Evidence map›Paper›PMID 34575377›Full record

ArticleJournal of clinical medicine2021

Acute Recanalization of Large Vessel Occlusion in the Anterior Circulation Stroke: Is Mechanical Thrombectomy Alone Better in Patients over 80 Years of Age? Findings from a Retrospective Observational Study.

Dagmar Krajíčková, Antonín Krajina, Roman Herzig, Oldřich Vyšata, Libor Šimůnek, Martin Vališ

Open access · goldAbstract read
In one paragraph

Article in Journal of clinical medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 25% 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

4 citing papers in PubMed, 7 citations in OpenAlex.

  1. Safety and tolerability of Rinvecalinase Alfa (DM199) for acute ischemic stroke (ReMEDy1).International journal of stroke : official journal of the International Stroke Society · 2026
    Trial
  2. Article
  3. Article
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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

6 authors at 1 institution in 1 country.

Dagmar KrajíčkováDepartment of Neurology, Comprehensive Stroke Center, Charles University Faculty of Medicine and University Hospital, Sokolská 581, CZ-500 05 Hradec Králové, Czech Republic.
Antonín KrajinaDepartment of Radiology, Comprehensive Stroke Center, Charles University Faculty of Medicine and University Hospital, CZ-500 05 Hradec Králové, Czech Republic.
Roman HerzigDepartment of Neurology, Comprehensive Stroke Center, Charles University Faculty of Medicine and University Hospital, Sokolská 581, CZ-500 05 Hradec Králové, Czech Republic.ORCID 0000-0001-7238-7724
Oldřich VyšataDepartment of Neurology, Comprehensive Stroke Center, Charles University Faculty of Medicine and University Hospital, Sokolská 581, CZ-500 05 Hradec Králové, Czech Republic.
Libor ŠimůnekDepartment of Neurology, Comprehensive Stroke Center, Charles University Faculty of Medicine and University Hospital, Sokolská 581, CZ-500 05 Hradec Králové, Czech Republic.
Martin VališDepartment of Neurology, Comprehensive Stroke Center, Charles University Faculty of Medicine and University Hospital, Sokolská 581, CZ-500 05 Hradec Králové, Czech Republic.
Charles University · CZ

Funding

Ministerstvo Zdravotnictví Ceské Republiky DRO-UHHK 00179906Univerzita Karlova v Praze PROGRES Q40
6 · The paper itself

Abstract

Real-world data report worse 3-month clinical outcomes in elderly patients with acute ischemic stroke (AIS) treated with mechanical thrombectomy (MT). The aim was to identify factors influencing clinical outcome in elderly patients with anterior circulation AIS treated with MT (±intravenous thrombolysis (IVT)). In a retrospective, monocentric study, analysis of prospectively collected data of 138 patients (≥80 years) was performed. IVT was an independent negative predictor (OR 0.356; 95% CI: 0.134-0.942) and female sex an independent positive predictor (OR 4.179, 95% CI: 1.300-13.438) of 3-month good clinical outcome (modified Rankin scale 0-2). Female sex was also an independent negative predictor of 3-month mortality (OR 0.244, 95% CI: 0.100-0.599). Other independent negative predictors of 3-month good clinical outcome were older age, lower pre-stroke self-sufficiency, more severe neurological deficit and longer procedural intervals. Mortality was also independently predicted by longer procedural interval and by the occurrence of symptomatic intracerebral hemorrhage (

Indexed as

acute ischemic strokeanterior circulationbridging therapyclinical outcomeelderly patientsintravenous thrombolysislarge vessel occlusionmechanical thrombectomyrecanalization

Identifiers

PMID34575377
PMCPMC8468316
OpenAlexW3201011879

What OpenQuestion holds

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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.