Evidence map›Paper›PMID 39672973›Full record

ArticleClinical neuroradiology2025

Long and Large Stentrievers Improve Reperfusion Outcomes in Acute Intracranial Terminal Internal Carotid Artery Occlusion: Interim Results of the Rossetti Registry.

Antonio Lopez-Rueda, Josep Puig, Pepus Daunis-I-Estadella, Mariano Werner, Eva González, Ion Labayen, Pedro Vega, Eduardo Murias, Elvira Jimenez-Gomez, Isabel Bravo Rey and 15 more

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Article in Clinical neuroradiology, 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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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

25 authors.

Antonio Lopez-RuedaNeuroradiology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Josep PuigRadiology Department CDI and IDIBAPS, Hospital Clinic of Barcelona, Barcelona, Spain. jpuigmd@gmail.com.ORCID http://orcid.org/0000-0003-2791-6599
Pepus Daunis-I-EstadellaDepartment of Computer Science, Applied Mathematics and Statistics, University of Girona, Girona, Spain.
Mariano WernerNeurointerventional Department CDI, Hospital Clinic de Barcelona, Barcelona, Spain.
Eva GonzálezInterventional Neuroradiology, Radiology, Hospital Cruces, Bilbao, Spain.
Ion LabayenInterventional Neuroradiology, Radiology, Hospital Cruces, Bilbao, Spain.
Pedro VegaRadiology, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Eduardo MuriasRadiology, Hospital Universitario Central de Asturias, Oviedo, Asturias, Spain.
Elvira Jimenez-GomezDiagnostic and Therapeutical Neuroradiology Unit, Hospital Reina Sofía, Córdoba, Spain.
Isabel Bravo ReyDiagnostic and Therapeutical Neuroradiology Unit, Hospital Reina Sofía, Córdoba, Spain.
Manuel MoreuNeurointerventional Unit, Hospital Clinico Universitario San Carlos, Madrid, Spain.
Carlos Pérez-GarcíaNeurointerventional Unit, Hospital Clinico Universitario San Carlos, Madrid, Spain.
Oscar Chirife ChaparroNeuroradiology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Sonia AixutNeuroradiology, Hospital Universitari de Bellvitge, L'Hospitalet de Llobregat, Barcelona, Spain.
Mikel TerceñoStroke Unit, Department of Neurology, Hospital Universitari de Girona Doctor Josep Trueta, Girona, Spain.
Guillem DolzNeurointerventional Department CDI, Hospital Clinic de Barcelona, Barcelona, Spain.
José Manuel PumarNeuroradiology, Hospital Clinico Universitario, Santiago de Compostela, Spain.
Yeray Aguilar TejedorRadiology Department, Hospital Universitario Insular de Gran Canaria, Las Palmas de Gran Canaria, Canarias, Spain.
Jose Carlos MendezInterventional Neuroradiology Unit, Hospital Ramón y Cajal, Madrid, Spain.
Fernando Aparici-RoblesInterventional Radiology, Hospital Universitario La Fe, Valencia, Spain.
Lluis Morales-CabaInterventional Radiology, Hospital Universitario La Fe, Valencia, Spain.
José Carlos RayónInterventional Neuroradiology, Hospital General Universitario de Alicante, Valencia, Spain.
Luis San RomanNeurointerventional Department CDI, Hospital Clinic de Barcelona, Barcelona, Spain.
Jordi BlascoNeurointerventional Department CDI, Hospital Clinic de Barcelona, Barcelona, Spain.
ROSSETTI Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAlthough stentrievers (SRs) are widely used for mechanical thrombectomy (MT), the impact of device dimensions on optimizing reperfusion outcomes in high clot burden cases is unclear. Our study aimed to investigate the effect of SR size on angiographic and clinical outcomes in patients with acute terminal internal cerebral artery (TICA) occlusion.

methodsWe analyzed ROSSETTI registry data to compare technical and clinical outcomes of TICA occlusion patients treated with MT without rescue therapy, according to SR diameter and length: 6 × 41-50 mm, 6 × 20-40 mm, and <6 × 20-50 mm. The first-pass effect (FPE) was defined as achieving a TICI2c‑3 after a single pass.

resultsWe included 491 patients, 240 (41.5%) in 6 × 41-50 group, 117 (20.2%) in 6 × 20-40 group, and 134 (23.2%) in < 6 × 20-50 group. The MT procedure time for the 6 × 41-50 group was shorter, but the FPE rate was similar across all groups. The highest final mTICI 2c‑3 rate was in 6 × 41-50 group (81.2%), compared to 6 × 20-40 group (68.4%) and 4-6 × 20-50 group (72.4%) (p = 0.016). Distal catheter use was associated with final mTICI 0-2b (62% of patients). Clinical outcomes were similar between the groups. Larger diameter and longer length of the SR, as well as not using an intermediate catheter, were independent predictors of final mTICI 2c‑3. The use of 6 × 41-50 SRs (OR 1.64, 95% CI 1.06-2.52; p = 0.024) and distal catheter use (OR 0.62, 95%CI 0.40-0.96; p = 0.034) were independent predictors of final mTICI 2c‑3.

conclusionsUse of longer and larger SRs in acute intracranial TICA occlusion improves final reperfusion rate.

Indexed as

Carotid Artery, InternalCarotid StenosisMechanical ThrombolysisReperfusionStentsThrombectomyAgedCerebral AngiographyFemaleHumansMaleMiddle AgedRegistriesTreatment OutcomeInternal carotid arteryOcclusionStentrieverStrokeThrombectomy

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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.