Evidence map›Paper›PMID 32154677›Full record

ArticleAnnals of clinical and translational neurology2020

Prognosis and risk factors for reocclusion after mechanical thrombectomy.

Weili Li, Jiayue Ding, Xueqin Sui, Zhifeng Qi, Longfei Wu, Chenghe Sun, Kangxiang Ji, Qingfeng Ma, Xunming Ji, Ke Jian Liu

Open access · goldAbstract read
In one paragraph

Article in Annals of clinical and translational neurology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
3.6field-weighted citation impact, top 6% 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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 44 citations in OpenAlex.

  1. Impact of D-dimer on the outcomes of endovascular thrombectomy for acute ischemic stroke: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
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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

10 authors at 3 institutions in 2 countries.

Weili LiCerebrovascular Diseases Research Institute, Xuanwu Hospital, Capital Medical University, Beijing, China.
Jiayue DingDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xueqin SuiDepartment of General Medicine, Affiliated Hospital of Weifang Medical University, Weifang, Shandong Province, China.
Zhifeng QiCerebrovascular Diseases Research Institute, Xuanwu Hospital, Capital Medical University, Beijing, China.
Longfei WuDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Chenghe SunDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Kangxiang JiDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Qingfeng MaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xunming JiCerebrovascular Diseases Research Institute, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-0293-2744
Ke Jian LiuDepartment of Pharmaceutical Sciences, College of Pharmacy, University of New Mexico Health Sciences Center, Albuquerque, New Mexico.ORCID 0000-0002-6588-1617
Capital Medical University · CNUniversity of New Mexico · USWeifang Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis study evaluates reocclusion prognostic outcomes and explores reocclusion risk factors after mechanical thrombectomy (MT) in Chinese stroke patients.

methodsAltogether, 614 patients with AIS with successful recanalization after MT were recruited in this study and divided into the reocclusion and the non-reocclusion group depending on the 24-h imaging results after MT. Differences between the two groups were compared including 24-h and 7-day National Institutes of Health Stroke Scale (NIHSS) scores, 90-day modified Rankin scale(mRS) scores, good prognosis (mRS:0-2) rates, incidence of intracranial hemorrhage, and 90-day mortality.

resultsForty-four (7.2%) patients experienced reocclusion within 24 h. Compared with the non-reocclusion group, patients in the reocclusion group had higher 24-h (15 vs. 13) and 7-day (15 vs. 9) NIHSS scores, 90-day mRS scores (4 vs. 3), and 90-day mortality rates (34.1% vs. 18.6%); lower rates of good prognosis (13.6% vs. 9.3%); and a higher incidence of early neurological deterioration (36.4% vs. 14.7%). Age, internal carotid artery occlusion (ICA), intravenous thrombolysis (IVT), number of thrombectomy passes, stent implantation, and levels of D-dimer (adjusted odds ratio and 95% confidence interval: 0.97, 0.94-0.99; 2.40, 1.10-5.23; 2.21, 1.05-4.66; 2.60, 1.04-6.47; 0.25, 0.09-0.67; and 1.06, 1.01-1.12, respectively) were independently associated with 24-h reocclusion.

interpretationThe prognosis of reocclusion after MT was poor. Timely evaluation of these factors including age, D-dimer, ICA occlusion, IVT, number of passes, and stent implantation and appropriate intervention could reduce the incidence of reocclusion for Chinese stroke patients.

Indexed as

Mechanical ThrombolysisOutcome Assessment, Health CareAgedArterial Occlusive DiseasesChinaFemaleHumansIschemic StrokeMaleMiddle AgedPrognosisRetrospective StudiesRisk Factors

Identifiers

PMID32154677
PMCPMC7187702
OpenAlexW3012473230

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.