Evidence map›Paper›PMID 38403924›Full record

ArticleEuropean stroke journal2024

Predictors of outcome and symptomatic intracranial hemorrhage in acute basilar artery occlusions: Analysis of the PC-SEARCH thrombectomy registry.

Adam T Mierzwa, Ashley Nelson, Sami Al Kasab, Santiago Ortega Gutierrez, Juan Vivanco-Suarez, Mudassir Farooqui, Ashutosh P Jadhav, Shashvat Desai, Gabor Toth, Anas Alrohimi and 15 more

Abstract read
In one paragraph

Article in European stroke journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Endovascular Treatment for Basilar Artery Occlusion.Journal of clinical 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

25 authors.

Adam T MierzwaDepartment of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.ORCID 0000-0002-7750-1132
Ashley NelsonDepartment of Neurology and Neurosurgery, Medical University of South Carolina, Charleston, SC, USA.
Sami Al KasabDepartment of Neurology and Neurosurgery, Medical University of South Carolina, Charleston, SC, USA.
Santiago Ortega GutierrezUniversity of Iowa, Iowa City, IA, USA.
Juan Vivanco-SuarezUniversity of Iowa, Iowa City, IA, USA.
Mudassir FarooquiUniversity of Iowa, Iowa City, IA, USA.
Ashutosh P JadhavDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Shashvat DesaiDepartment of Neurology, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.ORCID 0000-0001-9013-6929
Gabor TothCleveland Clinic Foundation, Cleveland, OH, USA.ORCID 0000-0002-3646-3635
Anas AlrohimiCleveland Clinic Foundation, Cleveland, OH, USA.
Thanh N NguyenDepartment of Neurology, Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID 0000-0002-2810-1685
Piers KleinDepartment of Neurology, Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.ORCID 0000-0001-7468-137X
Mohamad AbdalkaderDepartment of Neurology, Radiology, Boston Medical Center, Boston University Chobanian & Avedisian School of Medicine, Boston, MA, USA.
Hisham SalahuddinDepartment of Neurology, Antelope Valley Hospital, Los Angeles, CA, USA.
Aditya PandeyDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Zachary WilseckDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Sravanthi KoduriDepartment of Neurosurgery, University of Michigan, Ann Arbor, MI, USA.
Niraj VoraOhio Health Riverside Methodist Hospital, Columbus, OH, USA.
Nameer AladamatDepartment of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Khaled GharaibehDepartment of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Ehad AfreenDepartment of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Hisham Al-HajalaDepartment of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Julie ShawverPromedica Stroke Network, Toledo, OH, USA.
Syed ZaidiDepartment of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.
Mouhammad JumaaDepartment of Neurology, University of Toledo College of Medicine and Life Sciences, Toledo, OH, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionRecent randomized controlled trials demonstrated superiority of mechanical thrombectomy compared to medical therapy in acute basilar artery occlusions, however, little data is available to guide clinicians in functional prognosis and risk stratification. PATIENTS AND

methodsData from the retrospectively established PC-SEARCH Thrombectomy registry, which included patients with basilar artery occlusion from eight sites from January 2015 to December 2021, was interrogated. Outcomes were dichotomized into 90-day favorable (mRS ⩽ 3) and unfavorable (mRS > 3). Multivariate logistic regression analysis was performed with respect to the outcome groups and were adjusted for potential confounding baseline characteristics.

resultsFour-hundred-forty-four patients were included in this analysis. Mean age was 66 [SD 15], with 56% male, and comprised of 76% Caucasian. Patients presented with an initial median NIHSS of 18 and 199 patients (44.8%) achieved favorable 90-day functional outcomes. Independent predictors of favorable outcomes included younger age, pc-ASPECTS > 8 (OR 2.30 CONCLUSION AND DISCUSSION: PC-ASPECTS > 8, successful recanalization (TICI ⩾ 2b), first-pass recanalization, and younger age are independent predictors of favorable 90-day functional outcome in thrombectomy treated patients with acute basilar artery occlusion. Conversely, sICH were independent predictors of unfavorable outcomes. IA-tPA and unsuccessful recanalization are independently associated with sICH.

Indexed as

Intracranial HemorrhagesRegistriesThrombectomyAgedAged, 80 and overArterial Occlusive DiseasesBasilar ArteryFemaleHumansMaleMiddle AgedPrognosisRetrospective StudiesTreatment OutcomeVertebrobasilar Insufficiencybasilar arteryStrokethrombectomy

Identifiers

PMID38403924
PMCPMC11418451

What OpenQuestion holds

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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.