ArticleNeurologia medico-chirurgica2024
Trends and Progress in Neuroendovascular Treatment in Japan: Japanese Registry of Neuroendovascular Therapy (JR-NET) 4. Main Report.
Article in Neurologia medico-chirurgica, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Device selection and clinical outcomes of adjunctive techniques for ruptured intracranial aneurysms: Insights from the JR-NET4 nationwide registry.Neuroradiology · 2026Article
- Estimation of organ and effective doses for rotational cerebral angiography using the National Cancer Institute Dosimetry System for Radiography and Fluoroscopy (NCIRF).Radiological physics and technology · 2025Article
- Actual Circumstances of In-hospital Stroke Set-up Using Rapid Response System for Stroke in the Endovascular Thrombectomy Era.Neurologia medico-chirurgica · 2025Article
- Outcome after Endovascular Treatment of Patients with Acute Ischemic Stroke with Large Vessel Occlusion over 90 Years of Age.Neurologia medico-chirurgica · 2025Article
- Outcome after Endovascular Treatment of Patients with Ruptured Cerebral Aneurysm over 90 Years of Age.Neurologia medico-chirurgica · 2025Article
- Turn-Over Technique Using a Balloon Guiding Catheter for Stable Transfemoral Neuroendovascular Therapy in Type III Aortic Arch with Severe Vessel Tortuosity.Journal of neuroendovascular therapy · 2025Article
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Authors and funding
19 authors.
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No grant is acknowledged in the PubMed record.
Abstract
We reported the main results of the Japanese Registry of Neuroendovascular Therapy (JR-NET) 4, a nationwide surveillance of therapy (NET) in Japan from January 2015 to December 2019. JR-NET 4 registered consecutive patients who underwent NETs by Japan Society of Neuroendovascular Therapy (JSNET) -certified specialists. The primary endpoint was functional independence (mRS score of 0-2) at 30 days post-NET, with secondary endpoints focusing on technical success and major adverse events within 30 days.A total of 63,230 patients and 60,354 NET procedures from 166 participating centers were analyzed. During the study period, NET cases have consistently increased, with an increase in the proportion of elderly patients. A significant trend shift was observed in the distribution of NET procedures, with endovascular treatment for acute ischemic stroke that showed a dramatic increase in 5 years. This trend aligns with key randomized clinical trials from 2015 that presented the efficacy of this treatment. Clinical outcomes at 30 days posttreatment revealed that endovascular treatment for acute ischemic stroke and other NETs maintained safety and effectiveness despite varying prevalence of functional independence between target diseases. The study also observed a steady increase in emergency treatment cases, reflecting the increase in acute ischemic stroke, a time-sensitive medical condition.This comprehensive surveillance highlights the trend of NET practices in Japan, driven by clinical evidence and advancements in treatment devices. Although these findings were specific to Japan, they offer valuable insights into the broader trends in NETs and acute stroke care.
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