P.128 Evaluation of endovascular access complexity on stroke patient’s initial imaging: an agreement study Article Swipe
YOU?
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· 2025
· Open Access
·
· DOI: https://doi.org/10.1017/cjn.2025.10279
Background: Neck vessel imaging is often performed in hyperacute stroke to allow neurointerventionalists to estimate access complexity. This study aimed to assess clinician agreement on catheterization strategies based on imaging in these scenarios. Methods: An electronic portfolio of 60 patients with acute ischemic stroke was sent to 53 clinicians. Respondents were asked: (1) the difficulty of catheterization through femoral access with a regular Vertebral catheter, (2) whether to use a Simmons or reverse-curve catheter initially, and (3) whether to consider an alternative access site. Agreement was assessed using Fleiss’ Kappa statistics. Results: Twenty-two respondents (7 neurologists, 15 neuroradiologists) completed the survey. Overall there was slight interrater agreement (κ=0.17, 95% CI: 0.10–0.25). Clinicians with >50 cases annually had better agreement (κ=0.22) for all questions than those with fewer cases (κ=0.07). Agreement did not significantly differ by imaging modality: CTA (κ=0.18) and MRA (κ=0.14). In 40/59 cases (67.80%), at least 25% of clinicians disagreed on whether to use a Simmons or reverse-curve catheter initially. Conclusions: Agreement on catheterization strategies remains fair at best. Our results suggest that visual assessment of pre-procedural vessels imaging is not reliable for the estimation of endovascular access complexity.
Related Topics
- Type
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- Language
- en
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- https://doi.org/10.1017/cjn.2025.10279
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- OA Status
- bronze
- Related Works
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- OpenAlex ID
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Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4412166592Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1017/cjn.2025.10279Digital Object Identifier
- Title
-
P.128 Evaluation of endovascular access complexity on stroke patient’s initial imaging: an agreement studyWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2025Year of publication
- Publication date
-
2025-06-01Full publication date if available
- Authors
-
Z Tsai, Theodore Rock, Gregory Walker, A Guenego, Gil Zur, Thanh N. Nguyen, Pierre Olivier Comby, Raphaël Blanc, David Volders, F Diana, Simon Escalard, Stanislas Smajda, U Hanning, Mohamad Abdalkader, Aiqun Ma, Clifton A. Hawkes, William Boisseau, Lorena Nico, C Weyland, Guillaume Charbonnier, Markus Moehlenbruch, Hesham Masoud, Frédéric Clarençon, Musa dos Santos, R FahedList of authors in order
- Landing page
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https://doi.org/10.1017/cjn.2025.10279Publisher landing page
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https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3891D9370E9F6F48EC4B91C866F78F84/S0317167125102795a.pdf/div-class-title-p-128-evaluation-of-endovascular-access-complexity-on-stroke-patient-s-initial-imaging-an-agreement-study-div.pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
- OA status
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bronzeOpen access status per OpenAlex
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https://www.cambridge.org/core/services/aop-cambridge-core/content/view/3891D9370E9F6F48EC4B91C866F78F84/S0317167125102795a.pdf/div-class-title-p-128-evaluation-of-endovascular-access-complexity-on-stroke-patient-s-initial-imaging-an-agreement-study-div.pdfDirect OA link when available
- Concepts
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Stroke (engine), Medicine, Engineering, Aerospace engineeringTop concepts (fields/topics) attached by OpenAlex
- Cited by
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0Total citation count in OpenAlex
- Related works (count)
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10Other works algorithmically related by OpenAlex
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| abstract_inverted_index.site. | 83 |
| abstract_inverted_index.study | 18 |
| abstract_inverted_index.there | 102 |
| abstract_inverted_index.these | 31 |
| abstract_inverted_index.those | 124 |
| abstract_inverted_index.using | 87 |
| abstract_inverted_index.>50 | 113 |
| abstract_inverted_index.access | 15, 59, 82, 189 |
| abstract_inverted_index.asked: | 51 |
| abstract_inverted_index.assess | 21 |
| abstract_inverted_index.better | 117 |
| abstract_inverted_index.differ | 133 |
| abstract_inverted_index.slight | 104 |
| abstract_inverted_index.stroke | 9, 43 |
| abstract_inverted_index.vessel | 2 |
| abstract_inverted_index.visual | 175 |
| abstract_inverted_index.Overall | 101 |
| abstract_inverted_index.Simmons | 70, 157 |
| abstract_inverted_index.femoral | 58 |
| abstract_inverted_index.imaging | 3, 29, 135, 180 |
| abstract_inverted_index.regular | 62 |
| abstract_inverted_index.remains | 167 |
| abstract_inverted_index.results | 172 |
| abstract_inverted_index.suggest | 173 |
| abstract_inverted_index.survey. | 100 |
| abstract_inverted_index.through | 57 |
| abstract_inverted_index.vessels | 179 |
| abstract_inverted_index.whether | 66, 77, 153 |
| abstract_inverted_index.Methods: | 33 |
| abstract_inverted_index.Results: | 91 |
| abstract_inverted_index.annually | 115 |
| abstract_inverted_index.assessed | 86 |
| abstract_inverted_index.catheter | 73, 160 |
| abstract_inverted_index.consider | 79 |
| abstract_inverted_index.estimate | 14 |
| abstract_inverted_index.ischemic | 42 |
| abstract_inverted_index.patients | 39 |
| abstract_inverted_index.reliable | 183 |
| abstract_inverted_index.(67.80%), | 145 |
| abstract_inverted_index.(κ=0.17, | 107 |
| abstract_inverted_index.(κ=0.18) | 138 |
| abstract_inverted_index.(κ=0.22) | 119 |
| abstract_inverted_index.Agreement | 84, 129, 163 |
| abstract_inverted_index.Fleiss’ | 88 |
| abstract_inverted_index.Vertebral | 63 |
| abstract_inverted_index.agreement | 23, 106, 118 |
| abstract_inverted_index.catheter, | 64 |
| abstract_inverted_index.clinician | 22 |
| abstract_inverted_index.completed | 98 |
| abstract_inverted_index.disagreed | 151 |
| abstract_inverted_index.modality: | 136 |
| abstract_inverted_index.performed | 6 |
| abstract_inverted_index.portfolio | 36 |
| abstract_inverted_index.questions | 122 |
| abstract_inverted_index.(κ=0.07). | 128 |
| abstract_inverted_index.(κ=0.14). | 141 |
| abstract_inverted_index.Clinicians | 111 |
| abstract_inverted_index.Twenty-two | 92 |
| abstract_inverted_index.assessment | 176 |
| abstract_inverted_index.clinicians | 150 |
| abstract_inverted_index.difficulty | 54 |
| abstract_inverted_index.electronic | 35 |
| abstract_inverted_index.estimation | 186 |
| abstract_inverted_index.hyperacute | 8 |
| abstract_inverted_index.initially, | 74 |
| abstract_inverted_index.initially. | 161 |
| abstract_inverted_index.interrater | 105 |
| abstract_inverted_index.scenarios. | 32 |
| abstract_inverted_index.strategies | 26, 166 |
| abstract_inverted_index.Background: | 0 |
| abstract_inverted_index.Respondents | 49 |
| abstract_inverted_index.alternative | 81 |
| abstract_inverted_index.clinicians. | 48 |
| abstract_inverted_index.complexity. | 16, 190 |
| abstract_inverted_index.respondents | 93 |
| abstract_inverted_index.statistics. | 90 |
| abstract_inverted_index.Conclusions: | 162 |
| abstract_inverted_index.endovascular | 188 |
| abstract_inverted_index.0.10–0.25). | 110 |
| abstract_inverted_index.neurologists, | 95 |
| abstract_inverted_index.reverse-curve | 72, 159 |
| abstract_inverted_index.significantly | 132 |
| abstract_inverted_index.pre-procedural | 178 |
| abstract_inverted_index.catheterization | 25, 56, 165 |
| abstract_inverted_index.neuroradiologists) | 97 |
| abstract_inverted_index.neurointerventionalists | 12 |
| cited_by_percentile_year | |
| countries_distinct_count | 0 |
| institutions_distinct_count | 25 |
| citation_normalized_percentile.value | 0.37734547 |
| citation_normalized_percentile.is_in_top_1_percent | False |
| citation_normalized_percentile.is_in_top_10_percent | False |