Evidence map›Paper›PMID 35256626›Full record

ArticleScientific reports2022

Influence of cerebral microbleeds on mechanical thrombectomy outcomes.

Seong-Joon Lee, Yang-Ha Hwang, Ji Man Hong, Jin Wook Choi, Ji Hyun Park, Bumhee Park, Dong-Hun Kang, Yong-Won Kim, Yong-Sun Kim, Jeong-Ho Hong and 4 more

Open access · goldAbstract readMulticenter Study
In one paragraph

Article in Scientific reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
1.7field-weighted citation impact, top 15% 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

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 15 citations in OpenAlex.

  1. Pooled it
  2. Intracranial hemorrhage risk in patients with cerebral microbleeds after mechanical thrombectomy for acute ischemic stroke: a systematic review and meta-analysis.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2024
    Pooled it
  3. Trial
  4. Article
  5. Article
  6. Overall cerebral small vessel disease burden is associated with outcome of acute ischemic stroke after mechanical thrombectomy.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2024
    Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Review
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

14 authors at 4 institutions in 1 country.

Seong-Joon Lee *Department of Neurology, Ajou University School of Medicine, Ajou University Medical Center, 164, World cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 16499, Republic of Korea.
Yang-Ha Hwang *Department of Neurology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Ji Man HongDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, 164, World cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 16499, Republic of Korea.
Jin Wook ChoiDepartment of Radiology, Ajou University School of Medicine, Ajou University Medical Center, Suwon, Republic of Korea.
Ji Hyun ParkOffice of Biostatistics, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center, Suwon, Republic of Korea.
Bumhee ParkOffice of Biostatistics, Ajou Research Institute for Innovative Medicine, Ajou University Medical Center, Suwon, Republic of Korea.
Dong-Hun KangDepartment of Neurosurgery, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Yong-Won KimDepartment of Neurology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Yong-Sun KimDepartment of Radiology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea.
Jeong-Ho HongDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Joonsang YooDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Chang-Hyun KimDepartment of Neurosurgery, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Sung-Il SohnDepartment of Neurology, Keimyung University Dongsan Medical Center, Daegu, Republic of Korea.
Jin Soo LeeDepartment of Neurology, Ajou University School of Medicine, Ajou University Medical Center, 164, World cup-ro, Yeongtong-gu, Suwon, Gyeonggi-do, 16499, Republic of Korea. jinsoo22@gmail.com.
Ajou University · KRKyungpook National University · KRKeimyung University Dongsan Medical Center · KRKeimyung University · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In ischemic stroke patients undergoing endovascular treatment (EVT), we aimed to test the hypothesis that cerebral microbleeds (CMBs) are associated with clinical outcomes, while estimating the mediating effects of hemorrhagic transformation (HT), small-vessel disease burden (white matter hyperintensities, WMH), and procedural success. From a multicenter EVT registry, patients who underwent pretreatment MR imaging were analyzed. They were trichotomized according to presence of CMBs (none vs. 1-4 vs. ≥ 5). The association between CMB burden and 3-month mRS was evaluated using multivariable ordinal logistic regression, and mediation analyses were conducted to estimate percent mediation. Of 577 patients, CMBs were present in 91 (15.8%); 67 (11.6%) had 1-4 CMBs, and 24 (4.2%) had ≥ 5. Increases in CMBs were associated with hemorrhagic complications (β = 0.27 [0.06-0.047], p = 0.010) in multivariable analysis. The CMB effect on outcome was partially mediated by post-procedural HT degree (percent mediation, 14% [0-42]), WMH (23% [7-57]) and lower rates of successful reperfusion (6% [0-25]). In conclusion, the influence of CMBs on clinical outcomes is mediated by small-vessel disease burden, post-procedural HT, and lower reperfusion rates, listed in order of percent mediation size.

Indexed as

Cerebral HemorrhageStrokeHumansMagnetic Resonance ImagingThrombectomy

Identifiers

PMID35256626
PMCPMC8901625
OpenAlexW4220870693

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.