Evidence map›Paper›PMID 38068341›Full record

ArticleJournal of clinical medicine2023

Initial Experience with the Solitaire X 3 mm Stent Retriever for the Treatment of Distal Medium Vessel Occlusions.

Nikos Ntoulias, Alex Brehm, Ioannis Tsogkas, Jessica Jesser, Antonio Armando Caragliano, Theo Demerath, A C G M van Es, Phillip Gruber, Pedro Vega, Alex Lüttich and 10 more

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.7field-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

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Review
  2. Review
  3. Article
  4. 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

20 authors at 13 institutions in 6 countries.

Nikos NtouliasDepartment of Interventional and Diagnostic Neuroradiology, University Hospital of Basel, 4031 Basel, Switzerland.
Alex BrehmDepartment of Interventional and Diagnostic Neuroradiology, University Hospital of Basel, 4031 Basel, Switzerland.ORCID 0000-0002-1630-6210
Ioannis TsogkasDepartment of Interventional and Diagnostic Neuroradiology, University Hospital of Basel, 4031 Basel, Switzerland.
Jessica JesserDepartment of Neuroradiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Antonio Armando CaraglianoNeuroradiology Unit, University Hospital "G. Martino", 98124 Messina, Italy.ORCID 0000-0003-3493-0145
Theo DemerathNeuroradiologie Neurozentrum, Universitätsklinikum Freiburg, 79106 Freiburg, Germany.
A C G M van EsDepartment of Radiology, Leiden University Medical Center, 2333 ZA Leiden, The Netherlands.
Phillip GruberFaculty of Medicine, University of Zürich, 8006 Zürich, Switzerland.
Pedro VegaRadiology Department, Hospital Universitario Central de Asturias, 36312 Vigo, Spain.ORCID 0000-0002-7446-4540
Alex LüttichInterventional Neuroradiology, University Hosptal Donostia, 20014 Donostia, Spain.
Sanjeev NayakDepartment of Interventional Neuroradiology, Royal Stoke University Hospital, University Hospital of North Midlands, Stoke-on-Trent ST4 6QG, UK.ORCID 0000-0003-4156-5000
Eduardo FandiñoHospital Universitario Ramon y Cajal, 28034 Madrid, Spain.ORCID 0000-0002-7390-2940
Marc RiboStroke Unit, Neurology Department, Hospital Vall d'Hebron, 08035 Barcelona, Spain.
Carlos Manuel Rodriguez PazHospital Alvaro Cunqueiro, 36312 Vigo, Spain.ORCID 0000-0002-5240-5224
Markus A MöhlenbruchDepartment of Neuroradiology, Heidelberg University Hospital, 69120 Heidelberg, Germany.
Agostino TessitoreNeuroradiology Unit, University Hospital "G. Martino", 98124 Messina, Italy.
Luca RemondaDepartment of Diagnostic and Interventional Neuroradiology, Kantonsspital Aarau, 5001 Aarau, Switzerland.
Eduardo MuriasRadiology Department, Hospital Universitario Central de Asturias, 36312 Vigo, Spain.
Kristine Ann BlackhamDepartment of Interventional and Diagnostic Neuroradiology, University Hospital of Basel, 4031 Basel, Switzerland.
Marios-Nikos PsychogiosDepartment of Interventional and Diagnostic Neuroradiology, University Hospital of Basel, 4031 Basel, Switzerland.
University Hospital of Basel · CHAzienda Ospedaliera Universitaria Policlinico "G. Martino" · ITHeidelberg University · DEHospital Universitario Central de Asturias · ESBiogipuzkoa Health Research Institute · ESHospital Universitario Ramón y Cajal · ESLeiden University Medical Center · NLRoyal Stoke University Hospital · GBUniversity Hospital Complex Of Vigo · ESUniversity Medical Center Freiburg · DEUniversity of Bern · CHUniversity of Zurich · CHVall d'Hebron Hospital Universitari · ES

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Endovascular therapy (EVT) is the standard treatment for ischemic stroke caused by a large vessel occlusion (LVO). The effectiveness of EVT for distal medium vessel occlusions (MDVOs) is still uncertain, but newer, smaller devices show potential for EVT in MDVOs. The new Solitaire X 3 mm device offers a treatment option for MDVOs. Our study encompassed consecutive cases of primary and secondary MDVOs treated with the Solitaire X 3 mm stent-retriever as first-line EVT device between January and December 2022 at 12 European stroke centers. The primary endpoint was a first-pass near-complete or complete reperfusion, defined as a modified treatment in cerebral infarction (mTICI) score of 2c/3. Additionally, we examined reperfusion results, National Institutes of Health Stroke Scale (NIHSS) scores at 24 h and discharge, device malfunctions, complications and procedural technical parameters. Sixty-eight patients (38 women, mean age 72 ± 14 years) were included in our study. Median NIHSS at admission was 11 (IQR 6-16). In 53 (78%) cases, a primary combined approach was used as the frontline technique. Among all enrolled patients, first-pass mTICI 2c/3 was achieved in 22 (32%) and final mTICI 2c/3 in 46 (67.6%) patients after a median of 1.5 (IQR 1-2) passes. Final reperfusion mTICI 2b/3 was observed in 89.7% of our cases. We observed no device malfunctions. Median NIHSS at discharge was 2 (IQR 0-4), and no symptomatic intracranial hemorrhages were reported. Based on our analysis, the utilization of the Solitaire X 3 mm device appears to be both effective and safe for performing EVT in cases of MDVO stroke.

Indexed as

distal medium vessel occlusionsendovascular thrombectomystroke

Identifiers

PMID38068341
PMCPMC10706966
OpenAlexW4388971217

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.