Evidence map›Paper›PMID 32165366›Full record

ArticleAJNR. American journal of neuroradiology2020

White Matter Disease and Outcomes of Mechanical Thrombectomy for Acute Ischemic Stroke.

E A Mistry, A M Mistry, T Mehta, N Arora, A K Starosciak, F D L R La Rosa, J E Siegler, S E Kasner, R Chitale, M Fusco and 5 more

Open access · bronzeAbstract read
In one paragraph

Article in AJNR. American journal of neuroradiology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 4 pooled it
4.7field-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

23 citing papers in PubMed, 4 syntheses or guidelines pooled it, 47 citations in OpenAlex.

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  7. Comparison of ischemic and hemorrhagic stroke in the thalamus.Quantitative imaging in medicine and surgery · 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

15 authors at 10 institutions in 2 countries.

E A MistryFrom the Departments of Neurology (E.A.M., M.S.) and eva.a.mistry@vumc.org.ORCID 0000-0002-7426-3650
A M MistryNeurosurgery (A.M.M., R.C., M. Fusco), and.ORCID 0000-0002-7918-5153
T MehtaDepartment of Neurology and Neurosurgery (T.M.), University of Minnesota, Minneapolis, Minnesota.ORCID 0000-0003-0199-3967
N AroraDepartment of Neurology (N.A.), University of Missouri, Columbia, Missouri.ORCID 0000-0003-4665-3528
A K StarosciakBaptist Health Neuroscience Center (A.K.S., F.D.L.R.L.R.), Miami, Florida.ORCID 0000-0001-5647-3868
F D L R La RosaBaptist Health Neuroscience Center (A.K.S., F.D.L.R.L.R.), Miami, Florida.ORCID 0000-0003-4465-9280
J E SieglerDepartment of Neurology (J.E.S., S.E.K.), University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-0287-3967
S E KasnerDepartment of Neurology (J.E.S., S.E.K.), University of Pennsylvania, Philadelphia, Pennsylvania.ORCID 0000-0003-0418-6917
R ChitaleNeurosurgery (A.M.M., R.C., M. Fusco), and.ORCID 0000-0001-8591-8854
M FuscoNeurosurgery (A.M.M., R.C., M. Fusco), and.ORCID 0000-0002-7252-4204
M FroehlerCerebrovascular Program (M. Froehler), Vanderbilt University Medical Center, Nashville, Tennessee.ORCID 0000-0003-1282-005X
S YaghiNew York University Langone Health (S.Y.), Brooklyn, New York.ORCID 0000-0003-0031-1004
M SchragFrom the Departments of Neurology (E.A.M., M.S.) and.ORCID 0000-0001-7048-0503
BEST Collaborators
Mahindra and Mahindra Limited (India) · INBaptist Health South Florida · USUniversity of Pennsylvania · USNeurology, Inc · USNYU Langone Health · USTexas A&M Health Science Center · USUniversity of Cincinnati · USUniversity of Minnesota · USUniversity of Missouri · USVanderbilt University Medical Center · US

Funding

Ohio Valley Regional Coordinating Center for NINDS Stroke Trial NetworkU24NS107241 · NINDS · UNIVERSITY OF CINCINNATI · PI Stacie Demel, Eva Mistry · 2018 to 2026
$2.9M
The Philadelphia Regional Stroke Trials Network coordinating Center (PRSTNCC)U10NS086474 · NINDS · UNIVERSITY OF PENNSYLVANIA · PI KASNER, SCOTT E · 2013 to 2017
$1.9M
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 NS113858NINDS NIH HHS U10 NS086474NINDS NIH HHS U24 NS107241
6 · The paper itself

Abstract

background and purposeThe increased severity of white matter disease is associated with worse outcomes and an increased rate of intracerebral hemorrhage in patients with ischemic stroke undergoing thrombolytic treatment. However, whether white matter disease is associated with outcomes in patients undergoing endovascular treatment remains unclear. MATERIALS AND

methodsIn this prespecified exploratory analysis of our prospective multi-institutional study that enrolled consecutive adult patients with anterior circulation ischemic stroke undergoing endovascular treatment from November 2017 to September 2018, we compared the following outcomes between patients with none-to-minimal (van Swieten score, 0-2) and moderate-to-severe (van Swieten score, 3-4) white matter disease using logistic regression: 90-day mRS 3-6, death, intracerebral hemorrhage, successful recanalization, and early neurologic recovery.

resultsOf the 485 patients enrolled in the Blood Pressure after Endovascular Stroke Therapy (BEST) study, 389 had white matter disease graded (50% women; median age, 68 years; range, 58-79 years). A van Swieten score of 3-4 (

conclusionsModerate-to-severe white matter disease is associated with worse outcomes in patients undergoing endovascular treatment without a significant increase in hemorrhagic complications. Studies comparing patients with and without endovascular treatment are necessary to determine whether the benefit of endovascular treatment is attenuated with greater white matter disease.

Indexed as

Treatment OutcomeAgedBrain IschemiaEndovascular ProceduresFemaleHumansLeukoencephalopathiesMaleMiddle AgedProspective StudiesStrokeThrombectomy

Identifiers

PMID32165366
PMCPMC7144640
OpenAlexW3011458680

What OpenQuestion holds

Textmetadata
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.