Evidence map›Paper›PMID 38332668›Full record

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

Mechanical thrombectomy for the treatment of large vessel occlusion due to cancer-related cerebral embolism: A systematic review.

Michelle Toruno, Omar Al-Janabi, Irem Karaman, Sherief Ghozy, Yigit Can Senol, Hassan Kobeissi, Ramanathan Kadirvel, Boyd Ashdown, David F Kallmes

Open access · greenAbstract readSystematic Review
In one paragraph

Synthesis 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 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
2.3field-weighted citation impact, top 12% 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, 6 citations in OpenAlex.

  1. Intravenous thrombolysis in the context of stroke and cancer.Journal of thrombosis and thrombolysis · 2025
    Review
  2. Article
  3. 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

9 authors at 4 institutions in 2 countries.

Michelle TorunoDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.ORCID 0009-0003-3867-7594
Omar Al-JanabiDepartment of Neurology, University of Arizona-Tucson, USA.
Irem KaramanBahcesehir University School of Medicine, Istambul, Turkey.
Sherief GhozyDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-5629-3023
Yigit Can SenolDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-6669-6616
Hassan KobeissiDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0001-7446-624X
Ramanathan KadirvelDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-6786-9953
Boyd AshdownDepartment of Neurologic Surgery, Mayo Clinic, Rochester, MN, USA.
David F KallmesDepartment of Radiology, Mayo Clinic, Rochester, MN, USA.ORCID 0000-0002-8495-0040
Mayo Clinic · USMayo Clinic in Arizona · USBahçeşehir University · TRUniversity of Arizona · US

Funding

Computational and Biological Approach to Flow DiversionR01NS076491 · NINDS · MAYO CLINIC ROCHESTER · PI Juan R Cebral, DAVID F KALLMES · 2011 to 2026
$7.4M
Drug Eluting Embolization Coils for Improved Treatment of Intracranial AneurysmsR44NS107111 · NINDS · ANCURE, LLC · PI BETTINGER, CHRISTOPHER JOHN, KADIRVEL, RAMANATHAN · 2018 to 2020
$1.2M
Enhanced endothelialization of nanomatrix coated flow diverter for intracranial aneurysmsR43NS110114 · NINDS · ENDOMIMETICS, LLC · PI HWANG, PATRICK, KADIRVEL, RAMANATHAN · 2019 to 2019
$563k
Rapidly healing flow diverters using magnetic cell targeting for intracranial aneurysm treatmentR21NS128199 · NINDS · MEDICAL COLLEGE OF WISCONSIN · PI KADIRVEL, RAMANATHAN, TEFFT, BRANDON J · 2022 to 2023
$447k
NINDS NIH HHS R01 NS076491NINDS NIH HHS R21 NS128199NINDS NIH HHS R43 NS110114NINDS NIH HHS R44 NS107111
6 · The paper itself

Abstract

BackgroundCancer-related cerebral embolism due to direct tumor embolization results in a rare acute ischemic stroke with large vessel occlusion (LVO). Despite the established status of mechanical thrombectomy (MT) in LVO management, its effectiveness and safety remains inadequately explored in this specific patient group.MethodsWe conducted a systematic review following Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, using the Nested Knowledge AutoLit software, encompassing databases like Embase, PubMed, Scopus, and Web of Science, from their inception up to 9 May 2023.ResultsIn the review of 35 studies encompassing 37 cases, mean patient age was 52 years, and 30% were female. Cardiac myxoma (29.7%), cardiac papillary fibroelastoma (16.2%), and squamous cell carcinoma of the lung (8.1%) were the most frequent underlying cancers. The left middle cerebral artery was the most commonly affected occlusion site (24.3%). Of the patients, 67.5% underwent MT alone, while 32.5% received MT combined with intravenous thrombolysis. Successful reperfusion (thrombolysis in cerebral infarction (TICI) 2b-3) was achieved in 89.1% of cases, with 59.4% reaching TICI 3. Functional independence was observed in 29.7% of patients.ConclusionWhile limitations exist, this comprehensive study highlights the potential benefits of MT in a patient group historically excluded from major trials, warranting further investigation.

Indexed as

Intracranial EmbolismNeoplasmsThrombectomyFemaleHeart NeoplasmsHumansCerebral tumor embolismlarge vessel occlusionmechanical thrombectomymyxomaprimary cardiac tumors

Identifiers

PMID38332668
PMCPMC11569766
OpenAlexW4391686653

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.