Evidence map›Paper›PMID 36751289›Full record

ArticlePostepy w kardiologii interwencyjnej = Advances in interventional cardiology2022

Association of CHA2DS2-VASc score with successful recanalization in acute ischemic stroke patients undergoing endovascular thrombectomy.

Muharrem Nasifov, Emre Ozmen, Cigdem Deniz, Aydin Nadir, Ozge Ozden, Gulsum Bingol, Perviz Jafarov, Talip Asil, Omer Goktekin, Ibrahim Sari

Open access · goldAbstract read
In one paragraph

Article in Postepy w kardiologii interwencyjnej = Advances in interventional cardiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-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.

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

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Predictive Value of RMedicina (Kaunas, Lithuania) · 2025
    Article
  2. CHATherapeutics and clinical risk management · 2025
    Article
  3. CHATexas Heart Institute journal
    Article
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

10 authors at 4 institutions in 1 country.

Muharrem NasifovDepartment of Cardiology, Memorial Bahcelievler Hospital, Istanbul, Turkey.
Emre OzmenSiirt Eğitim ve Araştırma Hastanesi, Cardiology Clinic, Istanbul, Turkey.
Cigdem DenizNeurology Clinic, Memorial Hizmet Hospital, Istanbul, Turkey.
Aydin NadirCardiology Department, School of Medicine, Bezmialem University, Istanbul, Turkey.
Ozge OzdenDepartment of Cardiology, Memorial Bahcelievler Hospital, Istanbul, Turkey.
Gulsum BingolDepartment of Cardiology, Memorial Bahcelievler Hospital, Istanbul, Turkey.
Perviz JafarovCardiology Clinic, Memorial Hizmet Hospital, Istanbul, Turkey.
Talip AsilNeurology Clinic, Memorial Hizmet Hospital, Istanbul, Turkey.
Omer GoktekinDepartment of Cardiology, Memorial Bahcelievler Hospital, Istanbul, Turkey.
Ibrahim SariDepartment of Cardiology, Memorial Bahcelievler Hospital, Istanbul, Turkey.
Memorial Sisli Hospital · TRIstanbul Memorial Hospital · TRBezmiâlem Vakıf Üniversitesi · TRİstanbul Eğitim ve Araştırma Hastanesi · TR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The CHA2DS2-VASc (congestive heart failure, hypertension, age, diabetes mellitus, stroke, vascular disease and sex) score is a simple risk stratification algorithm to estimate stroke/thromboembolic risk in patients with non-valvular atrial fibrillation (AF). Higher pre-stroke CHA2DS2-VASc score is known to be associated with greater stroke severity and poorer outcomes. AF patients generally have higher CHA2DS2-VASc scores than non-AF patients. The Modified Thrombolysis in Cerebral Infarction (mTICI) score is the most widely used grading system to assess the result of recanalizing therapies in acute ischemic stroke (AIS). mTICI 2c and mTICI 3 are conventionally accepted as successful recanalization. Aim: We investigated whether pre-stroke CHA2DS2-VASc score is associated with mTICI recanalization score in AIS patients with and without AF undergoing percutaneous thrombectomy. Material and methods: One hundred fifty-nine patients with the diagnosis of AIS who were admitted within 6 h from symptom onset were included in the study (mean age: 65.7 ±12.9). All subjects underwent endovascular treatment. CHA2DS2-VASc scores of the participants were calculated. Subjects were grouped according to mTICI scores achieved after endovascular treatment. mTICI 2c and mTICI 3 were accepted as successful recanalization. Results: Successful reperfusion was observed in 130 (81.8%) of all patients who underwent endovascular treatment (mTICI flow ≥ 2c) and first-pass reperfusion was observed in 107 (67.3%) patients. When the patients with successful (mTICI flow ≥ 2c) and unsuccessful (mTICI flow ≤ 2b) reperfusion were divided into groups, no significant difference was observed between the patients in terms of comorbidities such as AF, hypertension, hyperlipidemia, coronary artery disease and cerebrovascular accident history. Patients with unsuccessful reperfusion were older than patients with successful reperfusion (71.4 ±11.2 vs. 64.5 ±13.01, Conclusions: For the first time in the literature, we investigated and demonstrated that pre-stroke CHA2DS2-VASc score was associated with success of recanalization as assessed with mTICI 2c and mTICI 3 in a cohort of AIS patients regardless of AF presence who underwent endovascular treatment. Our findings deserve to be tested with large scale long term studies.

Indexed as

acute ischemic strokeatrial fibrillationCHA2DS2-VASc scoreendovascular thrombectomyModified Thrombolysis in Cerebral Infarction scoremTICI score

Identifiers

PMID36751289
PMCPMC9885239
OpenAlexW4312970937

What OpenQuestion holds

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LicenceCC BY-NC-SA
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.