Evidence map›Paper›PMID 38475869›Full record

ArticleCNS neuroscience & therapeutics2024

Long term for patients with futile endovascular reperfusion after stroke.

Mengke Zhang, Ruiwen Che, Jiali Xu, Wenting Guo, Xi Chen, Wenbo Zhao, Changhong Ren, Milan Jia, Xunming Ji

Abstract read
In one paragraph

Article in CNS neuroscience & therapeutics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
–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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. 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.

Mengke ZhangDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Ruiwen CheDepartment of Neurology, Beijing ShiJiTan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-0736-7900
Jiali XuDepartment of Rehabilitation Medicine, Beijing ShiJiTan Hospital, Capital Medical University, Beijing, China.ORCID 0000-0002-3651-4383
Wenting GuoDepartment of Neurology, Zhejiang Provincial People's Hospital, Zhejiang, China.ORCID 0000-0002-6342-229X
Xi ChenDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Wenbo ZhaoDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0001-7141-6394
Changhong RenBeijing Key Laboratory of Hypoxia Conditioning Translational Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.
Milan JiaDepartment of Neurology, Xuanwu Hospital, Capital Medical University, Beijing, China.
Xunming JiBeijing Key Laboratory of Hypoxia Conditioning Translational Medicine, Xuanwu Hospital, Capital Medical University, Beijing, China.ORCID 0000-0003-0293-2744

Funding

The National Natural Science Foundation of China 81971114The National Natural Science Foundation of China 82001257The National Natural Science Foundation of China 82027802
6 · The paper itself

Abstract

aimsWith the progress of thrombectomy technology, the vascular recanalization rate of patients with stroke has been continuously improved, but the proportion of futile recanalization (FR) is still quite a few. The long-term prognosis and survival of patients with FR and its influencing factors remain unclear.

methodsConsecutive patients who received endovascular treatment (EVT) for ischemic stroke were enrolled between 2013 and 2021 from a single-center prospectively registry study. We evaluated the long-term outcome of these patients by Kaplan-Meier survival analysis, and the multivariable logistic regression curve was performed to analyze influencing factors.

resultsAmong 458 patients with FR, 56.4% of patients survived at 1 year, and 50.4% at 2 years. In the multivariate regression analysis, age, premorbid modified Rankin Scale (mRS), National Institutes of Health Stroke Scale (NIHSS), posterior circulation infarct, general anesthesia, symptomatic intracerebral hemorrhage (sICH), and decompressive craniectomy were found to be related to unfavorable outcomes in long-term. Age, premorbid mRS, NIHSS, general anesthesia, and sICH were predictors of long-term mortality.

conclusionsFutile recanalization accounts for a large proportion of stroke patients after thrombectomy. This study on the long-term prognosis of such patients is beneficial to the formulation of treatment plans and the prediction of therapeutic effects.

Indexed as

Brain IschemiaEndovascular ProceduresStrokeCerebral HemorrhageHumansPrognosisReperfusionRetrospective StudiesThrombectomyTreatment Outcomeendovascular therapyfutile recanalizationlong-term outcomestroke

Identifiers

PMID38475869
PMCPMC10933383

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.