Evidence map›Paper›PMID 32188911›Full record

ArticleScientific reports2020

Futile complete recanalization: patients characteristics and its time course.

Takaya Kitano, Kenichi Todo, Shinichi Yoshimura, Kazutaka Uchida, Hiroshi Yamagami, Nobuyuki Sakai, Manabu Sakaguchi, Hajime Nakamura, Haruhiko Kishima, Hideki Mochizuki and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–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.

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

13 citing papers in PubMed.

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  4. Impact of multidisciplinary simulation training on endovascular thrombectomy: Workflow, patient outcomes and anaesthetic management.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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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

21 authors.

Takaya KitanoStroke Center, Osaka University Hospital, Osaka, Japan.
Kenichi TodoStroke Center, Osaka University Hospital, Osaka, Japan. ktodo@neurol.med.osaka-u.ac.jp.
Shinichi YoshimuraDepartment of Neurosurgery, Hyogo College of Medicine, Hyogo, Japan.
Kazutaka UchidaDepartment of Neurosurgery, Hyogo College of Medicine, Hyogo, Japan.
Hiroshi YamagamiDivision of Stroke Care Unit, National Cerebral and Cardiovascular Center, Osaka, Japan.
Nobuyuki SakaiDepartment of Neurosurgery, Kobe City Medical Center General Hospital, Hyogo, Japan.
Manabu SakaguchiStroke Center, Osaka University Hospital, Osaka, Japan.
Hajime NakamuraStroke Center, Osaka University Hospital, Osaka, Japan.
Haruhiko KishimaStroke Center, Osaka University Hospital, Osaka, Japan.
Hideki MochizukiStroke Center, Osaka University Hospital, Osaka, Japan.
Masayuki EzuraDepartment of Neurosurgery, National Hospital Organization Sendai Medical Center, Miyagi, Japan.
Yasushi OkadaDepartment of Cerebrovascular Medicine and Neurology, National Hospital Organization Kyushu Medical Center, Fukuoka, Japan.
Kazuo KitagawaDepartment of Neurology, Tokyo Women's Medical University, Tokyo, Japan.
Kazumi KimuraDepartment of Neurology, Graduate School of Medicine, Nippon Medical School, Tokyo, Japan.
Makoto SasakiInstitute for Biomedical Sciences, Iwate Medical University, Iwate, Japan.
Norio TanahashiDepartment of Neurology, Saitama Medical University International Medical Center, Saitama, Japan.
Kazunori ToyodaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
Eisuke FuruiDepartment of Stroke Neurology, Saiseikai Toyama Hospital, Toyama, Japan.
Yuji MatsumaruDivision of stroke prevention and treatment, Department of Neurosurgery, Faculty of Medicine, University of Tsukuba, Ibaraki, Japan.
Kazuo MinematsuDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, Osaka, Japan.
Takeshi MorimotoDepartment of Clinical Epidemiology, Hyogo College of Medicine, Hyogo, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

As the goal of mechanical thrombectomy is shifting toward mTICI-3 rather than mTICI-2b, we sought to clarify the limitation of the effect of mTICI-3. A post-hoc analysis of a registry of large-vessel occlusion stroke from 46 centers was conducted. Among 2,420 registered patients, 725 patients with anterior circulation occlusion who achieved successful reperfusion were analyzed. We compared outcomes between patients with mTICI-3 and mTICI-2b, and investigated how the effect of mTICI-3 changed according to baseline characteristics and time course. The proportion of patients with favorable outcomes (mRS 0-2 at day 90) was higher among patients with mTICI-3 compared to those with mTICI-2b (adjusted OR, 2.10; 95% CI, 1.49-2.97). There was no heterogeneity in the effect of mTICI-3 with respect to age, neurological deficit, alteplase use, occluded vessels, or infarct size. mTICI-3 was associated with favorable outcomes when the puncture-to-reperfusion time was <80 minutes (adjusted OR, 2.28; 95% CI, 1.52-3.41), but not when the puncture-to-reperfusion time was ≥80 minutes. A significant heterogeneity was found in the effect of mTICI-3 reperfusion across the puncture-to-reperfusion time subgroups (P for interaction = 0.025). Until when operators should continue the procedure after mTICI-2b has been achieved, needs to be studied.

Indexed as

Cerebrovascular CirculationAgedAged, 80 and overCerebrovascular DisordersEndovascular ProceduresFemaleHumansMaleProspective StudiesReperfusionThrombectomyTime FactorsTreatment Outcome

Identifiers

PMID32188911
PMCPMC7080727

What OpenQuestion holds

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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.