stent_retriever_types

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stent_retriever_types [2025/06/25 09:38] – [Scoping reviews] administradorstent_retriever_types [2025/06/25 09:39] (current) – [Scoping reviews] administrador
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 ===== Scoping reviews ===== ===== Scoping reviews =====
-In a scoping review Song et al.from:+In a [[scoping review]] Song et al.from:
 - Austin Health, Melbourne (Radiology)   - Austin Health, Melbourne (Radiology)  
 - St Vincent’s Health, Melbourne (Interventional Neuroradiology)   - St Vincent’s Health, Melbourne (Interventional Neuroradiology)  
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 - Deakin Univ., Geelong  - Deakin Univ., Geelong 
 published in the [[Journal of Clinical Neuroscience]] published in the [[Journal of Clinical Neuroscience]]
-with the purpose to map the landscape of stent retriever devices used in [[mechanical thrombectomy]] for [[acute ischemic stroke]], stratified by [[device]] type and occlusion location.+with the purpose to map the [[landscape]] of stent retriever devices used in [[mechanical thrombectomy]] for [[acute ischemic stroke]], stratified by [[device]] type and occlusion location.
 They concluded that [[Solitaire]] and [[Trevo]] dominate clinical use (~57 % of cases), primarily in M1 and ICA occlusions. Many devices remain under‑studied, especially in distal (ACA, M3+) occlusions. There is a notable evidence gap for newer [[stent retriever]]s in medium/distal vessel territory They concluded that [[Solitaire]] and [[Trevo]] dominate clinical use (~57 % of cases), primarily in M1 and ICA occlusions. Many devices remain under‑studied, especially in distal (ACA, M3+) occlusions. There is a notable evidence gap for newer [[stent retriever]]s in medium/distal vessel territory
 ((Song J, Zhou KZ, Pavlin‑Premrl D, et al. Types of stent retrievers used in mechanical thrombectomy for acute ischaemic stroke: A scoping review. J Clin Neurosci. 2025 Jun 23;138:111412. doi:10.1016/j.jocn.2025.111412.)). ((Song J, Zhou KZ, Pavlin‑Premrl D, et al. Types of stent retrievers used in mechanical thrombectomy for acute ischaemic stroke: A scoping review. J Clin Neurosci. 2025 Jun 23;138:111412. doi:10.1016/j.jocn.2025.111412.)).
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-This review, while comprehensive in device enumeration, falls short in critical appraisal. By pooling data from 133 heterogeneous studies without quality stratification or bias assessment, it gives an inflated sense of evidence. The emphasis on device frequency—rather than outcomes or head‑to‑head efficacy—renders the conclusions superficial. The assertion of a “strong evidence base” for conventional devices is misleading; no meta‑analysis or performance metrics are provided. The claim that distal occlusions are understudied is unsurprising, but the authors offer no actionable framework or proposals for future targeted trials. The review reads more like a registry report than a scoping synthesis intended to inform practice. Novelty is minimal, relevance limited.  +This review, while comprehensive in device enumeration, falls short in [[critical appraisal]]. By pooling data from 133 heterogeneous studies without quality stratification or [[bias assessment]], it gives an inflated sense of evidence. The emphasis on device frequency—rather than outcomes or head‑to‑head efficacy—renders the conclusions superficial. The assertion of a “strong evidence base” for conventional devices is misleading; no meta‑analysis or performance metrics are provided. The claim that distal occlusions are understudied is unsurprising, but the authors offer no actionable framework or proposals for future targeted trials. The review reads more like a registry report than a scoping synthesis intended to inform practice. Novelty is minimal, relevance limited.  
  
 ===== Verdict ===== ===== Verdict =====
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