{"title":"Global Research Trends in Vertebral Artery Stenosis Treatment From 1980 to 2024: A Bibliometric and Visualized Analysis","authors":"Fei-Yi Yan, Yi-Bing Sun, Yu Lu","doi":"10.1016/j.wneu.2025.124440","DOIUrl":null,"url":null,"abstract":"<div><h3>Objective</h3><div>The present study intends to conduct a comprehensive bibliometric analysis of the research pertaining to the treatment of vertebral artery stenosis (VAS), with the objective of elucidating the evolution and trends in therapeutic strategies.</div></div><div><h3>Methods</h3><div>A bibliometric analysis of publications spanning between January 1, 1980, and August 13, 2024, was conducted utilizing the Web of Science Core Collection database. The analysis and visualization of the data were performed using VOSviewer, CiteSpace, and R package “bibliometrix” software.</div></div><div><h3>Results</h3><div>The analysis included 856 documents published in 261 journals. The United States (202 publications, 23.60%), China (195 publications, 22.78%), and Japan (119 publications, 13.90%) were the leading countries in research output, with Capital Medical University identified as the most productive institution (63 publications). <em>Neurosurgery</em> and <em>Stroke</em> emerged as the most influential journals, exhibiting the highest H-index (both H-index = 8). Keyword clustering analysis revealed 4 distinct research domains: clinical trials and medical management; surgical interventions; endovascular techniques; and diagnostic approaches. The analysis revealed evolving research priorities in VAS treatment, highlighting “stents”, “angioplasty”, and “drug-coated balloon” as central themes. Keywords demonstrated a temporal evolution, with recent trends emphasizing “diagnosis”, “ischemic stroke”, and “endovascular treatment”.</div></div><div><h3>Conclusions</h3><div>The bibliometric analysis traces VAS treatment from surgical to advanced endovascular methods. Keyword clustering revealed 4 primary domains; burst analysis shows growing interest in drug-coated balloons and precision diagnostics. Future work should target novel endovascular devices, precise diagnostic criteria, and long-term outcomes. Clinically, emphasis is on minimally invasive interventions and integrating advanced imaging with personalized treatment strategies.</div></div>","PeriodicalId":23906,"journal":{"name":"World neurosurgery","volume":"203 ","pages":"Article 124440"},"PeriodicalIF":2.1000,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"World neurosurgery","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S187887502500796X","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Objective
The present study intends to conduct a comprehensive bibliometric analysis of the research pertaining to the treatment of vertebral artery stenosis (VAS), with the objective of elucidating the evolution and trends in therapeutic strategies.
Methods
A bibliometric analysis of publications spanning between January 1, 1980, and August 13, 2024, was conducted utilizing the Web of Science Core Collection database. The analysis and visualization of the data were performed using VOSviewer, CiteSpace, and R package “bibliometrix” software.
Results
The analysis included 856 documents published in 261 journals. The United States (202 publications, 23.60%), China (195 publications, 22.78%), and Japan (119 publications, 13.90%) were the leading countries in research output, with Capital Medical University identified as the most productive institution (63 publications). Neurosurgery and Stroke emerged as the most influential journals, exhibiting the highest H-index (both H-index = 8). Keyword clustering analysis revealed 4 distinct research domains: clinical trials and medical management; surgical interventions; endovascular techniques; and diagnostic approaches. The analysis revealed evolving research priorities in VAS treatment, highlighting “stents”, “angioplasty”, and “drug-coated balloon” as central themes. Keywords demonstrated a temporal evolution, with recent trends emphasizing “diagnosis”, “ischemic stroke”, and “endovascular treatment”.
Conclusions
The bibliometric analysis traces VAS treatment from surgical to advanced endovascular methods. Keyword clustering revealed 4 primary domains; burst analysis shows growing interest in drug-coated balloons and precision diagnostics. Future work should target novel endovascular devices, precise diagnostic criteria, and long-term outcomes. Clinically, emphasis is on minimally invasive interventions and integrating advanced imaging with personalized treatment strategies.
目的:本研究旨在对有关椎动脉狭窄治疗的研究进行全面的文献计量学分析,目的是阐明治疗策略的演变和趋势。方法:利用Web of Science Core Collection数据库对1980年1月1日至2024年8月13日期间的出版物进行文献计量学分析。使用VOSviewer、CiteSpace和R包“bibliometrix”软件对数据进行分析和可视化。结果:共纳入261种期刊856篇文献。美国(202篇,23.60%)、中国(195篇,22.78%)和日本(119篇,13.90%)是研究产出最高的国家,首都医科大学(63篇)被确定为研究产出最高的机构。神经外科和中风成为最具影响力的期刊,h指数最高(h指数均为8)。关键词聚类分析揭示了四个不同的研究领域:临床试验和医疗管理;外科干预措施;血管内技术;还有诊断方法。分析揭示了VAS治疗中不断发展的研究重点,突出了“支架”、“血管成形术”和“药物包覆球囊”作为中心主题。关键词表现出时间上的演变,最近的趋势是强调“诊断”、“缺血性卒中”和“血管内治疗”。结论:文献计量学分析追溯了VAS治疗从手术到先进的血管内方法。关键词聚类揭示了四个主域;突发分析显示,人们对药物涂层气球和精确诊断的兴趣日益浓厚。未来的工作应该针对新的血管内装置,精确的诊断标准和长期的结果。临床上,重点是微创干预和将先进成像与个性化治疗策略相结合。
期刊介绍:
World Neurosurgery has an open access mirror journal World Neurosurgery: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review.
The journal''s mission is to:
-To provide a first-class international forum and a 2-way conduit for dialogue that is relevant to neurosurgeons and providers who care for neurosurgery patients. The categories of the exchanged information include clinical and basic science, as well as global information that provide social, political, educational, economic, cultural or societal insights and knowledge that are of significance and relevance to worldwide neurosurgery patient care.
-To act as a primary intellectual catalyst for the stimulation of creativity, the creation of new knowledge, and the enhancement of quality neurosurgical care worldwide.
-To provide a forum for communication that enriches the lives of all neurosurgeons and their colleagues; and, in so doing, enriches the lives of their patients.
Topics to be addressed in World Neurosurgery include: EDUCATION, ECONOMICS, RESEARCH, POLITICS, HISTORY, CULTURE, CLINICAL SCIENCE, LABORATORY SCIENCE, TECHNOLOGY, OPERATIVE TECHNIQUES, CLINICAL IMAGES, VIDEOS