Evidence map›Paper›PMID 36114634›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2024

Initial experience of using a large-bore (0.096″ inner diameter) access catheter in neurovascular interventions.

Robert M Starke, Isaac Josh Abecassis, Vasu Saini, Charles C Matouk, Ameer E Hassan, Adnan H Siddiqui, Donald F Frei

Abstract readMulticenter Study
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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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.

No citing paper in PubMed yet.

4 · The record

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5 · Who and what money

Authors and funding

7 authors.

Robert M StarkeDepartment of Neurological Surgery, University of Miami, Miami, FL, USA.
Isaac Josh AbecassisDepartment of Neurosurgery, University of Louisville, Louisville, KY, USA.ORCID 0000-0003-0511-806X
Vasu SainiDepartment of Neurology, University of Miami, Miami, FL, USA.
Charles C MatoukDepartment of Neurosurgery and Department of Radiology & Biomedical Imaging, Yale University, New Haven, CT, USA.ORCID 0000-0003-3234-9541
Ameer E HassanDepartment of Neurology and Radiology, University of Texas Rio Grande Valley at Valley Baptist Medical Center, Harlingen, TX, USA.ORCID 0000-0002-7148-7616
Adnan H SiddiquiDepartment of Neurosurgery, University at Buffalo Neurosurgery, Inc., Buffalo, NY, USA.
Donald F FreiRadiology Imaging Associates, Englewood, CO, USA.

Funding

Miami Clinical and Translational Science InstituteUL1TR002736 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI CARRASQUILLO, OLVEEN, KOBETZ, ERIN N · 2018 to 2022
$23.2M
Institutional Career Development CoreKL2TR002737 · NCATS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI RUNDEK, TATJANA, SCOTT, GWENDOLYN BARBARA · 2018 to 2022
$3.6M
High Speed Angiography at 1000 frames per secondR01EB030092 · NIBIB · STATE UNIVERSITY OF NEW YORK AT BUFFALO · PI RUDIN, STEPHEN · 2020 to 2023
$2.6M
Endothelial cell dysfunction in cerebral aneurysm pathogenesisR01NS111119 · NINDS · UNIVERSITY OF MIAMI SCHOOL OF MEDICINE · PI STARKE, ROBERT MICHAEL · 2020 to 2024
$2.4M
NCATS NIH HHS KL2 TR002737NCATS NIH HHS UL1 TR002736NIBIB NIH HHS R01 EB030092NINDS NIH HHS R01 NS111119
6 · The paper itself

Abstract

introductionThe purpose of this study was to report our initial experience of using a large-bore (0.096″ inner diameter) access catheter in neurovascular interventions.

methodsData were retrospectively collected from 5 sites in the US for neurovascular procedures performed using a large-bore access catheter. The effectiveness outcome was technical success, defined as the access catheter's successfully reaching its target vessel without conversion to direct carotid puncture or to a smaller-bore access catheter and successfully completing the intended neurointervention.

resultsOne hundred and thirteen procedures performed in 112 patients were included in this study. The mean age of the patients was 67.5 years (SD 16.2), and about half (49.1%) were female. The most common primary access sites were the femoral (64.6%) or radial (32.7%) artery. Challenging anatomic variations included severe vessel tortuosity (26/81, 32.1%), type II aortic arch (17/88, 19.3%), type III aortic arch (14/88, 15.9%), bovine arch (16/104, 15.4%), severe angle (<30°) between the subclavian and target vessel (11/74, 14.9%), and subclavian loop (7/79, 8.9%). The median access time to branch view was 18 min (IQR 11-28, N = 75). The technical success rate was 94.7%. Two dissections (1.8%) were related to the large-bore access catheter. Access site complications occurred in 2 patients (1.8%). Four additional symptomatic periprocedural complications not related to the large-bore access catheter occurred (7.1%).

conclusionFor neurovascular interventions, a 0.096″ inner diameter access catheter could be used with both femoral and radial arterial approaches, had a high technical success rate, and had a low rate of periprocedural complications.

Indexed as

Femoral ArteryAgedCathetersEndovascular ProceduresEquipment DesignFemaleHumansMaleMiddle AgedRadial ArteryRetrospective StudiesTreatment OutcomeVascular Access DevicesAccess cathetercatheterscoilingendovascular proceduresguide catheterinterventional radiologyischemic strokeneurovascular interventionsthrombectomy

Identifiers

PMID36114634
PMCPMC11310716

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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.