Evidence map›Paper›PMID 31705292›Full record

ArticleJournal of neurology2020

White matter burden does not influence the outcome of mechanical thrombectomy.

Laura Mechtouff, Norbert Nighoghossian, Camille Amaz, Marielle Buisson, Yves Berthezène, Laurent Derex, Elodie Ong, Omer Faruk Eker, Tae-Hee Cho

Abstract read
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In one paragraph

Article in Journal of neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 5 pooled it
3.0field-weighted citation impact, top 8% 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

16 citing papers in PubMed, 5 syntheses or guidelines pooled it, 32 citations in OpenAlex.

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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

9 authors at 2 institutions in 1 country.

Laura MechtouffDepartment of Neurology and Comprehensive Stroke Center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Lyon, France.
Norbert NighoghossianDepartment of Neurology and Comprehensive Stroke Center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Lyon, France. norbert.nighoghossian@chu-lyon.fr.ORCID http://orcid.org/0000-0003-0594-4409
Camille AmazClinical Investigation Center, INSERM 1407, Louis Pradel Hospital, Hospices Civils de Lyon, Lyon, France.
Marielle BuissonClinical Investigation Center, INSERM 1407, Louis Pradel Hospital, Hospices Civils de Lyon, Lyon, France.
Yves BerthezèneDepartment of Neuroradiology, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Lyon, France.
Laurent DerexDepartment of Neurology and Comprehensive Stroke Center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Lyon, France.
Elodie OngDepartment of Neurology and Comprehensive Stroke Center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Lyon, France.
Omer Faruk EkerDepartment of Neuroradiology, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Lyon, France.
Tae-Hee ChoDepartment of Neurology and Comprehensive Stroke Center, Pierre Wertheimer Hospital, Hospices Civils de Lyon, Lyon, France.
Hospices Civils de Lyon · FRInserm · FR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe significance of white matter hyperintensities (WMHs) in the setting of mechanical thrombectomy (MT) remains poorly documented. We assessed whether pre-existing WMHs burden was associated with baseline clinical and imaging factors and neurological outcome in patients undergoing MT.

methodsThis retrospective single-center study included consecutive acute ischemic stroke (AIS) patients with stroke due to large vessel occlusion treated with MT. WMHs were assessed on baseline T2 fluid-attenuated inversion recovery magnetic resonance imaging. Neurological outcome was assessed at day 90 by the modified Rankin Scale (mRS). We analyzed the association between WMH burden and clinical and imaging factors by univariate and multivariate logistic regression analyses.

resultsBetween July 2013 and June 2019, 293 patients with anterior circulation AIS met the inclusion criteria. WMHs burden was not associated to baseline NIHSS score severity (OR 0.89, 95% CI 0.54-1.49, p = 0.66), poor collateral status, Higashida score < 3 (OR 1.5 95% CI 0.62-3.56, p = 0.36), higher DWI volume (OR 0.69, 95% CI 0.41-1.15, p = 0.16) or to a lower recanalization rate, TICI 0/2a (OR 0.98 95% CI 0.56-1.69, p = 0.95). WMHs severity did not influence the risk of parenchymal hemorrhage (OR 0.97 95% 0.26-3, p = 0.96). WMHs burden was not an independent predictor of poor outcome in multivariate analysis. The rate of futile recanalization in patients with TICI grades 2b and 3 according to mRs score at 3 months was not influenced by WMHs burden.

conclusionsWMHs burden does not seem to influence clinical outcome and imaging parameters in patients treated by MT.

Indexed as

ThrombectomyTreatment OutcomeAgedAngiography, Digital SubtractionCerebral AngiographyFemaleHumansMagnetic Resonance ImagingMaleMiddle AgedNeuroimagingRetrospective StudiesStrokeWhite MatterIschemic strokeMagnetic resonance imagingThrombectomyWhite matter

Identifiers

PMID31705292
OpenAlexW2984134080

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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.