Evidence map›Paper›PMID 37642978›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2026

Mechanical thrombectomy beyond 24 hours from last known well in tandem lesions: A multicenter cohort study.

Aaron Rodriguez-Calienes, Ameer E Hassan, James E Siegler, Milagros Galecio-Castillo, Mudassir Farooqui, Mouhammad A Jumaa, Nazli Janjua, Afshin A Divani, Marc Ribo, Michael Abraham and 11 more

Abstract readMulticenter Study
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 24% 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

1 citing paper in PubMed, 4 citations in OpenAlex.

  1. Optimizing remote and rural prehospital resources using air transport of thrombectomy candidates.Scandinavian journal of trauma, resuscitation and emergency medicine · 2024
    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

21 authors at 16 institutions in 3 countries.

Aaron Rodriguez-CalienesDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.ORCID 0000-0002-8413-6954
Ameer E HassanDepartment of Neurology, Valley Baptist Medical Center / University of Texas Rio Grande Valley, Harlingen, TX, USA.ORCID 0000-0002-7148-7616
James E SieglerCooper Neurological Institute, Cooper University Hospital, Camden, NJ, USA.
Milagros Galecio-CastilloDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Mudassir FarooquiDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Mouhammad A JumaaDepartment of Neurology, ProMedica Toledo Hospital, Toledo, OH, USA.
Nazli JanjuaAsia Pacific Comprehensive Stroke Institute, Pomona Valley Hospital Medical Center, Pomona, CA, USA.
Afshin A DivaniDepartment of Neurology, University of New Mexico Health Science Center, Albuquerque, NM, USA.
Marc RiboDepartment of Neurology, Hospital Vall d'Hebron, Barcelona, Spain.
Michael AbrahamDepartment of Neurology, University of Kansas Medical Center, Kansas City, KS, USA.
Nils H PetersenDepartment of Neurology, Yale University School of Medicine, New Haven, CT, USA.
Johanna FifiDepartment of Neurosurgery, Icahn School of Medicine at Mount Sinai, New York, NY, USA.
Waldo R GuerreroDepartment of Neurology and Brain Repair, University of South Florida, Tampa, FL, USA.
Amer M MalikDepartment of Neurology, University of Miami Miller School of Medicine, Miami, FL, USA.
Thanh N NguyenDepartment of Radiology, Boston Medical Center, Boston, MA, USA.ORCID 0000-0002-2810-1685
Sunil ShethDepartment of Neurology, UT Health McGovern Medical School, Houston, TX, USA.
Albert J YooTexas Stroke Institute, Dallas-Fort Worth, TX, USA.
Guillermo LinaresDepartment of Neurology, Saint Louis University, St Louis, MO, USA.
Yujing LuDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.
Juan Vivanco-SuarezDepartment of Neurology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.ORCID 0000-0001-5326-1907
Santiago Ortega-GutierrezDepartment of Neurology, Neurosurgery & Radiology, University of Iowa Hospitals and Clinics, Iowa City, IA, USA.ORCID 0000-0002-3408-1297
University of Iowa Hospitals and Clinics · USBoston Medical Center · USCooper University Hospital · USIcahn School of Medicine at Mount Sinai · USPomona Valley Hospital Medical Center · USProMedica Toledo Hospital · USSaint Louis University · USThe University of Texas Health Science Center at Houston · USUniversidad Científica del Sur · PEUniversity of Kansas Medical Center · USUniversity of Miami · USUniversity of New Mexico · USUniversity of South Florida · USVall d'Hebron Hospital Universitari · ESValley Baptist Medical Center · USYale University · US

Funding

Noninvasive Vagus Nerve Stimulation for Treatment of Brain Injury (nVNS-TBI) in RatsR21NS130423 · NINDS · UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR · PI DIVANI, AFSHIN ANDRE · 2022 to 2022
$419k
NINDS NIH HHS R21 NS130423
6 · The paper itself

Abstract

BackgroundWhile recent studies suggest a benefit of mechanical thrombectomy (MT) for the treatment of patients with isolated large vessel occlusions presenting after 24 hours from the last known well (LKW), the effect of MT for acute cervical tandem lesions (TLs) beyond 24 hours remains unknown. We aimed to evaluate the safety and effectiveness of MT beyond 24 hours of LKW in patients with TLs.MethodsWe conducted a subanalysis study of patients with anterior circulation TL enrolled in a large, multicenter registry between January 2015 and December 2020. Patients were divided into 2 groups: MT beyond 24 hours versus MT 0-24-hour window. Outcomes of interest were functional independence (90-day modified Rankin scale 0-2), complete reperfusion (modified thrombolysis in cerebral infarction 3), delta NIH Stroke Scale (NIHSS), symptomatic intracranial hemorrhage (sICH), parenchymal hematoma 2 (PH2), in-hospital mortality, and 90-day mortality. Inverse probability of treatment weighting (IPTW) was used to balance the groups.ResultsOverall, 589 participants were included, with 33 treated beyond 24 hours and 556 treated in the 0-24-hour window. After IPTW, we found no significant difference in the rates of achieving functional independence (odds ratio (OR)

Indexed as

ThrombectomyTime-to-TreatmentAgedCohort StudiesFemaleHospital MortalityHumansMaleMiddle AgedRegistriesTime FactorsTreatment OutcomeendovascularstentingStroketandem occlusionthrombectomy

Identifiers

PMID37642978
PMCPMC13305592
OpenAlexW4386256679

What OpenQuestion holds

Textmetadata
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.