Evidence map›Paper›PMID 26869472›Full record

Trial reportAJNR. American journal of neuroradiology2016

Multicenter Prospective Trial of Stent Placement in Patients with Symptomatic High-Grade Intracranial Stenosis.

P Gao, D Wang, Z Zhao, Y Cai, T Li, H Shi, W Wu, W He, L Yin, S Huang and 5 more

Open access · hybridAbstract readClinical TrialMulticenter Study
In one paragraph

Trial report in AJNR. American journal of neuroradiology, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed, 5 pooled it
3.8field-weighted citation impact, top 7% of its field
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

45 citing papers in PubMed, 5 syntheses or guidelines pooled it, 77 citations in OpenAlex.

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  18. Short-term outcome of stenting with Enterprise stents for symptomatic intracranial atherosclerotic disease at a single center.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Article
  19. Article
  20. Angioplasty And stenting For symptomatic intracranial atherosclerotic disease: How I Do It.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2023
    Review
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

15 authors at 9 institutions in 1 country.

P GaoFrom the Department of Neurosurgery (P.G., F.Z., L.J., X.J., F.L.), Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-3353-0804
D WangDepartment of Neurosurgery (D.W.), Beijing Hospital of the Ministry of Health, Beijing, China.ORCID 0000-0002-9411-0782
Z ZhaoDepartment of Neurosurgery (Z.Z.), Tangdu Hospital, the Fourth Military Medical University, Xi'an, Shaanxi Province, China.ORCID 0000-0001-8940-202X
Y CaiDepartment of Neurology (Y.C.), the 306 Hospital of the People's Liberation Army, Beijing, China.ORCID 0000-0002-0471-1630
T LiDepartment of Intervention (T.L.), Henan Provincial People's Hospital, Zhengzhou, Henan Province, China.ORCID 0000-0002-2413-6696
H ShiDepartment of Neurosurgery (H.S.), the 1st Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang Province, China.ORCID 0000-0003-0967-571X
W WuDepartment of Neurology (W.W.), Qilu Hospital of Shandong University, Ji'nan, Shandong Province, China.ORCID 0000-0002-6291-1438
W HeDepartment of Neurosurgery (W.H.), the 2nd Affiliated Hospital of Guangzhou Medical College, Guangzhou, Guangdong Province, China.ORCID 0000-0003-1070-2324
L YinDepartment of Neurosurgery (L.Y.), Tianjin Huanhu Hospital, Tianjin, China.ORCID 0000-0003-2064-4586
S HuangDepartment of Neurosurgery (S.H.), Guangdong Province Hospital of Traditional Chinese Medicine, Guangzhou, Guangdong Province, China.ORCID 0000-0002-5615-1946
F ZhuFrom the Department of Neurosurgery (P.G., F.Z., L.J., X.J., F.L.), Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-0235-3486
L JiaoFrom the Department of Neurosurgery (P.G., F.Z., L.J., X.J., F.L.), Xuanwu Hospital, Capital Medical University, Beijing, China liqunjiao@sina.cn.ORCID 0000-0003-4982-6295
X JiFrom the Department of Neurosurgery (P.G., F.Z., L.J., X.J., F.L.), Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-0527-2852
A I QureshiZeenat Qureshi Stroke Institute (A.I.Q.), St. Cloud, Minnesota.ORCID 0000-0003-0703-7263
F LingFrom the Department of Neurosurgery (P.G., F.Z., L.J., X.J., F.L.), Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-9860-5758
Capital Medical University · CNAir Force Medical University · CNBeijing Hospital · CNGuangdong Provincial Hospital of Traditional Chinese Medicine · CNGuangzhou Medical University · CNHarbin Medical University · CNHenan Provincial People's Hospital · CNQilu Hospital of Shandong University · CNTianjin Huanhu Hospital · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeOn the basis of the high 1-month stroke and/or death (14.7%) rates associated with stent placement in the Stenting versus Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis trial, modifications in patient selection and procedural aspects for intracranial stent placement have been recommended. We performed a multicenter prospective single-arm trial to determine whether such modifications would result in lower rates of periprocedural stroke and/or death. MATERIALS AND

methodsThe study enrolled patients with recent transient ischemic attack or ischemic stroke (excluding perforator ischemic events) related to high-grade (70%-99% in severity) stenosis of a major intracranial artery. Patients were treated by using angioplasty and self-expanding stents 3 weeks after the index ischemic event at 1 of the 10 high-volume centers in China. An independent neurologist ascertained the occurrence of any stroke and/or death within 1 month after the procedure.

resultsA total of 100 consecutive patients were recruited. The target lesions were located in the middle cerebral artery (M1) (n = 38, 38%), intracranial internal carotid artery (n = 17, 17%), intradural vertebral artery (n = 18, 18%), and basilar artery (n = 27, 27%). The technical success rate of stent deployment with residual stenosis of <50% was 100%. The overall 1-month stroke and/or death rate was 2% (95% confidence interval, 0.2%-7.0%). Two ischemic strokes occurred in the pontine region (perforator distribution) in patients following angioplasty and stent placement for basilar artery stenosis.

conclusionsThe results of this prospective multicenter study demonstrated that modifications in patient selection and procedural aspects can substantially reduce the 1-month stroke and/or death rate following intracranial stent placement.

Indexed as

StentsAgedAngioplastyChinaConstriction, PathologicFemaleHumansIntracranial ArteriosclerosisIschemic Attack, TransientMaleMiddle AgedPatient SelectionProspective StudiesStroke

Identifiers

PMID26869472
PMCPMC7960346
OpenAlexW2283754411

What Socratic holds

Textmetadata
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 Socratic graph.