Evidence map›Paper›PMID 33594451›Full record

ArticleJournal of neurology2021

Early recurrent ischemic events after mechanical thrombectomy: effect of post-treatment intracranial hemorrhage.

Junpei Koge, Kanta Tanaka, Takeshi Yoshimoto, Masayuki Shiozawa, Hiroshi Yamagami, Tetsu Satow, Jun C Takahashi, Masafumi Ihara, Masatoshi Koga, Jun-Ichi Kira and 1 more

Registry-linked trialAbstract read
PubMed Publisher
In one paragraph

Article in Journal of neurology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02251665 (National Cerebral and Cardiovascular Center), which is not on this map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.9field-weighted citation impact, top 27% 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.

NCT02251665 active not recruitingnot on this map

National Cerebral and Cardiovascular Center (NCVC) Stroke Registry

TypeobservationalSponsorNational Cerebral and Cardiovascular Center, JapanRan2016 to 2028Enrolled5,374ConditionsStroke, AcuteArmsNo intervention
3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 6 citations in OpenAlex.

  1. Article
  2. Article
  3. Observational
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

11 authors at 2 institutions in 1 country.

Junpei KogeDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, 6-1 Kishibe-Shimmachi, Suita, Osaka, 564-8565, Japan. j.kouge@gmail.com.ORCID http://orcid.org/0000-0002-9632-2164
Kanta TanakaDivision of Stroke Care Unit, National Cerebral and Cardiovascular Center, Suita, Japan.
Takeshi YoshimotoDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Masayuki ShiozawaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, 6-1 Kishibe-Shimmachi, Suita, Osaka, 564-8565, Japan.
Hiroshi YamagamiDivision of Stroke Care Unit, National Cerebral and Cardiovascular Center, Suita, Japan.
Tetsu SatowDepartment of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Japan.
Jun C TakahashiDepartment of Neurosurgery, National Cerebral and Cardiovascular Center, Suita, Japan.
Masafumi IharaDepartment of Neurology, National Cerebral and Cardiovascular Center, Suita, Japan.
Masatoshi KogaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, 6-1 Kishibe-Shimmachi, Suita, Osaka, 564-8565, Japan.
Jun-Ichi KiraDepartment of Neurology, Graduate School of Medical Sciences, Neurological Institute, Kyushu University, Fukuoka, Japan.
Kazunori ToyodaDepartment of Cerebrovascular Medicine, National Cerebral and Cardiovascular Center, 6-1 Kishibe-Shimmachi, Suita, Osaka, 564-8565, Japan.
National Cerebral and Cardiovascular Center · JPKyushu University · JP

Funding

Grant-in-Aid for Scientific Research 20K16716
6 · The paper itself

Abstract

objectivePatients with intracranial hemorrhages (ICH) after mechanical thrombectomy (MT) may have a higher risk of early recurrent embolism (ERE) because of delayed initiation of anticoagulants. We assessed the rate of ischemic events in the early period after MT and the association with post-MT ICH.

methodsPatients who underwent MT in our institute were retrospectively reviewed. ERE was defined as recurrent ischemic stroke and systemic embolism within 14 days after MT. The association between ERE and parenchymal hematoma (PH) was assessed. Multivariable regression analysis and inverse probability of treatment weighting was used to adjust for differences in baseline characteristics between patients with and without PH.

resultsA total of 307 patients (median age, 78 years; female, 47%; median baseline National Institutes of Health Stroke Scale score, 19) were included. ERE was observed in 12 of 307 patients (8 strokes, 4 systemic embolisms; 3.9%). Median time from MT to ERE was 6.5 days (IQR, 3-8 days). PH occurred in 21 patients (6.8%). Median time from MT to initiating oral anticoagulants was longer in patients with PH (8 days) than in those without (3 days) (p < 0.01). In both unweighted and weighted multivariable analysis, PH was significantly associated with an increased risk of ERE (unweighted odds ratio, 10.60; 95% CI, 2.66-42.23; weighted odds ratio, 12.34; 95% CI, 2.49-61.07).

conclusionsERE occurred in about 4% of patients after MT. PH after MT was associated with delayed initiation of oral anticoagulants and an increased risk of recurrent ischemic events. CLINICAL

trial registrationURL: https://www.clinicaltrials.gov . Unique identifier: NCT02251665.

Indexed as

Brain IschemiaStrokeAgedFemaleHumansIntracranial HemorrhagesRetrospective StudiesThrombectomyTreatment OutcomeAnticoagulantIntracerebral hemorrhageSecondary preventionStrokeThrombectomy

Identifiers

PMID33594451
OpenAlexW3133152487

What OpenQuestion holds

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Read underepoch 390

Registered trials

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.