Evidence map›Paper›PMID 39435175›Full record

ArticleJournal of neuroendovascular therapy2024

Stent Retriever Angioplasty for Intracranial Atherosclerotic Disease-Related Medium Vessel Occlusion: A Case Report and Literature Review.

Ryoma Inui, Soichiro Abe, Hiroyuki Ishiyama, Takeyoshi Tsutsui, Akimasa Yamamoto, Yuma Shiomi, Takeshi Yoshimoto, Hirotoshi Imamura, Hiroharu Kataoka, Masafumi Ihara

Abstract readCase Reports
In one paragraph

Article in Journal of neuroendovascular therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. 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

10 authors.

Ryoma InuiDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Soichiro AbeDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Hiroyuki IshiyamaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Takeyoshi TsutsuiDepartment of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Akimasa YamamotoDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Yuma ShiomiDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Takeshi YoshimotoDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Hirotoshi ImamuraDepartment of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Hiroharu KataokaDepartment of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.
Masafumi IharaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Stent retriever (SR) angioplasty is an adjunctive technique for acute large vessel occlusion stroke due to underlying intracranial atherosclerotic disease (ICAD-LVO). Prolonged SR deployment maintains blood flow distal to the atherosclerotic lesion until the antiplatelet agent has exerted its effect. Although SR angioplasty for ICAD-LVO has been reported, few reports are available on SR angioplasty for medium vessel occlusion stroke due to underlying ICAD (ICAD-MeVO). Here, we describe a case of SR angioplasty for acute occlusion of the left M2 segment of the middle cerebral artery (MCA) due to underlying ICAD. Case Presentation: A 79-year-old man with a history of left MCA M2 segment stenosis presented with motor aphasia and dysarthria. Diffusion-weighted MRI showed no high-signal intensity areas, and MRA showed occlusion of the left MCA M2 segment. The patient was diagnosed with ICAD-MeVO. After performing an MRI, the patient's symptoms progressed to total aphasia. SR angioplasty was performed for the occlusion of the left M2 segment of the MCA. Diffusion-weighted MRI the day after the procedure showed a small area of high-signal intensity exclusively in the left putamen, while MRA confirmed recanalization of the left MCA M2 segment. Aphasia improved after the procedure. No re-occlusion was observed for 90 days, and the modified Rankin Scale score at 90 days was 2. Conclusion: SR angioplasty appears to be a safe option for managing MCA M2 segment occlusion.

Indexed as

intracranial atherosclerotic diseasemedium vessel occlusionstent retriever angioplasty

Identifiers

PMID39435175
PMCPMC11491269

What Socratic holds

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LicenceCC BY-NC-ND
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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 Socratic graph.