Evidence map›Paper›PMID 27166383›Full record

SynthesisJournal of neurointerventional surgery2017

Correlation of imaging and histopathology of thrombi in acute ischemic stroke with etiology and outcome: a systematic review.

Waleed Brinjikji, Sharon Duffy, Anthony Burrows, Werner Hacke, David Liebeskind, Charles B L M Majoie, Diederik W J Dippel, Adnan H Siddiqui, Pooja Khatri, Blaise Baxter and 4 more

Open access · bronzeAbstract readSystematic Review
In one paragraph

Synthesis in Journal of neurointerventional surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 153 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
153citing papers in PubMed, 3 pooled it
16.4field-weighted citation impact, top 1% 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

153 citing papers in PubMed, 3 syntheses or guidelines pooled it, 263 citations in OpenAlex.

  1. Value of thrombus imaging in predicting the outcomes of patients with large-vessel occlusive strokes after endovascular therapy.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2020
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  10. Optimizing catheter centering enhances mechanical thrombectomy success: Performance difference in cases using novel macrowires versus traditional microwires.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
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93 more citing papers are in PubMed but not listed here.

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

14 authors at 10 institutions in 4 countries.

Waleed BrinjikjiDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Sharon DuffyDepartment of Engineering, Galway-Mayo Institute of Technology, Galway, Ireland.
Anthony BurrowsDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Werner HackeDepartment of Neurology, University of Heidelberg, Heidelberg, Germany.
David LiebeskindDepartment of Neurology, University of California, Los Angeles, California, USA.
Charles B L M MajoieDepartment of Neurology, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
Diederik W J DippelDepartment of Radiology, Academic Medical Center, Amsterdam, The Netherlands.ORCID http://orcid.org/0000-0002-9234-3515
Adnan H SiddiquiDepartment of Neurosurgery, University of Buffalo, Buffalo, New York, USA.
Pooja KhatriDepartment of Neurology, University of Cincinatti, Cincinatti, Ohio, USA.
Blaise BaxterDepartment of Radiology, University of Tennessee Medical Center, Chatanooga, Tennessee, USA.
Raul NogeuiraDepartment of Neurology, Emory University, Atlanta, Georgia, USA.
Matt GounisDepartment of Radiology, New England Center for Stroke Research, University of Massachusetts, Worcester, Massachusetts, USA.
Tudor JovinDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
David F KallmesDepartment of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Mayo Clinic · USAmsterdam UMC Location University of Amsterdam · NLEmory University · USErasmus MC · NLGalway-Mayo Institute of Technology · IEHeidelberg University · DEUniversity at Buffalo, State University of New York · USUniversity of California, Los Angeles · USUniversity of Pittsburgh Medical Center · USUniversity of Tennessee Medical Center · US

Funding

Impact of Clot Histological and Physical Properties on Revascularization Strategies in Acute Ischaemic Stroke - Administrative SupplementR01NS105853 · NINDS · MAYO CLINIC ROCHESTER · PI BRINJIKJI, WALEED · 2018 to 2022
$2.0M
NINDS NIH HHS R01 NS105853
6 · The paper itself

Abstract

background and purposeStudying the imaging and histopathologic characteristics of thrombi in ischemic stroke could provide insights into stroke etiology and ideal treatment strategies. We conducted a systematic review of imaging and histologic characteristics of thrombi in acute ischemic stroke. MATERIALS AND

methodsWe identified all studies published between January 2005 and December 2015 that reported findings related to histologic and/or imaging characteristics of thrombi in acute ischemic stroke secondary to large vessel occlusion. The five outcomes examined in this study were (1) association between histologic composition of thrombi and stroke etiology; (2) association between histologic composition of thrombi and angiographic outcomes; (3) association between thrombi imaging and histologic characteristics; (4) association between thrombi imaging characteristics and angiographic outcomes; and (5) association between imaging characteristics of thrombi and stroke etiology. A meta-analysis was performed using a random effects model.

resultsThere was no significant difference in the proportion of red blood cell (RBC)-rich thrombi between cardioembolic and large artery atherosclerosis etiologies (OR 1.62, 95% CI 0.1 to 28.0, p=0.63). Patients with a hyperdense artery sign had a higher odds of having RBC-rich thrombi than those without a hyperdense artery sign (OR 9.0, 95% CI 2.6 to 31.2, p<0.01). Patients with a good angiographic outcome had a mean thrombus Hounsfield unit (HU) of 55.1±3.1 compared with a mean HU of 48.4±1.9 for patients with a poor angiographic outcome (mean standard difference 6.5, 95% CI 2.7 to 10.2, p<0.001). There was no association between imaging characteristics and stroke etiology (OR 1.13, 95% CI 0.32 to 4.00, p=0.85).

conclusionsThe hyperdense artery sign is associated with RBC-rich thrombi and improved recanalization rates. However, there was no association between the histopathological characteristics of thrombi and stroke etiology and angiographic outcomes.

Indexed as

Diagnostic ImagingBrain IschemiaFemaleHumansMaleStrokeThrombosisTreatment OutcomeCTInterventionStrokeThrombectomyThrombolysis

Identifiers

PMID27166383
PMCPMC6697418
OpenAlexW2369651267

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.