Evidence map›Paper›PMID 24353330›Full record

ArticleJournal of neurointerventional surgery2014

Correlation of AOL recanalization, TIMI reperfusion and TICI reperfusion with infarct growth and clinical outcome.

Michael P Marks, Maarten G Lansberg, Michael Mlynash, Stephanie Kemp, Ryan McTaggart, Greg Zaharchuk, Roland Bammer, Gregory W Albers, DEFUSE 2 Investigators

Open access · greenAbstract read
In one paragraph

Article in Journal of neurointerventional surgery, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
3.3field-weighted citation impact, top 8% of its field
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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.

  1. Pooled it
  2. Predicting outcome in acute stroke with large vessel occlusion-application and validation of MR PREDICTS in the ESCAPE-NA1 population.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Trial
  3. Article
  4. Article
  5. Review
  6. Article
  7. Influencing factors of futile recanalization after endovascular intervention in patients with acute basilar artery occlusion.Zhejiang da xue xue bao. Yi xue ban = Journal of Zhejiang University. Medical sciences · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Impact of carotid tortuosity on outcome after endovascular thrombectomy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2021
    Article
  12. Article
  13. Article
  14. qTICI: Quantitative assessment of brain tissue reperfusion on digital subtraction angiograms of acute ischemic stroke patients.International journal of stroke : official journal of the International Stroke Society · 2021
    Article
  15. Article
  16. Two cases of successful recanalization for acute cerebral artery embolism during perioperative period of radiofrequency ablation for atrial fibrillation.Annals of noninvasive electrocardiology : the official journal of the International Society for Holter and Noninvasive Electrocardiology, Inc · 2020
    Article
  17. Article
  18. Article
  19. Article
  20. TICI and Age: What's the Score?AJNR. American journal of neuroradiology · 2016
    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

9 authors at 2 institutions in 1 country.

Michael P MarksDepartments of Radiology, Stanford University Medical Center, Stanford, California, USA Stanford Stroke Center, Stanford University Medical Center, Stanford, California, USA.
Maarten G LansbergStanford Stroke Center, Stanford University Medical Center, Stanford, California, USA Departments of Neurology, Stanford University Medical Center, Stanford, California, USA.
Michael MlynashStanford Stroke Center, Stanford University Medical Center, Stanford, California, USA Departments of Neurology, Stanford University Medical Center, Stanford, California, USA.
Stephanie KempStanford Stroke Center, Stanford University Medical Center, Stanford, California, USA Departments of Neurology, Stanford University Medical Center, Stanford, California, USA.
Ryan McTaggartDepartments of Radiology, Stanford University Medical Center, Stanford, California, USA Stanford Stroke Center, Stanford University Medical Center, Stanford, California, USA.
Greg ZaharchukDepartments of Radiology, Stanford University Medical Center, Stanford, California, USA Stanford Stroke Center, Stanford University Medical Center, Stanford, California, USA.
Roland BammerDepartments of Radiology, Stanford University Medical Center, Stanford, California, USA Stanford Stroke Center, Stanford University Medical Center, Stanford, California, USA.
Gregory W AlbersStanford Stroke Center, Stanford University Medical Center, Stanford, California, USA Stanford Stroke Center, Stanford University Medical Center, Stanford, California, USA.
DEFUSE 2 Investigators
Stanford Medicine · USStanford University · US

Funding

Improving SENSE MRI for Spiral and Echo-planar Imaging in StrokeR01EB002711 · NIBIB · STANFORD UNIVERSITY · PI ALBERS, GREGORY W · 2003 to 2015
$5.1M
Quantifying Collateral Perfusion in Cerebrovascular DiseaseR01NS066506 · NINDS · STANFORD UNIVERSITY · PI ZAHARCHUK, GREGORY GEORGE · 2009 to 2017
$4.9M
NIBIB NIH HHS R01 EB002711NINDS NIH HHS R01 NS03932505NINDS NIH HHS R01 NS066506
6 · The paper itself

Abstract

objectiveTo understand how three commonly used measures of endovascular therapy correlate with clinical outcome and infarct growth.

methodsProspectively enrolled patients underwent baseline MRI and started endovascular therapy within 12 h of stroke onset. The final angiogram was given a primary arterial occlusive lesion (AOL) recanalization score (0-3), a Thrombolysis in Myocardial Infarction (TIMI) score (0-3) and a Thrombolysis in Cerebral Infarction (TICI) score (0-3). The scores were dichotomized into poor revascularization (AOL 0-2, TIMI 0-1 and TICI 0-2a) versus good revascularization (AOL 3, TIMI 2-3, TICI 2b-3). Patients were classified according to whether or not they had target mismatch (TMM). Good outcome was defined as a 90-day modified Rankin Scale score of 0-2.

resultsEndovascular treatment was attempted in 100. A good outcome was achieved in 57% of patients with a TICI score of 2b-3 and in 24% of patients with a TICI score of 0-2a (p=0.001). Patients with TIMI scores of 2-3 and an AOL score of 3 had lower rates of good outcome (44% and 47%, respectively), which were not significantly better than those with TIMI scores of 0-1 or AOL scores of 0-2. In patients with TMM, these rates of good outcome improved with all the scoring systems and were significantly better for TIMI and TICI scores. Patients with a TICI score of 2a had rates of good functional outcome and lesion growth which were not different from those with TICI scores of 0-1 but were significantly worse than those with TICI scores of 2b-3.

conclusionsTIMI 2-3 and TICI 2b-3 reperfusion scores demonstrated improved outcome in patients with tissue mismatch with a small infarct core and a larger hypoperfused region but AOL scores did not. Patients with a TICI score of 2a had a poorer outcome and more lesion growth than those with TICI scores of 2b-3.

Indexed as

Endovascular ProceduresAgedCerebral InfarctionCerebral RevascularizationFemaleHumansMagnetic Resonance Imaging, InterventionalMaleProspective StudiesSeverity of Illness IndexTreatment OutcomeAngiographyInterventionMRIStroke

Identifiers

PMID24353330
PMCPMC4090292
OpenAlexW2035733943

What OpenQuestion holds

Textmetadata
LicenceTDM
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 OpenQuestion graph.