Evidence map›Paper›PMID 38348800›Full record

SynthesisJournal of the American Heart Association2024

Asymptomatic Intracerebral Hemorrhage Following Endovascular Stroke Therapy Is Not Benign: A Systematic Review and Meta-Analysis.

Pablo Harker, Yasmin N Aziz, Justin Vranic, Roberto Chulluncuy-Rivas, Melissa Previtera, Shadi Yaghi, Adam H DeHavenon, Georgios K Tsivgoulis, Vivek Khatri, Akshitkumar M Mistry and 2 more

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Journal of the American Heart Association, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
10.1field-weighted citation impact, top 1% 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

18 citing papers in PubMed, 26 citations in OpenAlex.

  1. Trial
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Review
  8. Observational
  9. Article
  10. Article
  11. Observational
  12. Article
  13. Article
  14. Tenecteplase for Minor Stroke: Does Sex Matter?Journal of the American Heart Association · 2025
    Article
  15. PA System in the Pathogenesis of Ischemic Stroke.Arteriosclerosis, thrombosis, and vascular biology · 2025
    Review
  16. Article
  17. Article
  18. 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

12 authors at 6 institutions in 2 countries.

Pablo HarkerDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.ORCID 0000-0003-0263-8748
Yasmin N AzizDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.ORCID 0000-0002-3515-4005
Justin VranicDepartment of Neurosurgery Massachusetts General Hospital Boston MA.ORCID 0000-0002-6000-6709
Roberto Chulluncuy-RivasDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.
Melissa PreviteraDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.ORCID 0009-0000-9879-3472
Shadi YaghiDepartment of Neurology Brown University Providence RI.ORCID 0000-0003-0031-1004
Adam H DeHavenonDepartment of Neurology Yale University New Haven CT.ORCID 0000-0001-8178-8597
Georgios K TsivgoulisSecond Department of Neurology National & Kapodistrian University of Athens Athens Greece.ORCID 0000-0002-0640-3797
Vivek KhatriUnaffiliated Ellicott City.
Akshitkumar M MistryDepartment of Neurosurgery University of Louisville Louisville KY.ORCID 0000-0002-7918-5153
Pooja KhatriDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.ORCID 0000-0002-7344-8266
Eva A MistryDepartment of Neurology and Rehabilitation Medicine University of Cincinnati Cincinnati OH.ORCID 0000-0002-7426-3650
University of Cincinnati · USBrown University · USMassachusetts General Hospital · USNational and Kapodistrian University of Athens · GRUniversity of Louisville · USYale University · US

Funding

Blood Pressure after Endovascular Stroke Therapy-II: A Randomized TrialK23NS113858 · NINDS · VANDERBILT UNIVERSITY MEDICAL CENTER · PI MISTRY, EVA · 2019 to 2023
$901k
NINDS NIH HHS K23 NS113858
6 · The paper itself

Abstract

backgroundAsymptomatic intracerebral hemorrhage (aICH) occurs in approximately 35% of patients with acute ischemic stroke after endovascular thrombectomy. Unlike symptomatic ICH, studies evaluating the effect of aICH on outcomes have been inconclusive. We performed a systematic review and meta-analysis to evaluate the long-term effects of postendovascular thrombectomy aICH. METHODS AND

resultsThe meta-analysis protocol was submitted to the International Prospective Register of Systematic Reviews a priori. PubMed, Scopus, and Web of Science were searched from inception through September 2023, yielding 312 studies. Two authors independently reviewed all abstracts. Included studies contained adult patients with ischemic stroke undergoing endovascular thrombectomy with follow-up imaging assessment of ICH reporting comparative outcomes according to aICH versus no ICH. After screening, 60 papers were fully reviewed, and 10 studies fulfilled inclusion criteria (n=5723 patients total, 1932 with aICH). Meta-analysis was performed using Cochrane RevMan v5.4. Effects were estimated by a random-effects model to estimate summary odds ratio (OR) of the effect of aICH versus no ICH on primary outcomes of 90-day modified Rankin Scale 3 to 6 and mortality. The presence of aICH was associated with a higher odds of 90-day mRS 3 to 6 (OR, 2.17 [95% CI, 1.81-2.60],

conclusionsThe presence of aICH is associated with worse 90-day functional outcomes and higher mortality. Further studies to evaluate the factors predicting aICH and treatments aimed at reducing its occurrence are warranted.

Indexed as

Cerebral HemorrhageEndovascular ProceduresThrombectomyAsymptomatic DiseasesHumansIschemic StrokeRisk FactorsTreatment Outcomeacute ischemic strokeendovascular thrombectomysymptomatic intracerebral hemorrhage

Identifiers

PMID38348800
PMCPMC11010099
OpenAlexW4391785951

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.