Evidence map›Paper›PMID 36237613›Full record

ArticleFrontiers in neurology2022

Eptifibatide use in ischemic stroke patients undergoing endovascular thrombectomy: A matched cohort analysis.

Ameena Rana, Siyuan Yu, Savina Reid-Herrera, Scott Kamen, Krystal Hunter, Hamza Shaikh, Tudor Jovin, Olga R Thon, Parth Patel, James E Siegler and 1 more

Open access · goldAbstract read
In one paragraph

Article in Frontiers in neurology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
1.9field-weighted citation impact, top 14% 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

8 citing papers in PubMed, 12 citations in OpenAlex.

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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

11 authors at 2 institutions in 1 country.

Ameena RanaCooper Medical School of Rowan University, Camden, NJ, United States.
Siyuan YuCooper Medical School of Rowan University, Camden, NJ, United States.
Savina Reid-HerreraCooper Medical School of Rowan University, Camden, NJ, United States.
Scott KamenCooper Medical School of Rowan University, Camden, NJ, United States.
Krystal HunterCooper Research Institute, Cooper University Hospital, Camden, NJ, United States.
Hamza ShaikhDepartment of Radiology, Cooper University Hospital, Camden, NJ, United States.
Tudor JovinCooper Neurological Institute, Cooper University Hospital, Camden, NJ, United States.
Olga R ThonCooper Neurological Institute, Cooper University Hospital, Camden, NJ, United States.
Parth PatelCooper Medical School of Rowan University, Camden, NJ, United States.
James E SieglerCooper Neurological Institute, Cooper University Hospital, Camden, NJ, United States.
Jesse M ThonCooper Neurological Institute, Cooper University Hospital, Camden, NJ, United States.
Cooper University Hospital · USCooper Medical School of Rowan University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Small studies have suggested that eptifibatide (EPT) may be safe in acute ischemic stroke (AIS) following intravenous thrombolysis or during endovascular therapy (EVT) for large vessel occlusion (LVO). However, studies are called upon to better delineate the safety of EPT use during EVT. Methods: A comprehensive stroke center registry (09/2015-12/2020) of consecutive adults who had undergone EVT for anterior LVO was queried. Patients treated with EPT were matched with 2 control groups based on known factors associated with intracranial hemorrhage (ICH) risk - age, Alberta Stroke Program Early Computed Tomography Score (ASPECTS), and number of thrombectomy passes. Safety outcomes (intracranial hemorrhage [ICH], parenchymal hematoma [PH-2] grade hemorrhagic transformation, symptomatic ICH [sICH]) and efficacy outcomes (TICI 2B/3 recanalization, 24-h National Institutes of Health Stroke Scale [NIHSS] score), were compared between matched groups using descriptive statistics. In addition, multivariable logistic regression was used to assess for an association between EPT and PH-1/PH-2 grade hemorrhages. Results: A total of 162 patients were included, 54 of whom (33%) received EPT. The rate of ICH was similar between groups ( Conclusion: In this single-center analysis, EPT use during EVT was associated with a significantly higher rate of PH1/PH2 grade hemorrhages, but not with differences in sICH, 24-h NIHSS, or 90-day mortality. Randomized prospective trials are needed to determine the safety and efficacy of EPT in this population.

Indexed as

endovascular treatmentischemic strokeneurointerventionstrokethrombectomy

Identifiers

PMID36237613
PMCPMC9551346
OpenAlexW4297312018

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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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.