Evidence map›Paper›PMID 41584965›Full record

ArticleStroke (Hoboken, N.J.)2023

Factors Associated With Improved Technical Outcomes When Using 0.068- to 0.074-Inch Aspiration Catheters: Analysis From a Multicenter Retrospective Cohort.

Jan Vargas, Shahram Majidi, Harris Hawk, Shahid Nimjee, Amanda S Zakeri, Maxim Mokin, Ryan T Kellogg, Gustavo Cortez, Amin Aghaebrahim, Eric Sauvageau and 8 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Optimizing catheter centering enhances mechanical thrombectomy success: Performance difference in cases using novel macrowires versus traditional microwires.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  2. Use of angled-tip aspiration catheters is associated with a lower cost of thrombectomy in patients with acute ischemic stroke secondary to large and medium vessel occlusions.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  3. 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

18 authors.

Jan VargasDivision of Neurosurgery Prisma Health Upstate Greenville SC.
Shahram MajidiDepartment of Neurosurgery Mt. Sinai Hospital New York NY.
Harris HawkDepartment of Radiology Erlanger Health System Chattanooga TN.
Shahid NimjeeDepartment of Neurosurgery Ohio State University Columbus OH.
Amanda S ZakeriDepartment of Neurosurgery Ohio State University Columbus OH.
Maxim MokinDepartment of Neurosurgery and Brain Repair University of South Florida Tampa FL.
Ryan T KelloggDepartment of Neurosurgery University of Virginia Charlottesville VA.
Gustavo CortezDepartment of Neurosurgery Baptist Medical Center Jacksonville FL.
Amin AghaebrahimDepartment of Neurosurgery Baptist Medical Center Jacksonville FL.
Eric SauvageauDepartment of Neurosurgery Baptist Medical Center Jacksonville FL.
Ricardo HanelDepartment of Neurosurgery Baptist Medical Center Jacksonville FL.
Reade DeLeacyDepartment of Neurosurgery Mt. Sinai Hospital New York NY.
Adnan SiddiquiDepartment of Neurosurgery University of Buffalo Buffalo NY.
Martin OselkinNeurosurgical Associates St Luke's University Health Care Bethlehem PA.
Evan MarlinNeurosurgical Associates St Luke's University Health Care Bethlehem PA.
Ray TurnerDivision of Neurosurgery Prisma Health Upstate Greenville SC.
Imran ChaudryDivision of Neurosurgery Prisma Health Upstate Greenville SC.
James MilburnDepartment of Radiology Ochsner Health New Orleans LA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: In addition to enlarging the catheter tip diameter, recent aspiration catheters were designed with a novel angled-tip design. We aimed to evaluate the efficacy of new-generation angled-tip aspiration catheters in comparison to commonly used straight-tip large-bore aspiration catheters. Methods: We performed a multicenter retrospective analysis of consecutive cases with M1 occlusion treated with aspiration thrombectomy from July 2016 to February 2021. Patients were divided into 2 cohorts: those in whom a 0.071-inch angled-tip catheter was used and those in whom a 0.068- to 0.074-inch flat-tip catheter was used. Results: A total of 384 patients were identified. The angled-tip catheter was used in 129 (33.6%) patients, whereas 255 (66.4%) patients were treated with flat-tip catheters. There was no significant difference in age, sex, baseline modified Rankin scale score, side of occlusion, initial National Institutes of Health Stroke Scale score, time from last known normal to access, or rate of intravenous recombinant tPA (tissue-type plasminogen activator) administration. Use of the angled-tip reperfusion catheter was associated with average 5-minute faster time to Thrombolysis in Cerebral Infarction 2B or better (22.13±21.05 versus 27±24.54 minutes; Conclusions: We report a multicenter, retrospective review of patients treated with current generation large-bore aspiration catheters. Angled-tipped catheters were associated with shorter times to Thrombolysis in Cerebral Infarction 2B and final reperfusion. There were no differences in 90-day modified Rankin scale score, rates of intracranial hemorrhage, or complications.

Indexed as

aspirationdevicesstrokethrombectomy

Identifiers

PMID41584965
PMCPMC12778657

What OpenQuestion holds

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Registered trials

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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.