Evidence map›Paper›PMID 36767599›Full record

ArticleInternational journal of environmental research and public health2023

Thrombectomy-Capable Stroke Centre-A Key to Acute Stroke Care System Improvement? Retrospective Analysis of Safety and Efficacy of Endovascular Treatment in Cardiac Cathlab.

Krzysztof Pawłowski, Artur Dziadkiewicz, Anna Podlasek, Jacek Klaudel, Alicja Mączkowiak, Marek Szołkiewicz

Abstract read
In one paragraph

Article in International journal of environmental research and public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–field-weighted citation impact
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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Making endovascular stroke treatment possible: training to save brains (and lives).Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2023
    Article
  6. 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

6 authors.

Krzysztof PawłowskiDepartment of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, 84-200 Wejherowo, Poland.ORCID 0000-0001-9138-4377
Artur DziadkiewiczDepartment of Neurology and Stroke, Pomeranian Hospitals, 84-200 Wejherowo, Poland.ORCID 0000-0002-0833-8503
Anna PodlasekTayside Innovation Medtech Ecosystem (TIME), University of Dundee, Dundee DD1 4HN, UK.ORCID 0000-0001-7297-7169
Jacek KlaudelDepartment of Invasive Cardiology, St. Adalbert's Hospital, Copernicus PL, 80-070 Gdansk, Poland.ORCID 0000-0002-0406-7240
Alicja MączkowiakDepartment of Neurology and Stroke, Pomeranian Hospitals, 84-200 Wejherowo, Poland.
Marek SzołkiewiczDepartment of Cardiology and Interventional Angiology, Kashubian Center for Heart and Vascular Diseases, Pomeranian Hospitals, 84-200 Wejherowo, Poland.ORCID 0000-0002-0367-4014

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The optimal structure of the acute ischaemic stroke treatment network is unknown and eagerly sought. To make it most effective, different treatment and transportation strategies have been developed and investigated worldwide. Since only a fraction of acute stroke patients with large vessel occlusion are treated, a new entity-thrombectomy-capable stroke centre (TCSC)-was introduced to respond to the growing demand for timely endovascular treatment. The purpose of this study was to present the early experience of the first 70 patients treated by mechanical means in a newly developed cardiac Cathlab-based TCSC. The essential safety and efficacy measures were recorded and compared with those reported in the invasive arm of the HERMES meta-analysis-the largest published dataset on the subject. We found no significant differences in terms of clinical and safety outcomes, such as early neurological recovery, level of functional independence at 90 days, symptomatic intracranial haemorrhage, parenchymal haematoma type 2, and mortality. These encouraging results obtained in the small endovascular centre may be an argument for the introduction of the TCSC into operating stroke networks to increase patient access to timely treatment and to improve clinical outcomes.

Indexed as

Brain IschemiaStrokeHumansRetrospective StudiesThrombectomyThrombolytic TherapyTreatment Outcomeacute ischaemic strokeendovascular stroke treatmentmechanical thrombectomythrombectomy-capable stroke centre

Identifiers

PMID36767599
PMCPMC9915992

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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.