Evidence map›Paper›PMID 37231695›Full record

ArticleEuropean stroke journal2023

Endovascular therapy outcome in isolated posterior cerebral artery occlusion strokes: A multicenter analysis of the Swiss Stroke Registry.

F Maulucci, G Disanto, G Bianco, M Pileggi, U Fischer, G Padlina, D Strambo, P Michel, T Kahles, K Nedeltchev and 21 more

Open access · bronzeAbstract readMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in European stroke journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 7 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 7 pooled it
5.4field-weighted citation impact, top 4% 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, 7 syntheses or guidelines pooled it, 25 citations in OpenAlex.

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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

31 authors at 14 institutions in 1 country.

F MaulucciStroke Centre, Neurology Department, Neurocentre of Southern Switzerland, EOC, Lugano, Switzerland.ORCID 0000-0003-0295-0571
G DisantoStroke Centre, Neurology Department, Neurocentre of Southern Switzerland, EOC, Lugano, Switzerland.
G BiancoStroke Centre, Neurology Department, Neurocentre of Southern Switzerland, EOC, Lugano, Switzerland.
M PileggiStroke Centre, Interventional and Diagnostic Neuroradiology, Neurocentre of Southern Switzerland, EOC, Lugano, Switzerland.
U FischerDepartment of Neurology, University Hospital Bern, Bern, Switzerland.ORCID 0000-0003-0521-4051
G PadlinaDepartment of Neurology, University Hospital Bern, Bern, Switzerland.
D StramboLausanne University Hospital, Stroke Centre, Neurology Service, Lausanne, Switzerland.
P MichelLausanne University Hospital, Stroke Centre, Neurology Service, Lausanne, Switzerland.
T KahlesDepartment of Neurology, Kantonsspital Aarau, Aarau, Switzerland.ORCID 0000-0002-1569-6376
K NedeltchevDepartment of Neurology, Kantonsspital Aarau, Aarau, Switzerland.
U FischDepartment of Neurology and Stroke Centre, University Hospital Basel, Basel, Switzerland.
L BonatiDepartment of Neurology and Stroke Centre, University Hospital Basel, Basel, Switzerland.ORCID 0000-0003-1163-8133
G KägiDepartment of Neurology, Kantonsspital St. Gallen, St. Gallen, Switzerland.
J B Escribano ParedesDepartment of Neurology, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
E CarreraDepartment of Neurology, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
T NyffelerLuzerner Kantonsspital, Centre of Neurology and Neurorehabilitation, Luzern, Switzerland.
M BologneseLuzerner Kantonsspital, Centre of Neurology and Neurorehabilitation, Luzern, Switzerland.
S WegenerUniversitätsspital Zürich, Neurology, Zürich, Switzerland.ORCID 0000-0003-4369-7023
A LuftUniversitätsspital Zürich, Neurology, Zürich, Switzerland.
L ScheloskyKantonsspital Münsterlingen, Division of Neurology, Münsterlingen, Switzerland.
F MedlinStroke Unit, Division of Neurology, HFR Fribourg, Fribourg, Switzerland.
A von RedingNeurology, Kantonsspital Winterthur, Winterthur, Switzerland.
N PetersStroke Centre, Klinik Hirslanden, Zurich, Switzerland.
S RenaudDivision of Neurology, Pourtalès Hospital, Neuchatel, Switzerland.
M-L MonoStadtspital Waid und Triemli, Stroke Unit, Zürich, Switzerland.
L RemondaDepartment of Interventional Neuroradiology, Kantonsspital Aarau, Aarau, Switzerland.
P MachiDepartment of Interventional Neuroradiology, Hôpitaux Universitaires de Genève, Geneva, Switzerland.
M-N PsychogiosDepartment of Interventional Neuroradiology, University Hospital Basel, Basel, Switzerland.
J KaesmacherUniversity Hospital Bern, Inselspital, Interventional Neuroradiology, Bern, Switzerland.
P MordasiniUniversity Hospital Bern, Inselspital, Interventional Neuroradiology, Bern, Switzerland.
C W CeredaStroke Centre, Neurology Department, Neurocentre of Southern Switzerland, EOC, Lugano, Switzerland.
Laboratory for Biomedical Neurosciences · CHUniversity Hospital of Bern · CHHôpital Beau-Séjour · CHKantonsspital Aarau · CHUniversity Hospital of Basel · CHLuzerner Kantonsspital · CHUniversity Hospital of Zurich · CHUniversity of Lausanne · CHHospital Neuchâtel · CHKantonsspital Münsterlingen · CHKantonsspital St. Gallen · CHKantonsspital Winterthur · CHKlinik Hirslanden · CHStadtspital Waid · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeThere is little data on the safety and efficacy of endovascular treatment (EVT) in comparison with intravenous thrombolysis (IVT) in acute ischemic stroke due to isolated posterior cerebral artery occlusion (IPCAO). We aimed to investigate the functional and safety outcomes of stroke patients with acute IPCAO treated with EVT (with or without prior bridging IVT) compared to IVT alone.

methodsWe did a multicenter retrospective analysis of data from the Swiss Stroke Registry. The primary endpoint was overall functional outcome at 3 months in patients undergoing EVT alone or as part of bridging, compared with IVT alone (shift analysis). Safety endpoints were mortality and symptomatic intracranial hemorrhage. EVT and IVT patients were matched 1:1 using propensity scores. Differences in outcomes were examined using ordinal and logistic regression models.

findingsOut of 17,968 patients, 268 met the inclusion criteria and 136 were matched by propensity scores. The overall functional outcome at 3 months was comparable between the two groups (EVT vs IVT as reference category: OR = 1.42 for higher mRS, 95% CI = 0.78-2.57,

conclusionIn this multicenter nested analysis, EVT and IVT in patients with acute ischemic stroke due to IPCAO were associated with similar overall good functional outcome and safety. Randomized studies are warranted.

Indexed as

Brain IschemiaEndovascular ProceduresIschemic StrokeStrokeHumansIntracranial HemorrhagesPosterior Cerebral ArteryRegistriesRetrospective StudiesSwitzerlandThrombolytic TherapyTreatment OutcomeAcute ischemic strokeposterior cerebral arterythrombectomy

Identifiers

PMID37231695
PMCPMC10334166
OpenAlexW4316034803

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Registered trials

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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.