Evidence map›Paper›PMID 38388684›Full record

ArticleAJNR. American journal of neuroradiology2024

The Management of Persistent Distal Occlusions after Mechanical Thrombectomy and Thrombolysis: An Inter- and Intrarater Agreement Study.

W Boisseau, A Benomar, C Ducroux, R Fahed, S Smajda, J D B Diestro, G Charbonnier, J Ognard, J Burel, A Ter Schiphorst and 25 more

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In one paragraph

Article in AJNR. American journal of neuroradiology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact, top 97% 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

0 citing papers in PubMed, 0 citations in OpenAlex.

No citing paper in PubMed yet.

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

35 authors at 20 institutions in 5 countries.

W BoisseauFrom the Department of Interventional Neuroradiology (W.B., S.S.), Fondation Rothschild Hospital, Paris, France.ORCID https://orcid.org/0000-0001-8120-5128
A BenomarDepartment of Radiology (W.B., A.B., D.R, D.I., J.R.), Centre Hospitalier de l'Université de Montréal Montréal, Canada.ORCID https://orcid.org/0000-0002-3735-1686
C DucrouxDepartment of Neurology (C.D., R.F.), Ottawa Hospital Research Institute & University of Ottawa, Ottawa, Canada.ORCID https://orcid.org/0000-0001-8938-9494
R FahedDepartment of Neurology (C.D., R.F.), Ottawa Hospital Research Institute & University of Ottawa, Ottawa, Canada.ORCID https://orcid.org/0000-0002-1887-5097
S SmajdaFrom the Department of Interventional Neuroradiology (W.B., S.S.), Fondation Rothschild Hospital, Paris, France.ORCID https://orcid.org/0000-0002-6486-1710
J D B DiestroDivision of Diagnostic and Therapeutic Neuroradiology (J.D.B.D., R.O.), Department of Medical Imaging, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-8450-2021
G CharbonnierInterventional Neuroradiology Department (G.C.), Besançon University Hospital, Besançon, France.ORCID https://orcid.org/0000-0002-4425-3849
J OgnardInterventional Neuroradiology Department (J.O.), Hôpital de la Cavale Blanche, Brest, Bretagne, France.ORCID https://orcid.org/0000-0003-4495-7464
J BurelDepartment of Radiology (J. Burel), Rouen University Hospital, Rouen, France.ORCID https://orcid.org/0000-0001-8726-265X
A Ter SchiphorstNeurology Department (A.T.S.), CHRU Gui de Chauliac, Montpellier, France.ORCID https://orcid.org/0000-0002-7354-3351
M BoulangerDepartment of Neurology (M. Boulanger, A.N.), Caen University Hospital, Caen, France.ORCID https://orcid.org/0000-0003-0900-1766
A NehmeDepartment of Neurology (M. Boulanger, A.N.), Caen University Hospital, Caen, France.ORCID https://orcid.org/0000-0002-7700-6799
J BoucheritDepartment of Radiology (J. Boucherit), Rennes University Hospital, Rennes, France.ORCID https://orcid.org/0009-0000-0824-3128
G MarnatDepartment of Neuroradiology (G. Marnat), University Hospital of Bordeaux, Bordeaux, France.ORCID https://orcid.org/0000-0002-7611-7753
D VoldersFrom the Department of Interventional Neuroradiology (W.B., S.S.), Fondation Rothschild Hospital, Paris, France.ORCID https://orcid.org/0000-0003-4074-8702
Q HolayRadiology Department (Q.H.), Hôpital d'Instruction des armées Saint-Anne, Toulon, France.ORCID https://orcid.org/0000-0002-3781-4628
G ForestierNeuroradiology Department (G.F.), University Hospital of Limoges, Limoges, France.ORCID https://orcid.org/0000-0003-4797-9693
M BretznerNeuroradiology Department (M. Bretzner), CHU Lille, University Lille, Inserm, U1172 Lille Neuroscience & Cognition, F-59000, Lille, France.ORCID https://orcid.org/0000-0002-7594-4159
D RoyDepartment of Radiology (W.B., A.B., D.R, D.I., J.R.), Centre Hospitalier de l'Université de Montréal Montréal, Canada.ORCID https://orcid.org/0000-0002-6066-4453
S VingadassalomInterventional Neuroradiology Department (S.V.), CHRU Marseille, La Timone, France.ORCID https://orcid.org/0000-0002-8222-5187
M ElhoranyDepartment of Neuroradiology (M.E.), Groupe Hospitalier de Pitié Salpêtrière, Paris, France.ORCID https://orcid.org/0000-0002-0257-2040
L NicoDepartment of Radiology (L.N.), University Hospital of Padova, Padova, Italy.ORCID https://orcid.org/0000-0003-2680-8916
G JacquinNeurovascular Health Program (G.J.), Centre Hospitalier de l'Université de Montréal (CHUM), Montreal, Quebec, Canada.ORCID https://orcid.org/0000-0003-4362-1571
M AbdalkaderDepartment of Radiology (M.A.), Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, Massachusetts.ORCID https://orcid.org/0000-0002-9528-301X
A GuedonDepartment of Neuroradiology (A.G.), Lariboisière Hospital, Paris, France.
P SenersNeurology Department (P.S.), Hôpital Fondation A. de Rothschild, Fondation Rothschild Hospital, Paris, France.ORCID https://orcid.org/0000-0002-2134-0691
K JanotInterventional Neuroradiology (K.J.), University Hospital of Tours, Tours, France.ORCID https://orcid.org/0000-0002-7305-3125
V DumasRadiology Department (V.D.), University Hospital of Poitiers, Poitiers, France.
R OlatunjiDivision of Diagnostic and Therapeutic Neuroradiology (J.D.B.D., R.O.), Department of Medical Imaging, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.ORCID https://orcid.org/0000-0001-7629-391X
S GazzolaFrom the Department of Interventional Neuroradiology (W.B., S.S.), Fondation Rothschild Hospital, Paris, France.
G MilotDepartment of Radiology (W.B., A.B., D.R, D.I., J.R.), Centre Hospitalier de l'Université de Montréal Montréal, Canada.
J ZehrDepartment of Neurology (C.D., R.F.), Ottawa Hospital Research Institute & University of Ottawa, Ottawa, Canada.
T E DarsautDivision of Diagnostic and Therapeutic Neuroradiology (J.D.B.D., R.O.), Department of Medical Imaging, St. Michael's Hospital, University of Toronto, Toronto, Ontario, Canada.
D IancuDepartment of Radiology (W.B., A.B., D.R, D.I., J.R.), Centre Hospitalier de l'Université de Montréal Montréal, Canada.
J RaymondDepartment of Radiology (W.B., A.B., D.R, D.I., J.R.), Centre Hospitalier de l'Université de Montréal Montréal, Canada jean.raymond@umontreal.ca.ORCID https://orcid.org/0000-0003-1978-4274
Centre Hospitalier de l’Université de Montréal · CAFondation de Rothschild · FRSt. Michael's Hospital · CAUniversity of Ottawa · CAInserm · FRUniversité de Caen Normandie · FRBoston University · USCentre Hospitalier Universitaire de Besançon · FRCentre Hospitalier Universitaire de Rennes · FRCentre Hospitalier Universitaire de Rouen · FRHôpital d'Instruction des Armées Sainte-Anne · FRHôpital Gui de Chauliac · FRHôpital Lariboisière · FRHôpital Maison Blanche · FRInstitut de Neurosciences de la Timone · FRTanta University · EGUniversité de Bordeaux · FRUniversité de Limoges · FRUniversité de Poitiers · FRUniversité de Tours · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe best management of patients with persistent distal occlusion after mechanical thrombectomy with or without IV thrombolysis remains unknown. We sought to evaluate the variability and agreement in decision-making for persistent distal occlusions. MATERIALS AND

methodsA portfolio of 60 cases was sent to clinicians with varying backgrounds and experience. Responders were asked whether they considered conservative management or rescue therapy (stent retriever, aspiration, or intra-arterial thrombolytics) a treatment option as well as their willingness to enroll patients in a randomized trial. Agreement was assessed using κ statistics.

resultsThe electronic survey was answered by 31 physicians (8 vascular neurologists and 23 interventional neuroradiologists). Decisions for rescue therapies were more frequent (

conclusionsIndividuals did not agree regarding the best management of patients with persistent distal occlusion after mechanical thrombectomy and IV thrombolysis. There is sufficient uncertainty to justify a dedicated randomized trial.

Identifiers

PMID38388684
PMCPMC11288561
OpenAlexW4392023852

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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.