Evidence map›Paper›PMID 39429004›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2024

Use of Onyx Frontier

Ahmad Chahine, Rami Z Morsi, Sonam Thind, Omar Kass-Hout, Tibor Becske, Ahmad Khaldi, Lina Karar, Archit Baskaran, Julián Carrión-Penagos, Harsh Desai and 14 more

Abstract read
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 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

24 authors.

Ahmad ChahineDepartment of Neurology, University of Chicago, Chicago, IL, USA.ORCID 0009-0005-7531-8069
Rami Z MorsiDepartment of Neurology, University of Chicago, Chicago, IL, USA.ORCID 0000-0003-2131-3711
Sonam ThindDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Omar Kass-HoutDepartment of Neurology, Access TeleCare, Dallas, TX, USA.ORCID 0000-0001-9738-6824
Tibor BecskeDepartment of Neurology, UNC REX Healthcare, Raleigh, NC, USA.
Ahmad KhaldiDepartment of Neurosurgery, WellStar Health System, Marietta, GA, USA.
Lina KararDepartment of Neurology, University of Chicago, Chicago, IL, USA.ORCID 0009-0005-2021-086X
Archit BaskaranDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Julián Carrión-PenagosDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Harsh DesaiDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Sachin A KothariDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Rohini RanaDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Okker Verhagen MetmanDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Jehad ZakariaDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Atman P ShahDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Jonathan D PaulDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Sandeep NathanDepartment of Neurology, University of Chicago, Chicago, IL, USA.
James E SieglerDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Scott J MendelsonDepartment of Neurology, Access TeleCare, Dallas, TX, USA.
Ali MansourDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Michael C HurleyDepartment of Radiology, University of Chicago, Chicago, IL, USA.
Shyam PrabhakaranDepartment of Neurology, University of Chicago, Chicago, IL, USA.
Rishi GuptaDepartment of Radiology, University of Chicago, Chicago, IL, USA.
Tareq Kass-HoutDepartment of Neurology, University of Chicago, Chicago, IL, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAcute ischemic stroke (AIS) due to intracranial atherosclerotic disease (ICAD) carries a high risk of recurrence despite aggressive medical management. The aim of our study is to present our initial experience with the Onyx Frontier™ balloon-mounted drug-eluting stent (Medtronic, Santa Rosa, CA) for AIS due to ICAD.

methodsWe conducted a multicenter retrospective cohort study describing the technical feasibility, safety, and performance of using the Onyx Frontier™ balloon-mounted drug-eluting stent in patients with acute intracranial vessel occlusion due to ICAD across three comprehensive stroke centers in the United States.

resultsWe included 23 patients in our study (mean age 67.3 [10.7]; females: n = 13/23, 56.5%). Most patients were Black (n = 14/23, 60.9%). The most common site of vessel occlusion was the M1 branch of the middle cerebral artery (MCA) (n = 14/23, 60.9%), followed by the vertebrobasilar system (n = 5/23, 21.7%), and the internal carotid artery (n = 3/23, 13.0%). Treatment with the Onyx Frontier™ stent was associated with a final mTICI score ≥2b for 100% of patients, with no vessel perforations or distal embolization. None of the patients had any restenosis or re-treatment over a median follow-up of 3.5 months (interquartile range [IQR] 7.8). All cases required a single stent except for one, where two were deployed. Transfemoral access was used in most cases (n = 18/23, 78.3%), with one in-hospital death due to access site complication (n = 1/23, 4.3%).

conclusionsThis is the largest multicenter cohort study demonstrating the feasibility and safety of using the Onyx Frontier™ balloon-mounted zotarolimus-eluting stent to treat symptomatic AIS due to ICAD.

Indexed as

acute ischemic strokeDrug-eluting stentintracranial atherosclerotic diseaserescue stenting

Identifiers

PMID39429004
PMCPMC11559875

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.