Evidence map›Paper›PMID 41586043›Full record

ArticleStroke (Hoboken, N.J.)2024

Endovascular Recanalization for Nonacute Carotid Artery Occlusion: A Nationwide Registry-Based Cohort Study.

Chao Hou, Xuan Shi, Shuxian Huo, Qin Yin, Xianjun Huang, Wen Sun, Guodong Xiao, Yong Yang, Hongbing Chen, Min Li and 7 more

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2024. 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. 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

17 authors.

Chao HouDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.
Xuan ShiDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.
Shuxian HuoDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.
Qin YinDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.
Xianjun HuangDepartment of Neurology The First Affiliated Hospital of Wannan Medical College Wannan Medical College Wuhu China.
Wen SunStroke Center & Department of Neurology Division of Life Sciences and Medicine The First Affiliated Hospital of USTC University of Science and Technology of China Hefei China.
Guodong XiaoDepartment of Neurology and Suzhou Clinical Research Center of Neurological Disease The Second Affiliated Hospital of Soochow University Suzhou China.
Yong YangDepartment of Neurology Guangzhou First People's Hospital School of Medicine South China University of Technology Guangzhou China.
Hongbing ChenDepartment of Neurology and Stroke Center The First Affiliated Hospital Sun Yat-Sen University Guangzhou China.
Min LiDepartment of Neurology Jiangsu Province Hospital of Chinese Medicine Nanjing University of Chinese Medicine Nanjing China.
Mingyang DuCerebrovascular Disease Treatment Center Nanjing Brain Hospital Affiliated to Nanjing Medical University Nanjing China.
Yunfei HanDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.
Xiaobing FanDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.
Qingshi ZhaoDepartment of Neurology Affiliated Longhua People's Hospital Southern Medical University (Longhua People's Hospital) Shenzhen China.
Shuanggen ZhuDepartment of Neurology The Affiliated Central Hospital of Shenzhen Longhua District Guangdong Medical University Shenzhen China.
Xinfeng LiuDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.
Ruidong YeDepartment of Neurology Affiliated Jinling Hospital Medical School of Nanjing University Nanjing China.ORCID https://orcid.org/0000-0003-0490-7331

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The management of nonacute symptomatic internal carotid artery occlusion remains unsatisfactory. Endovascular recanalization has been reported to be feasible but associated with a noteworthy risk of postprocedural complications in patients with symptomatic internal carotid artery occlusion. The present study aimed to investigate whether successful recanalization exerts clinical benefits over procedural risks. Methods: We analyzed consecutive patients who underwent endovascular treatment of nonacute symptomatic internal carotid artery occlusion in a nationwide prospective registry. The primary outcome was the ipsilateral ischemic stroke recurrence. Other outcomes of interest included all strokes and death during follow-up, and 30-day symptomatic intracranial hemorrhage, and all strokes after intervention. Results: The final analysis included 511 patients. Endovascular revascularization was successful in 300 patients (58.7%) but failed in 211 patients (41.3%). Patients with successful recanalization had less time from the last ischemic event to the endovascular treatment as compared with patients with failed recanalization (median [interquartile range] days, 18 [12-33] versus 22 [14-50]; Conclusion: Despite an increase in the 30-day symptomatic intracranial hemorrhage, successful recanalization was associated with reduced long-term risk of ipsilateral ischemic stroke in patients with symptomatic internal carotid artery occlusion.

Indexed as

endovascular treatmentinternal carotid artery occlusionstroke

Identifiers

PMID41586043
PMCPMC12778463

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.