Evidence map›Paper›PMID 31471811›Full record

ReviewCurrent cardiology reports2019

Endovascular Thrombectomy for Acute Ischemic Stroke.

Tasneem F Hasan, Nathaniel Todnem, Neethu Gopal, David A Miller, Sukhwinder S Sandhu, Josephine F Huang, Rabih G Tawk

Abstract readReview
PubMed Publisher
In one paragraph

Review in Current cardiology reports, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
2.9field-weighted citation impact, top 9% 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

14 citing papers in PubMed, 32 citations in OpenAlex.

  1. Trial
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  4. Article
  5. Review
  6. Article
  7. Article
  8. Anesthetic consideations for endovascular treatment of acute ischemic stroke.Canadian journal of anaesthesia = Journal canadien d'anesthesie · 2022
    Article
  9. Article
  10. Article
  11. Review
  12. Review
  13. Article
  14. 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

7 authors at 4 institutions in 1 country.

Tasneem F HasanDepartment of Neurology, Ochsner Louisiana State University Health Sciences Center, Shreveport, LA, USA.
Nathaniel TodnemDepartment of Neurologic Surgery, Medical College of Georgia, Augusta, Georgia.
Neethu GopalDepartment of Neurologic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
David A MillerDepartment of Diagnostic Radiology, Mayo Clinic, Jacksonville, FL, USA.
Sukhwinder S SandhuDepartment of Neurologic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA.
Josephine F HuangDepartment of Neurology, Mayo Clinic, Jacksonville, FL, USA.
Rabih G TawkDepartment of Neurologic Surgery, Mayo Clinic, 4500 San Pablo Road, Jacksonville, FL, 32224, USA. Tawk.Rabih@mayo.edu.
Mayo Clinic in Florida · USAugusta University · USLouisiana State University Health Sciences Center Shreveport · USWinnMed · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purpose of reviewTo review the current evidence supporting the use of endovascular thrombectomy (EVT) for the treatment of acute ischemic stroke (AIS) due to anterior circulation large vessel occlusion (LVO). RECENT

findingsRecent advances in AIS management by EVT have led to significant reduction in morbidity and mortality in selected patients with LVO within the anterior circulation. Until recently, use of EVT was strictly based on time criteria, within 4.5 to 12 h of symptom onset with many patients presenting with "wake-up" stroke who were not considered for EVT. The positive results of the DAWN and DEFUSE-3 trials have shown benefit in extending the therapeutic window for EVT to 24 and 16 h, respectively, after last known normal (LKN) time in the setting of large ischemic penumbra. These trials represent a paradigm shift in contemporary treatment of AIS, changing from a purely time-based decision to treat to an individualized decision based on clinical and radiographic findings of salvageable tissue. Overall, acute stroke management has evolved considerably over the years from intravenous thrombolysis to include EVT, with paralleled improvements in patient selection and thrombectomy devices. Since the results of the DAWN and DEFUSE-3, EVT is now considered the standard of care in select patients with anterior circulation LVO up to 24 h from LKN time. Despite these developments, post-stroke disability remains pervasive and further studies are warranted in establishing the role of EVT in posterior circulation and distal vessel occlusions, with need for development of new and effective techniques for revascularization of small vessels.

Indexed as

ThrombectomyBrain IschemiaEndovascular ProceduresHumansStrokeTreatment OutcomeAcute ischemic strokeDAWNDEFUSE 3EndovascularStent retrieversThrombectomy

Identifiers

PMID31471811
OpenAlexW2970714530

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.