Evidence map›Paper›PMID 36012933›Full record

ReviewJournal of clinical medicine2022

Mechanical Thrombectomy for Acute Ischemic Stroke in Patients with Malignancy: A Systematic Review.

Athina-Maria Aloizou, Daniel Richter, Jeyanthan Charles James, Carsten Lukas, Ralf Gold, Christos Krogias

Open access · goldAbstract readReview
In one paragraph

Review in Journal of clinical medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
3.1field-weighted citation impact, top 8% 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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Article
  6. Intravenous thrombolysis in the context of stroke and cancer.Journal of thrombosis and thrombolysis · 2025
    Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Long-term outcomes of mechanical thrombectomy in acute ischaemic stroke patients with concomitant malignancy.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024
    Article
  12. Article
  13. Article
  14. Article
  15. Editorial: New Advances in Cerebrovascular Disorders.Journal of clinical medicine · 2023
    Article
  16. Review
  17. 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

6 authors at 1 institution in 1 country.

Athina-Maria AloizouDepartment of Neurology, St. Josef-Hospital, Ruhr University Bochum, 44892 Bochum, Germany.ORCID 0000-0001-9354-774X
Daniel RichterDepartment of Neurology, St. Josef-Hospital, Ruhr University Bochum, 44892 Bochum, Germany.ORCID 0000-0001-6947-8350
Jeyanthan Charles JamesDepartment of Neurology, St. Josef-Hospital, Ruhr University Bochum, 44892 Bochum, Germany.
Carsten LukasInstitute of Neuroradiology, St. Josef-Hospital Bochum, Ruhr University Bochum, 44892 Bochum, Germany.
Ralf GoldDepartment of Neurology, St. Josef-Hospital, Ruhr University Bochum, 44892 Bochum, Germany.
Christos KrogiasDepartment of Neurology, St. Josef-Hospital, Ruhr University Bochum, 44892 Bochum, Germany.
St. Josef-Hospital · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIschemic stroke is a common occurrence in patients with concomitant malignancy. Systemic thrombolysis is often contraindicated in these patients, and mechanical thrombectomy (MT) is the preferred method of intervention. This review aims to collect the available data on the safety and efficacy of MT in cancer patients (CPs).

methodsThe PubMed/MEDLINE and SCOPUS databases were systematically searched for studies assessing safety (mortality, intracranial hemorrhage) and efficacy (reperfusion, functional outcome) indices in CPs receiving MT. Potentially relevant parameters examined in solitary studies were also extracted (e.g., stroke recurrence, brain malignancy).

resultsA total of 18 retrospective studies of various methodologies and objectives were identified. Rates of in-hospital mortality, intracranial hemorrhage of any kind, reperfusion rates, and discharge condition did not seem to present any considerable differences between CPs and patients without cancer. On the contrary, 90-day mortality was higher and 90-day functional independence was lower in CPs. Three studies on cancer-related stroke (no other identifiable etiology and high D-dimer levels in the presence of active cancer) showed constant tendencies towards unfavorable conditions.

conclusionsPer the available evidence, MT appears to be a safe treatment option for CPs. It is still unclear whether the 90-day mortality and outcome rates are more heavily influenced by the malignancy and not the intervention itself, so MT can be considered in CPs with prospects of a good functional recovery, undertaking an individualized approach.

Indexed as

cancer-related strokeischemic strokemalignancythrombectomy

Identifiers

PMID36012933
PMCPMC9410462
OpenAlexW4290998886

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.