Evidence map›Paper›PMID 35301225›Full record

SynthesisAJNR. American journal of neuroradiology2022

A Meta-analysis of Combined Aspiration Catheter and Stent Retriever versus Stent Retriever Alone for Large-Vessel Occlusion Ischemic Stroke.

D A Schartz, N R Ellens, G S Kohli, S M K Akkipeddi, G P Colby, T Bhalla, T K Mattingly, M T Bender

Open access · hybridAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in AJNR. American journal of neuroradiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
5.7field-weighted citation impact, top 3% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 27 citations in OpenAlex.

  1. Efficacy and safety of SOFIA aspiration catheter for mechanical thrombectomy via ADAPT and Solumbra echniques in acute ischemic stroke: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Pooled it
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  6. Observational
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  11. Contact Aspiration Alone or Combined With Stent Retriever Thrombectomy for Middle Cerebral Artery Large Vessel Occlusion.Journal of neuroimaging : official journal of the American Society of Neuroimaging
    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

8 authors at 3 institutions in 1 country.

D A SchartzFrom the Departments of Imaging Sciences (D.A.S.).ORCID 0000-0002-6220-9577
N R EllensNeurosurgery (N.R.E., G.S.K., S.M.K.A., T.B., T.K.M., M.T.B.), University of Rochester Medical Center, Rochester, New York.ORCID 0000-0001-6901-1160
G S KohliNeurosurgery (N.R.E., G.S.K., S.M.K.A., T.B., T.K.M., M.T.B.), University of Rochester Medical Center, Rochester, New York.ORCID 0000-0002-0192-581X
S M K AkkipeddiNeurosurgery (N.R.E., G.S.K., S.M.K.A., T.B., T.K.M., M.T.B.), University of Rochester Medical Center, Rochester, New York.ORCID 0000-0003-4717-4369
G P ColbyDepartment of Neurological Surgery (G.P.C.), University of California Los Angeles, Los Angeles, California.ORCID 0000-0002-3376-0933
T BhallaNeurosurgery (N.R.E., G.S.K., S.M.K.A., T.B., T.K.M., M.T.B.), University of Rochester Medical Center, Rochester, New York.ORCID 0000-0002-9211-4392
T K MattinglyNeurosurgery (N.R.E., G.S.K., S.M.K.A., T.B., T.K.M., M.T.B.), University of Rochester Medical Center, Rochester, New York.ORCID 0000-0003-2949-5521
M T BenderNeurosurgery (N.R.E., G.S.K., S.M.K.A., T.B., T.K.M., M.T.B.), University of Rochester Medical Center, Rochester, New York matthew_bender@urmc.rochester.edu.ORCID 0000-0002-5101-0431
University of Rochester Medical Center · USAdvanced Imaging Research (United States) · USUniversity of California, Los Angeles · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe efficacy of combined aspiration catheter and stent retriever compared with stent retriever alone for the treatment of large-vessel occlusion acute ischemic stroke is unclear. PURPOSE: Our aim was to conduct a systematic literature review and meta-analysis on several metrics of efficacy comparing aspiration catheter and stent retriever with stent retriever alone. DATA SOURCES: MEDLINE and the Cochrane Library Databases were searched. Randomized controlled trials and case-control and cohort studies were included. STUDY SELECTION: Ten comparative studies were included detailing a combined 1495 patients with aspiration catheter and stent retriever and 1864 with stent retrievers alone. DATA ANALYSIS: Data on first pass effect (TICI 2b/2c/3 after first pass), final successful reperfusion (modified TICI ≥2b), and 90-day functional independence (mRS ≤ 2) were collected. Meta-analysis was performed using a random-effects model. DATA SYNTHESIS: There was a pooled composite first pass effect of 40.8% (611/1495) versus 32.6% (608/1864) for aspiration catheter and stent retriever and stent retriever alone, respectively ( LIMITATIONS: This study is limited by high interstudy heterogeneity.

conclusionsOn meta-analysis, aspiration catheter and stent retriever are associated with a superior first pass effect compared with stent retriever alone, but they are not associated with statistically different final reperfusion or functional independence.

Indexed as

Arterial Occlusive DiseasesBrain IschemiaIschemic StrokeStrokeCathetersHumansRetrospective StudiesStentsThrombectomyTreatment Outcome

Identifiers

PMID35301225
PMCPMC8993196
OpenAlexW4220867759

What OpenQuestion holds

Textmetadata
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.