Evidence map›Paper›PMID 37989788›Full record

ArticleCardiovascular and interventional radiology2024

Interdisciplinary Rendez-Vous Approach in Endovascular Stroke Treatment: A New Concept to Accelerate Mechanical Thrombectomy in Primary Stroke Centers.

Nadja Krug, Holger Braun, Andreas Knez, Holger Auerbach, Stephen Bodenberger, Bettina Eglseder, Jan Kirschke, Tobias Boeckh-Behrens, Silke Wunderlich, Julia Henninger and 5 more

Open access · hybridAbstract read
In one paragraph

Article in Cardiovascular and interventional radiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.2field-weighted citation impact, top 39% 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

2 citing papers in PubMed, 1 citations in OpenAlex.

  1. Article
  2. Review
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

15 authors at 3 institutions in 2 countries.

Nadja KrugDiagnostic and Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland.
Holger BraunMedical Department, Krankenhaus Weilheim, Weilheim, Germany.
Andreas KnezMedical Department, Krankenhaus Weilheim, Weilheim, Germany.
Holger AuerbachMedical Department, Krankenhaus Weilheim, Weilheim, Germany.
Stephen BodenbergerMedical Department, Krankenhaus Weilheim, Weilheim, Germany.
Bettina EglsederMedical Department, Krankenhaus Weilheim, Weilheim, Germany.
Jan KirschkeDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, Munich, Germany.
Tobias Boeckh-BehrensDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, Munich, Germany.
Silke WunderlichDepartment of Neurology, Klinikum Rechts der Isar, School of Medicine, Technical University of Munich, Munich, Germany.
Julia HenningerMedical Department, Klinikum Dritter Orden, Munich, Germany.
Sandra BoyDepartment of Neurology, Asklepios Stadtklinik Bad Tölz, Bad Tölz, Germany.
Martin RenzDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, Munich, Germany.
Dominik SeppDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, Munich, Germany.
Claus ZimmerDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, Munich, Germany.
Christian MaegerleinDepartment of Diagnostic and Interventional Neuroradiology, Klinikum Rechts der Isar, School of Medicine, Technical University Munich, Munich, Germany. christian.maegerlein@tum.de.ORCID http://orcid.org/0000-0003-4885-7671
TUM Klinikum · DEMünchen Klinik · DEUniversity Hospital of Basel · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposePrompt endovascular treatment of patients with stroke due to intracranial Large Vessel Occlusion (LVO) is a major challenge in rural areas because neurointerventionalists are usually not available. As a result, treatment is delayed, and clinical outcomes are worse compared with patients primarily treated in comprehensive stroke centers (CSC). To address this problem, we present a concept in which interdisciplinary, on-site endovascular treatment is performed in a Primary Stroke Center (PSC) by a team of interventional neuroradiologists and cardiologists: the Rendez-Vous approach.

methodsThirty-five patients with LVO who underwent interdisciplinary thrombectomy on-site at the PSC as part of the Rendez-Vous concept were compared with 72 patients who were transferred from a PSCs to the CSC for thrombectomy when diagnosed with LVO in terms of temporal sequences and clinical outcomes.

resultsPatients treated on-site at the PSC as part of the Rendez-Vous approach were managed as successfully and without an increase in complication rates compared with patients treated secondarily at a CSC (91.7% successful interventions in Rendez-Vous vs. 87.3% in control group, p = 0.57). The time from diagnosis of LVO to groin puncture was reduced by mean 74.3 min with the Rendez-Vous concept (p < 0.01). Regarding the clinical outcome, a functionally independent status was achieved in 45.5% in the Rendez-Vous group and in 22.6% in the control group (p = 0.029).

conclusionThanks to interdisciplinary teamwork between cardiology and interventional neuroradiology in local PSCs, times to successful reperfusion can be reduced. This has a potentially positive impact on the clinical outcome of stroke patients.

Indexed as

Brain IschemiaEndovascular ProceduresStrokeHumansRetrospective StudiesThrombectomyTreatment OutcomeEndovascular Stroke TreatmentMechanical ThrombectomyPrimary Stroke CenterRendez-Vous conceptStroke

Identifiers

PMID37989788
PMCPMC10769944
OpenAlexW4388851238

What OpenQuestion holds

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LicenceCC BY
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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.