Evidence map›Paper›PMID 31214876›Full record

SynthesisJournal of thrombosis and thrombolysis2019

Does the administration of sonothrombolysis along with tissue plasminogen activator improve outcomes in acute ischemic stroke? A systematic review and meta-analysis.

Marium Zafar, Roha Saeed Memon, Muhammad Mussa, Rameez Merchant, Aiman Khurshid, Faisal Khosa

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Journal of thrombosis and thrombolysis, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. There is an urgent need to standardize sonothrombolysis!Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Article
  3. Article
  4. Review
  5. Review
  6. Article
  7. Monoclonal antibody as an emerging therapy for acute ischemic stroke.International journal of physiology, pathophysiology and pharmacology · 2020
    Review
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

6 authors.

Marium ZafarDow Medical College, Dow University of Health Sciences, Karachi, Pakistan. mariumzafar1995@gmail.com.
Roha Saeed MemonDow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Muhammad MussaDow Medical College, Dow University of Health Sciences, Karachi, Pakistan.
Rameez MerchantSpectrum Health, Grand Rapids, MI, USA.
Aiman KhurshidJinnah Sindh Medical University, Karachi, Pakistan.
Faisal KhosaDepartment of Radiology, Vancouver General Hospital, University of British Columbia, Vancouver, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

This meta-analysis was conducted to assess the safety and efficacy of sonothrombolysis along with intravenous recombinant tissue plasminogen activator, alteplase (IV rtPA), in the management of acute ischemic stroke. Electronic databases were searched under different meSH terms without the restriction of time and language. 1415 studies were analyzed and seven studies that matched the inclusion criteria were selected. Multiple safety and efficacy outcomes were extracted. Our pooled analysis demonstrated that there is no significant difference between sonothrombolysis group and control group in preventing mortality (RR 1.10 [0.81, 1.50]; p = 0.55; I

Indexed as

AgedBrain IschemiaCombined Modality TherapyHumansIntracranial HemorrhagesMiddle AgedStrokeThrombolytic TherapyTissue Plasminogen ActivatorTreatment OutcomeUltrasonographyTissue Plasminogen ActivatorAcute ischemic strokeCerebrovascular accidentSonothrombolysisThromboembolismThrombolysisTranscranial Doppler

Identifiers

PMID31214876

What OpenQuestion holds

Textmetadata
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.