ReviewJournal of stroke2022
Mechanical Thrombectomy Access for All? Challenges in Increasing Endovascular Treatment for Acute Ischemic Stroke in the United States.
Review in Journal of stroke, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
24 citing papers in PubMed, 1 synthesis or guideline pooled it, 46 citations in OpenAlex.
- Automated Emergent Large Vessel Occlusion Detection Using Viz.ai Software and Its Impact on Stroke Workflow Metrics and Patient Outcomes in Stroke Centers: A Systematic Review and Meta-analysis.Translational stroke research · 2025Pooled it
- Trainee and Faculty Perspectives of Neurointerventional Curricula in Residency: a Scoping Review.The clinical teacher · 2026Article
- Gaps in the access to endovascular thrombectomy for acute ischaemic stroke: estimating neurointerventional training needs and modelling implementation impact based on current thrombectomy indicators.European stroke journal · 2026Article
- Changing trends in epidemiology, care and outcome of ischemic stroke over 25 years: a large population-based study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2026Article
- Observational
- Isochrone-based Identification of Gaps in Neurovascular Care in Germany.Clinical neuroradiology · 2025Article
- Innovations in Thrombectomy Training: A Systematic Review and Expert Recommendations from the Society of Vascular and Interventional Neurology-Mission Thrombectomy Initiative.Stroke (Hoboken, N.J.) · 2025Article
- ETRAISI registry report: clinical characteristics and related factors of outcome in reperfusion-eligible AIS patients.BMC neurology · 2025Article
- A minimally invasive thrombotic model to study stroke in awake mice.Nature communications · 2025Article
- Patients Residing in Rural Areas Transferred for Mechanical Thrombectomy Undergo Decreased Catheter-Based Treatment.Stroke (Hoboken, N.J.) · 2025Article
- Lack of Consensus among Stroke Experts on the Optimal Blood Pressure Target of Acute Ischemic Stroke: Evidence from a National Survey.Cerebrovascular diseases (Basel, Switzerland) · 2025Article
- Article
- Navigating stroke care: Geospatial assessment of regional stroke center accessibility: Geospatial Assessment of Stroke Centers.Journal of stroke and cerebrovascular diseases : the official journal of National Stroke Association · 2024Article
- Thrombi With a Higher Erythrocyte Composition Are More Fragile in Acute Stroke.Journal of stroke · 2024Article
- The evolution of acute stroke care in Germany from 2019 to 2021: analysis of nation-wide administrative datasets.Neurological research and practice · 2024Article
- Endovascular Thrombectomy for Acute Ischemic Stroke in Indonesia: Challenging and Strategic Planning.Neuropsychiatric disease and treatment · 2024Review
- VALIDATE-Utilization of the Viz.ai mobile stroke care coordination platform to limit delays in LVO stroke diagnosis and endovascular treatment.Frontiers in stroke · 2024Article
- Thrombectomy-Capable Stroke Centre-A Key to Acute Stroke Care System Improvement? Retrospective Analysis of Safety and Efficacy of Endovascular Treatment in Cardiac Cathlab.International journal of environmental research and public health · 2023Article
- Nanoparticle and Stem Cell Combination Therapy for the Management of Stroke.Current pharmaceutical design · 2023Article
- Access to mechanical thrombectomy and ischemic stroke mortality in Japan: a spatial ecological study.Frontiers in neurology · 2023Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
11 authors at 8 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Mechanical thrombectomy (MT) is the most effective treatment for selected patients with an acute ischemic stroke due to emergent large vessel occlusions (LVOs). There is an urgent need to identify and address challenges in access to MT to maximize the numbers of patients who can benefit from this treatment. Barriers in access to MT include delays in evaluation and accurate diagnosis of LVO leading to inappropriate triage, logistical delays related to availability of facilities and trained interventionalists, and financial hurdles that affect treatment reimbursement. Collection of regional data related to these barriers is critical to better understand current access gaps and a measurable access score to thrombectomy could be useful to plan local public health intervention.
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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.