Evidence map›Paper›PMID 32193192›Full record

ArticleAJNR. American journal of neuroradiology2020

Is Histologic Thrombus Composition in Acute Stroke Linked to Stroke Etiology or to Interventional Parameters?

J Goebel, B-J Gaida, I Wanke, C Kleinschnitz, M Koehrmann, M Forsting, C Moenninghoff, A Radbruch, A Junker

Abstract 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 26 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed, 1 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.

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

26 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Endovascular treatment strategies for simultaneous bilateral anterior circulation occlusions in acute ischemic stroke: A single-center experience and systematic review of the literature.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
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  14. Periodontitis in ischemic stroke: impact ofResearch and practice in thrombosis and haemostasis · 2024
    Article
  15. Article
  16. Article
  17. Clot Morphology in Acute Ischemic Stroke Decision Making.International journal of molecular sciences · 2022
    Review
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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

9 authors.

J GoebelFrom the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.) Juliane.Goebel@uk-essen.de.ORCID 0000-0001-7481-0565
B-J GaidaNeuroradiological Centre (B.-J.G.), Clinic Hirslanden, Zurich, Switzerland.ORCID 0000-0002-3532-6874
I WankeFrom the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.).ORCID 0000-0003-3207-6379
C KleinschnitzClinic of Neurology (C.K., M.K.), University Hospital Essen, Essen, Germany.ORCID 0000-0002-1650-8875
M KoehrmannClinic of Neurology (C.K., M.K.), University Hospital Essen, Essen, Germany.ORCID 0000-0002-0701-9535
M ForstingFrom the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.).ORCID 0000-0002-5584-9824
C MoenninghoffFrom the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.).ORCID 0000-0003-3946-9386
A RadbruchFrom the Departments of Diagnostic and Interventional Radiology and Neuroradiology (J.G., I.W., M.F., C.M., A.R.).ORCID 0000-0002-7622-5033
A JunkerNeuropathology (A.J.).ORCID 0000-0002-8063-9765

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeDetailed insight into the composition of thrombi retrieved from patients with ischemic stroke by mechanical thrombectomy might improve pathophysiologic understanding and therapy. Thus, this study searched for links between histologic thrombus composition and stroke subtypes and mechanical thrombectomy results. MATERIALS AND

methodsThrombi from 85 patients who had undergone mechanical thrombectomy for acute ischemic stroke between December 2016 and March 2018 were studied retrospectively. Thrombi were examined histologically. Preinterventional imaging features, stroke subtypes, and interventional parameters were re-analyzed. Statistical analysis was performed with the Kruskal-Wallis test, Mann-Whitney

resultsCardioembolic thrombi had a higher percentage of macrophages and a tendency toward more platelets than thrombi of large-artery atherosclerotic stenosis (

conclusionsWe interpreted the higher macrophage and platelet content in cardioembolic thrombi compared with large-artery atherosclerotic stenosis or embolic stroke of undetermined source thrombi as an indication that the latter type might be derived from an atherosclerotic plaque rather than from an undetermined cardiac source. The extent of thrombus fragmentation was associated with a more challenging mechanical thrombectomy and a higher lymphocyte content of the thrombi. Thus, thrombus fragmentation not only might be caused by the recanalization procedure but also might be a feature of a lymphocyte-rich, difficult-to-retrieve subgroup of thrombi.

Indexed as

AgedAtherosclerosisBlood PlateletsBrain IschemiaFemaleHumansIntracranial EmbolismIntracranial ThrombosisMacrophagesMaleMiddle AgedRetrospective StudiesStrokeThrombectomyThrombosis

Identifiers

PMID32193192
PMCPMC7144659

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.