Evidence map›Paper›PMID 39158771›Full record

ArticleNeurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology2025

Current trends in antiplatelet strategies for emergent carotid stenting in acute tandem occlusions: a web-based, nationwide survey in the Italian neurovascular community.

Nicola Milazzo, Valerio Da Ros, Marina Diomedi, Roberto Menozzi, Alessandro Pezzini, Maria Ruggiero, Luigi Simonetti, Andrea Zini, Daniele Giuseppe Romano, Rosa Napoletano and 9 more

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Article in Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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.

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

19 authors.

Nicola MilazzoDiagnostic and Interventional Neuroradiology, Foch Hopital, Suresnes, France. nicola.milazzo@live.it.ORCID http://orcid.org/0000-0001-7745-2046
Valerio Da RosDepartment of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Marina DiomediStroke Unit, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.
Roberto MenozziDiagnostic Department, Neuroradiology Unit, Parma University Hospital, Parma, Italy.
Alessandro PezziniStroke Care Program Department of Emergency, Parma University Hospital, Parma, Italy.
Maria RuggieroMaurizio Bufalini Hospital, Cesena, Italy.
Luigi SimonettiIRCCS Istituto delle Scienze Neurologiche di Bologna, Neuroradiology Unit, Maggiore Hospital, Bologna, Italy.
Andrea ZiniDepartment of Neurology and Stroke Center, IRCCS Istituto delle Scienze Neurologiche di Bologna, Maggiore Hospital, Bologna, Italy.
Daniele Giuseppe RomanoDepartment of Interventional Radiology and Neuroradiology, University Hospital of Salerno, Salerno, Italy.
Rosa NapoletanoStroke Unit, Department of Medical Sciences, University Hospital of Salerno, Salerno, Italy.
Stefano ValloneBaggiovara Hospital, Azienda Ospedaliero-Universitaria di Modena, NeuroradiologyModena, Italy.
Guido BigliardiNeurology Clinic - Stroke Unit, Baggiovara Hospital, Azienda Ospedaliero-Universitaria di Modena, Modena, Italy.
Mauro PlebaniDepartment of Neuroradiology, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Manuel CappellariStroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.
Concetto CristaudoDepartment of Neuroradiology, Cannizzaro Hospital, Catania, Italy.
Salvatore MangiaficoInterventional Neuroradiology Consultant at IRCCS Neuromed, Pozzilli (IS), and Adjunct Professor of Interventional Neuroradiology at Tor Vergata University, Sapienza University and S. Andrea Hospital, Rome, Italy.
Danilo ToniEmergency Department Stroke Unit, Department of Human Neurosciences, Sapienza University of Rome, Rome, Italy.
Arturo ConsoliDiagnostic and Interventional Neuroradiology, Foch Hopital, Suresnes, France.
IRETAS Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough a benefit from mechanical thrombectomy has been proven, the best treatment strategy for tandem occlusions (TOs) remains unclear. We conducted a survey that aimed to investigate the trends of pharmacological strategy in the setting of emergent carotid stenting for TOs in the Italian neuro-endovascular community.

methodsWe administered a 13-multiple choice-questions survey to the Chiefs of the centers participating to the Italian Registry of Endovascular Thrombectomy in Acute Stroke (IRETAS), focused on the technical aspects and on the management of the antiplatelet therapy for emergent carotid tenting in TOs. An internal coherence control was performed by the coordinating investigator.

resultsWe obtained responses from 56/66 centers (84.8%). The main results of the survey showed that most of the center treat TOs using a retrograde approach, deploying a closed-cell stent. A single antiplatelet therapy is preferred at the moment of the deployment of the stent.

conclusionsThis survey showed that the current practice regarding the acute management of TOs, in particular the antiplatelet therapy, remains heterogeneous in the Italian neurovascular community. Specific evidences are urgently needed in order to achieve a consensus on the acute management of TOs.

Indexed as

Platelet Aggregation InhibitorsStentsEndovascular ProceduresHumansInternetItalyRegistriesSurveys and QuestionnairesPlatelet Aggregation InhibitorsAntiplateletCarotid stentingSurveyTandem occlusions

Identifiers

PMID39158771

What OpenQuestion holds

Textmetadata
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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.