondAbstract read
In one paragraph

Article in Neurointervention, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed, 1 pooled it
0.7field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.

  1. Carotid Artery Stenting With Double-Layer Stent: A Systematic Review and Meta-Analysis.Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists · 2024
    Pooled it
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

10 authors at 6 institutions in 1 country.

Michelle FooDepartment of Radiology, Austin Hospital, Melbourne, Vic, Australia.
Yifan RenDepartment of Radiology, Austin Hospital, Melbourne, Vic, Australia.
Jay GajeraDepartment of Radiology, Alfred Health, Melbourne, Vic, Australia.
Christen D BarrasSouth Australian Health and Medical Research Institute, University of Adelaide, Adelaide, SA, Australia.
Hong Kuan KokInterventional Radiology Service, Department of Radiology, Northern Health, Melbourne, Vic, Australia.
Ashu JhambInterventional Radiology Service, Department of Radiology, St Vincent's Hospital, Melbourne, Vic, Australia.
Hussein AbbouchieDepartment of Radiology, Austin Hospital, Melbourne, Vic, Australia.
Julian MaingardSchool of Medicine, Faculty of Health, Deakin University, Waurn Ponds, Vic, Australia.
Duncan Mark BrooksDepartment of Radiology, Austin Hospital, Melbourne, Vic, Australia.
Hamed AsadiDepartment of Radiology, Austin Hospital, Melbourne, Vic, Australia.
Austin Hospital · AUDeakin University · AUAlfred Health · AUFlorey Institute of Neuroscience and Mental Health · AURoyal Adelaide Hospital · AUSt Vincent's Hospital Melbourne · AU

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeCarotid artery stenting (CAS) is an established treatment for symptomatic carotid artery stenosis as an alternative to carotid endarterectomy. A variety of techniques and devices have been devised to minimise periprocedural stroke risk using either proximal or distal embolic protection. This study presents a method of embolic protection during CAS-the CaRotid Artery Filtering Technique (CRAFT). MATERIALS AND

methodsThe CRAFT technique employs aspects of both proximal and distal embolic protection. The CASPER RX stent (MicroVention, Tustin, CA, USA), which is a double-layered, closed-cell, micromesh nitinol stent, is deployed across the carotid artery stenosis with the assistance of a FlowGate balloon guide catheter (Stryker Neurovascular, Fremont, CA, USA). The partially deployed stent acts as a distal filter while the balloon guide is deflated midway during stent deployment to prevent distal plaque embolisation, followed by completion of stent deployment and angioplasty.

resultsA total of 94 patients underwent CAS using the CRAFT technique between June 2016 and March 2021. Successful stent deployment was achieved in all patients. Preliminary results demonstrated acute stent occlusion in 6 patients (6.4%) and distal embolic stroke in 5 patients (5.3%). The median procedural fluoroscopy time was 34 minutes with an interquartile range of 22 to 55 minutes.

conclusionThe CRAFT technique of CAS presented by this study can be applied in the treatment of symptomatic carotid artery stenosis in both emergency and elective procedure settings with a high technical success and low distal embolic stroke risk.

Indexed as

Carotid arteriesInterventionalRadiologyStents

Identifiers

PMID34689457
PMCPMC8561041
OpenAlexW3210024173

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.