Current concepts in imaging and endovascular treatment of acute ischemic stroke: implications for the clinician.

Thijs van der Zijden, Annelies Mondelaers, Laetitia Yperzeele, Maurits Voormolen, Paul M Parizel

Abstract readReview

In one paragraph

Review in Insights into imaging, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it

0cells of the map it votes in

2citing papers in PubMed

–field-weighted citation impact

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

2 citing papers in PubMed.

How to improve access to medical imaging in low- and middle-income countries ?EClinicalMedicine · 2021
Review
Early Brain Imaging Shows Increased Severity of Acute Ischemic Strokes With Large Vessel Occlusion in COVID-19 Patients.Stroke · 2020
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

5 authors.

Thijs van der ZijdenDepartment of Radiology, Antwerp University Hospital & University of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium. thijs.van.der.zijden@uza.be.

Annelies MondelaersDepartment of Radiology, Antwerp University Hospital & University of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium.

Laetitia YperzeeleDepartment of Neurology, Antwerp University Hospital & University of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium.

Maurits VoormolenDepartment of Radiology, Antwerp University Hospital & University of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium.

Paul M ParizelDepartment of Radiology, Antwerp University Hospital & University of Antwerp, Wilrijkstraat 10, 2650, Edegem, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the last decade, the management of acute ischemic stroke has changed dramatically, from an expectant bedside "wait and see" attitude towards active treatment, thanks to the continuous improvement of new therapeutic options. In addition to the use of intravenous (IV) thrombolysis in emergent large vessel occlusion (ELVO), endovascular therapy (EVT) has proven to be very efficient in selected acute stroke patients. The indications for EVT have progressed from the era of thrombolysis to individual patient profiling. Recently, several indication parameters, e.g., "treatment time window" or "more distal vessel occlusion," are under debate for adjustment. In this article, we review the imaging strategies in acute stroke and discuss several EVT indication dogmas, which are subject to change.

Indexed as

Acute strokeCerebrovascular accidentDiagnostic imagingEndovascular procedurePatient selection

Identifiers

PMID31197499

DOI10.1186/s13244-019-0744-4

PMCPMC6565797

What OpenQuestion holds

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LicenceCC BY

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Registered trials

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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.