Evidence map›Paper›PMID 32089059›Full record

ArticleJournal of the American Heart Association2020

Endovascular Treatment of Very Elderly Patients Aged ≥90 With Acute Ischemic Stroke.

Lukas Meyer, Maria Alexandrou, Fabian Flottmann, Milani Deb-Chatterji, Nuran Abdullayev, Volker Maus, Maria Politi, Kathleen Bernkopf, Christian Roth, Andreas Kastrup and 9 more

Open access · goldAbstract read
In one paragraph

Article in Journal of the American Heart Association, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 36 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
36citing papers in PubMed, 1 pooled it
6.4field-weighted citation impact, top 2% 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

36 citing papers in PubMed, 1 synthesis or guideline pooled it, 66 citations in OpenAlex.

  1. Pooled it
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  10. Mechanical thrombectomy in stroke patients of advanced age with score-based prediction of outcome.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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  19. Endovascular thrombectomy for acute ischemic stroke in elderly patients with large ischemic cores.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Article
  20. Article
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

19 authors at 8 institutions in 1 country.

Lukas MeyerDepartment of Diagnostic and Interventional Neuroradiology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Maria AlexandrouDepartment of Diagnostic and Interventional Neuroradiology Hospital Bremen-Mitte Bremen Germany.
Fabian FlottmannDepartment of Diagnostic and Interventional Neuroradiology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Milani Deb-ChatterjiDepartment of Neurology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Nuran AbdullayevDepartment of Diagnostic and Interventional Radiology University Hospital of Cologne Germany.
Volker MausDepartment of Radiology, Neuroradiology and Nuclear Medicine Ruhr University Bochum Knappschaftskrankenhaus Bochum Bochum Germany.
Maria PolitiDepartment of Diagnostic and Interventional Neuroradiology Hospital Bremen-Mitte Bremen Germany.
Kathleen BernkopfClinic and Policlinic for Neurology Hospital of the Technical University Munich Munich Germany.
Christian RothDepartment of Diagnostic and Interventional Neuroradiology Hospital Bremen-Mitte Bremen Germany.
Andreas KastrupDepartment of Neurology Hospital Bremen-Mitte Bremen Germany.
Uta HanningDepartment of Diagnostic and Interventional Neuroradiology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Caspar BrekenfeldDepartment of Diagnostic and Interventional Neuroradiology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Götz ThomallaDepartment of Neurology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Christian GerloffDepartment of Neurology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Anastasios MpotsarisDepartment of Diagnostic and Interventional Neuroradiology University Hospital of Aachen Germany.
Panagiotis PapanagiotouDepartment of Diagnostic and Interventional Neuroradiology Hospital Bremen-Mitte Bremen Germany.
Jens FiehlerDepartment of Diagnostic and Interventional Neuroradiology University Medical Center Hamburg-Eppendorf Hamburg Germany.
Hannes LeischnerDepartment of Diagnostic and Interventional Neuroradiology University Medical Center Hamburg-Eppendorf Hamburg Germany.
German Stroke Registry–Endovascular Treatment (GSR‐ET) †
Klinikum Bremen-Mitte · DEUniversität Hamburg · DEUniversity Medical Center Hamburg-Eppendorf · DEMünchen Klinik · DERuhr University Bochum · DEUniversitätsklinikum Aachen · DEUniversitätsklinikum Knappschaftskrankenhaus Bochum · DEUniversity Hospital Cologne · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background Patients aged ≥90 were excluded or under-represented in past thrombectomy trials; thus, uncertainty remains whether treatment benefits can be expected regardless of age. This study investigates outcome and safety of thrombectomy in nonagenarians to improve decision making in a real-world setting. Methods and Results All currently available data of patients aged ≥90 enrolled in the GSR-ET (German Stroke Registry-Endovascular Treatment) were combined with a smaller cohort from 3 tertiary stroke centers. Baseline characteristics, procedural (Thrombolysis in Cerebral Infarction scale) and functional outcomes (modified Rankin Scale; mRS), as well as complications (symptomatic intracranial hemorrhage, serious adverse events; SAEs) were analyzed. Good functional outcome was defined as mRS ≤3 at 90-days. 203 patients with anterior circulation stroke and prestroke mRS ≤3 were included. The rate of successful recanalization (Thrombolysis in Cerebral Infarction scale ≥2b) was 75.9% (154/203). Good functional outcome (mRS ≤3) was observed in 21.6% (41 of 193) at 90-days. In-hospital mortality was 27.1% (55 of 203) and increased significantly at 90 days to 48.9% (93 of 190;

Indexed as

Aged, 80 and overAge FactorsCohort StudiesEndovascular ProceduresFemaleGermanyHospital MortalityHumansIschemic StrokeMaleRecovery of FunctionSurvival RateThrombectomyTreatment Outcomeelderlyischemic strokenonagenariansthrombectomy

Identifiers

PMID32089059
PMCPMC7335589
OpenAlexW3008270309

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.