Evidence map›Paper›PMID 41583021›Full record

ArticleStroke (Hoboken, N.J.)2023

Balloon-Expandable Stenting as a Bridging Therapy in Patients With Acute Stroke and Tandem Occlusions.

Noelia Rodríguez-Villatoro, David Rodríguez-Luna, Marian Muchada, Olalla Pancorbo, Matías Deck, Prudencio Lozano, Sandra Boned, Álvaro García-Tornel, Marta Olivé, Jesús Juega and 12 more

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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

1 citing paper in PubMed.

  1. Correlation between intravascular pressure gradients and ultrasound velocities in carotid artery stenosis: An exploratory study.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    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

22 authors.

Noelia Rodríguez-VillatoroUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
David Rodríguez-LunaUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Marian MuchadaUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Olalla PancorboUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Matías DeckUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Prudencio LozanoUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Sandra BonedUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Álvaro García-TornelUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Marta OlivéUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Jesús JuegaUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Jorge PagolaUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Marta RubieraUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
David HernándezInterventional Neuroradiology Section Department of Radiology Hospital Universitari Vall d'Hebron Barcelona Spain.
Carlos MolinaUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Carlos PiñanaInterventional Neuroradiology Section Department of Radiology Hospital Universitari Vall d'Hebron Barcelona Spain.
Isabel RodriguezInterventional Neuroradiology Section Department of Radiology Hospital Universitari Vall d'Hebron Barcelona Spain.
Marta De DiosInterventional Neuroradiology Section Department of Radiology Hospital Universitari Vall d'Hebron Barcelona Spain.
Jose Luis CuevasInterventional Neuroradiology Section Department of Radiology Hospital Universitari Vall d'Hebron Barcelona Spain.
Manuel RequenaUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Laura Ludovica GramegnaIRCCS Istituto delle Scienze Neurologiche di Bologna Functional and Molecular Neuroimaging Unit Bologna Italy.
Marc RibóUnitat d'Ictus Hospital Universitari Vall d'Hebron Barcelona Spain.
Alejandro TomaselloInterventional Neuroradiology Section Department of Medicine Universitat Autonoma de Barcelona Barcelona Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Stenting extracranial internal carotid artery (ICA) lesions in acute ischemic stroke with tandem lesions is technically challenging. Its safety is highly debated because of the requirement of dual-antiplatelet therapy. The optimal stenting device, timing, and periprocedural antiplatelet therapy for extracranial ICA stenting in the setting of acute tandem occlusion are still unclear. Methods: We performed a retrospective study of patients with acute ischemic stroke attributable to tandem lesions who underwent endovascular treatment during a 5-year period receiving either conventional self-expanding carotid stents (SX) or balloon-expandable carotid stent (BX). BX stents were restented with an SX in the subacute phase. Primary outcomes of interest were extracranial ICA patency at follow-up and symptomatic intracranial hemorrhage. Results: A total of 112 patients admitted from April 2016 to April 2021 were included. Dual-antiplatelet therapy immediately following endovascular treatment was more frequently administered in the SX group (35/39 [89.7%]) compared with the BX group (20/73 [27.4%]) ( Conclusions: In patients with acute ischemic stroke and tandem occlusions, a bridging therapy including BX stents with less-aggressive antiplatelet therapy and subsequent definitive SX stenting to treat extracranial ICA lesions resulted in a lower rate of symptomatic hemorrhagic transformation and no differences in stent patency.

Indexed as

antiplatelet therapyendovascular thrombectomyinternal carotid arterystentstroke

Identifiers

PMID41583021
PMCPMC12778696

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.