Evidence map›Paper›PMID 31657277›Full record

SynthesisJournal of the American Heart Association2019

Mortality Risk in Acute Ischemic Stroke Patients With Large Vessel Occlusion Treated With Mechanical Thrombectomy.

Aristeidis H Katsanos, Konark Malhotra, Nitin Goyal, Lina Palaiodimou, Peter D Schellinger, Valeria Caso, Charlotte Cordonnier, Guillaume Turc, Georgios Magoufis, Adam Arthur and 2 more

Open access · goldAbstract readComparative StudyMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 3 pooled it
5.1field-weighted citation impact, top 4% 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

30 citing papers in PubMed, 3 syntheses or guidelines pooled it, 57 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Pooled it
  4. Article
  5. Observational
  6. Outcomes of mechanical thrombectomy at a single-centre tertiary level public healthcare hospital in South Africa.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  7. Article
  8. Risk factors and operative risk of large vessel occlusion and stroke during cardiac surgery.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024
    Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Observational
  14. Article
  15. Neurovascular and infectious disease phenotype of acute stroke patients with and without COVID-19.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2022
    Article
  16. Article
  17. Article
  18. Article
  19. Article
  20. Acute ischemic stroke treatment model for Poland in the mechanical thrombectomy era - which way to go?Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2022
    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

12 authors at 8 institutions in 5 countries.

Aristeidis H KatsanosSecond Department of Neurology "Attikon" Hospital School of Medicine National and Kapodistrian University of Athens Greece.
Konark MalhotraDepartment of Neurology Allegheny Health Network, Pittsburgh Pennsylvania USA.
Nitin GoyalDepartment of Neurology University of Tennessee Health Science Center Memphis TN.
Lina PalaiodimouSecond Department of Neurology "Attikon" Hospital School of Medicine National and Kapodistrian University of Athens Greece.
Peter D SchellingerDepartment of Neurology and Neurogeriatry Johannes Wesling Medical Center Ruhr University Bochum Germany.
Valeria CasoStroke Unit University of Perugia Italy.
Charlotte CordonnierDepartment of Neurology Univ. Lille Inserm U1171 Degenerative & Vascular Cognitive Disorders CHU Lille France.
Guillaume TurcDepartment of Neurology Hôpital Sainte-Anne Paris France.
Georgios MagoufisSecond Department of Neurology "Attikon" Hospital School of Medicine National and Kapodistrian University of Athens Greece.
Adam ArthurDepartment of Neurosurgery University of Tennessee Health Science Center and Semmes-Murphey Clinic Memphis TN.
Andrei V AlexandrovDepartment of Neurology University of Tennessee Health Science Center Memphis TN.
Georgios TsivgoulisSecond Department of Neurology "Attikon" Hospital School of Medicine National and Kapodistrian University of Athens Greece.
University General Hospital Attikon · GRUniversity of Tennessee Health Science Center · USAllegheny Health Network · USCentre Hospitalier Universitaire de Lille · FRNational and Kapodistrian University of Athens · GRRuhr University Bochum · DEUniversité Paris Cité · FRUniversity of Perugia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Recent randomized controlled clinical trials have provided solid evidence that mechanical thrombectomy (MT) coupled with best medical therapy (BMT) improve functional outcomes of acute ischemic stroke patients with large vessel occlusion compared with BMT alone. However, they provided inconclusive evidence on the benefit of MT on mortality. Methods and Results We evaluated the association of MT+BMT compared with BMT with the risk of 3-month mortality using aggregate data from all available randomized controlled clinical trials. We also sought to identify potential predictors on the mortality risk and performed univariate meta-regression analyses. Our literature search identified 11 eligible randomized controlled clinical trials, including a total of 2460 patients. The pooled rates of 3-month mortality were 15% (95% CI:12%-19%) and 19% (95% CI:16%-23%), respectively, in the MT+BMT and BMT groups. In the overall analysis MT+BMT was associated with a significantly lower risk for 3-month mortality compared with BMT (risk ratio=0.83, 95% CI:0.69-0.99;

Indexed as

Brain IschemiaCerebrovascular DisordersCombined Modality TherapyHumansRandomized Controlled Trials as TopicRisk AssessmentStrokeThrombectomyischemic strokemortalitythrombectomy

Identifiers

PMID31657277
PMCPMC6898819
OpenAlexW2982533961

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.