Evidence map›Paper›PMID 31813361›Full record

ArticleStroke2020

Blood Pressure Variability and Neurologic Outcome After Endovascular Thrombectomy: A Secondary Analysis of the BEST Study.

Eva A Mistry, Tapan Mehta, Akshitkumar Mistry, Niraj Arora, Amy K Starosciak, Felipe De Los Rios La Rosa, James Ernest Siegler, Rohan Chitale, Mohammad Anadani, Shadi Yaghi and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Stroke, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07527013 (Stratified Blood Pressure Management After Endovascular Treatment for Acute Ischemic Stroke), which is not on this map. Cited by 75 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
75citing papers in PubMed, 6 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.

NCT07527013 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Stratified Blood Pressure Management After Endovascular Treatment for Acute Ischemic Stroke (RESCUE-BP)

TypeinterventionalSponsorBeijing Tiantan HospitalRan2026 to 2028Enrolled544ConditionsEndovascular Therapy, Acute Ischaemic Stroke, Collateral Circulation, Blood Pressure ManagementArmsStratified Blood Pressure Management
3 · Its place in the literature

Who cites it

75 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Guideline
  2. Intensive versus less intensive blood pressure targets after mechanical thrombectomy in acute ischemic stroke: a systematic review and network meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Pooled it
  3. Pooled it
  4. Blood pressure targets after successful reperfusion in mechanical thrombectomy for acute ischemic stroke: an updated systematic review and meta-analysis of randomized clinical trials.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  5. Pooled it
  6. Pooled it
  7. Trial
  8. Trial
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  10. Trial
  11. Article
  12. Review
  13. Article
  14. Observational
  15. Mid-term systolic BP variability beyond 24 h after successful recanalization predicts poor outcomes following ischemic stroke.Hypertension research : official journal of the Japanese Society of Hypertension · 2026
    Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Article

15 more citing papers are in PubMed but not listed here.

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.

Eva A MistryFrom the Department of Neurology, Vanderbilt University Medical Center, Nashville, TN (E.A.M.).
Tapan MehtaDepartment of Neurology and Neurosurgery, University of Minnesota, Minneapolis (T.M.).
Akshitkumar MistryDepartment of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN (A.M., R.C.).
Niraj AroraDepartment of Neurology, University of Missouri, Columbia (N.A.).
Amy K StarosciakBaptist Health Neuroscience Center, Miami, FL (A.K.S., F.D.L.R.L.R.).
Felipe De Los Rios La RosaBaptist Health Neuroscience Center, Miami, FL (A.K.S., F.D.L.R.L.R.).
James Ernest SieglerDepartment of Neurology, University of Pennsylvania, Philadelphia (J.E.S.).
Rohan ChitaleDepartment of Neurosurgery, Vanderbilt University Medical Center, Nashville, TN (A.M., R.C.).
Mohammad AnadaniDepartment of Neurosurgery, Washington University School of Medicine, St. Louis, MO (M.A.).
Shadi YaghiDepartment of Neurology, New York University Langone Health, Brooklyn (S.Y.).
Pooja KhatriDepartment of Neurology and Rehabilitation Medicine, University of Cincinnati, OH (P.K.).
Adam de HavenonDepartment of Neurology, University of Utah, Salt Lake City (A.d.H.).

Funding

The Philadelphia Regional Stroke Trials Network coordinating Center (PRSTNCC)U10NS086474 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KASNER, SCOTT E · 2013 to 2017
$1.9M
Treatment Targets for Inflamed Intracranial Atherosclerosis on Vessel Wall MRIK23NS105924 · NINDS · YALE UNIVERSITY · PI DE HAVENON, ADAM H. · 2019 to 2023
$988k
Blood Pressure after Endovascular Stroke Therapy-II: A Randomized TrialK23NS113858 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MISTRY, EVA · 2019 to 2023
$901k
NINDS NIH HHS K23 NS105924NINDS NIH HHS K23 NS113858NINDS NIH HHS U10 NS086474
6 · The paper itself

Abstract

Background and Purpose- Although higher blood pressure variability (BPV) is associated with worse functional outcome after stroke, this association is not as well established in large vessel occlusion strokes treated with endovascular treatment (EVT). Methods- In this post hoc analysis of BEST (Blood Pressure after Endovascular Therapy for Ischemic Stroke), a prospective, multicenter cohort study of anterior circulation acute ischemic stroke patients undergoing EVT, we determined the association of BPV with poor outcome or death (90-day modified Rankin Scale, 3-6). We calculated BPV during the first 24 hours after EVT for systolic and diastolic BP using 5 methodologies, then divided BPV into tertiles and compared the highest to lowest tertile using logistic regression. Results- Of the 443 patients included in our analysis, 259 (58.5%) had a poor outcome, and 79 (17.8%) died. All measures of BPV were significantly higher in patients with poor outcome or death, but the difference was more pronounced for systolic than diastolic BPV. In the logistic regression, the highest tertile of systolic BPV consistently predicted poor outcome (odds ratio, 1.8-3.5, all

Indexed as

ThrombectomyAgedAged, 80 and overBlood PressureBlood Pressure DeterminationBrain IschemiaCerebral InfarctionEndovascular ProceduresFemaleHumansHypertensionMaleMiddle AgedStrokeTreatment Outcomeblood pressurehemorrhagehypertensionhypotensionthrombectomy

Identifiers

PMID31813361
PMCPMC8010595

What OpenQuestion holds

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Registered trials

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.