Evidence map›Paper›PMID 35301953›Full record

ReviewCurrent cardiology reviews2023

Vertebral Artery Interventions: A Comprehensive Updated Review.

Oscar Maitas, Tamunoinemi Bob-Manuel, Justin Price, Abdullah Noor, Koyenum Obi, Nelson Okoh, Kiran Garikapati, Jeong Kim, Sanjida Jahan, James S Jenkins

Open access · greenAbstract readReview
In one paragraph

Review in Current cardiology reviews, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed
1.7field-weighted citation impact, top 16% 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

12 citing papers in PubMed, 13 citations in OpenAlex.

  1. Article
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  6. Observational
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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 4 institutions in 1 country.

Oscar MaitasJohn Ochsner Heart and Vascular Center, New Orleans, LA, USA.
Tamunoinemi Bob-ManuelDepartment of Cardiology, Montefiore Medical Center, NY, USA.
Justin PriceJohn Ochsner Heart and Vascular Center, New Orleans, LA, USA.
Abdullah NoorJohn Ochsner Heart and Vascular Center, New Orleans, LA, USA.
Koyenum ObiJohn Ochsner Heart and Vascular Center, New Orleans, LA, USA.
Nelson OkohRutgers Community Hospital, West Toms River, NJ, USA.
Kiran GarikapatiDepartment of Internal Medicine, Unity Hospital/Rochester Regional Health Rochester NY, USA.
Jeong KimDepartment of Internal Medicine, Unity Hospital/Rochester Regional Health Rochester NY, USA.
Sanjida JahanDepartment of Internal Medicine, Unity Hospital/Rochester Regional Health Rochester NY, USA.
James S JenkinsJohn Ochsner Heart and Vascular Center, New Orleans, LA, USA.
Ochsner Medical Center · USUnity Health System · USMontefiore Medical Center · USRutgers, The State University of New Jersey · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Patients with posterior circulation ischemia due to vertebral artery stenosis account for 20 to 25% of ischemic strokes and have an increased risk of recurrent stroke. In patients treated with medical therapy alone, the risk of recurrence is particularly increased in the first few weeks after symptoms occur, with an annual stroke rate of 10 to 15%. Additionally, obstructive disease of the vertebrobasilar system carries a worse prognosis, with a 30% mortality at 2-years if managed medically without additional surgical or endovascular intervention. Percutaneous transluminal angioplasty and stenting of symptomatic vertebral artery stenosis are promising options widely used in clinical practice with good technical results; however, the improved clinical outcome has been examined in various clinical trials without a sufficient sample size to conclusively determine whether stenting is better than medical therapy. Surgical revascularization is an alternative approach for the treatment of symptomatic vertebral artery stenosis that carries a 10-20% mortality rate. Despite the advances in medical therapy and endovascular and surgical options, symptomatic vertebral artery stenosis continues to impose a high risk of stroke recurrence with associated high morbidity and mortality. This review aims to provide a focused update on the percutaneous treatment of vertebral artery stenosis, its appropriate diagnostic approach, and advances in medical therapies.

Indexed as

StrokeVertebrobasilar InsufficiencyAngioplastyHumansStentsTreatment OutcomeVertebral Arterypercutaneous transluminal angioplasty (PTA)peripheral artery disease (PAD)transient ischemic attack (TIA)Vertebral artery stenosis (VAS)vertebral artery (V.A.)vertebrobasilar system (VBS)

Identifiers

PMID35301953
PMCPMC10201878
OpenAlexW4220701961

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.