Evidence map›Paper›PMID 42578539›Full record

ArticleJournal of neuroimaging : official journal of the American Society of Neuroimaging

Preclinical Evaluation of a Zotarolimus-Eluting Stent for Intracranial Application: A 30-Day Procedural Feasibility and Clinical Observation Canine Study.

Ibrahim A Bhatti, Fareed Jumah, Hatem Tolba, Hunter Brooks, Syed A Gillani, Ravi Nunna, Inamullah Khan, Austin Rolfes, Bharathi Jagadeesan, Ameer E Hassan and 2 more

Abstract read
In one paragraph

Article in Journal of neuroimaging : official journal of the American Society of Neuroimaging. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

12 authors.

Ibrahim A BhattiDepartment of Neurology, Baylor University Medical Center, Dallas, Texas, USA.
Fareed JumahDepartment of Neurosurgery, University of Missouri, Columbia, Missouri, USA.
Hatem TolbaZeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, Missouri, USA.
Hunter BrooksDepartment of Neurosurgery, University of Missouri, Columbia, Missouri, USA.
Syed A GillaniZeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, Missouri, USA.
Ravi NunnaDepartment of Neurosurgery, University of Missouri, Columbia, Missouri, USA.
Inamullah KhanDepartment of Neurosurgery, University of Missouri, Columbia, Missouri, USA.
Austin RolfesOffice of Medical Research, University of Missouri, Columbia, Missouri, USA.
Bharathi JagadeesanDepartments of Radiology, Neurology and Neurosurgery, University of Minnesota, Minneapolis, Minnesota, USA.
Ameer E HassanDepartment of Neurology, Valley Baptist Medical Center, Harlingen, Texas, USA.
Adnan I QureshiZeenat Qureshi Stroke Institute and Department of Neurology, University of Missouri, Columbia, Missouri, USA.
Farhan SiddiqDepartment of Neurosurgery, University of Missouri, Columbia, Missouri, USA.

Funding

Zeenat Qureshi Stroke Institute
6 · The paper itself

Abstract

background and purposeZotarolimus-eluting stents (ZES) are increasingly used off-label for intracranial atherosclerotic disease (ICAD), yet foundational preclinical data evaluating procedural delivery and short-term vascular safety in cerebral anatomy is sparse. We evaluated the procedural feasibility and 30-day clinical safety of the Onyx Frontier ZES in a canine intracranial model.

methodsIn a prospective study, 12 healthy canines on dual antiplatelet therapy underwent basilar artery implantation of a 2.0 × 8.0 mm Onyx Frontier ZES. Vertebral artery tortuosity was angiographically graded as Type I (mild), II (moderate), or III (severe). Endpoints focused on procedural success and 30-day clinical safety, monitored via angiography, serial neurological examinations, and clinical pathology.

resultsTechnical success was 100% (12/12) despite challenging anatomy (mean basilar artery diameter: 1.39 mm). Tortuosity distribution was 33.3% Type I, 58.3% Type II, and 8.3% Type III. Post-deployment angiographic narrowing consistent with transient vasospasm was observed in 7/12 animals, without flow limitation; with only one requiring intra-arterial verapamil for resolution. One instance (8.3%) of self-limiting contrast extravasation occurred at the distal basilar artery without long-term sequelae. At 30 days, there was 0% mortality and no procedure-related neurological adverse events. Serial clinical pathology panels demonstrated an absence of systemic organ toxicity or sustained systemic inflammation.

conclusionImplantation of the Onyx Frontier ZES is highly feasible in sub-2 mm, tortuous intracranial vessels. The platform demonstrated an excellent 30-day clinical safety profile, providing essential procedural and early clinical data to support future integrated regulatory evaluations for ICAD.

Indexed as

Basilar ArteryDrug-Eluting StentsSirolimusAnimalsDogsFeasibility StudiesFemaleMaleProspective StudiesTreatment OutcomeSirolimuszotarolimusanimalcaninedrug‐eluting stentsintracranial arteriosclerosismodelsafetyzotarolimus

Identifiers

PMID42578539
PMCPMC13459149

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.