Evidence map›Paper›PMID 38646674›Full record

Observational studyInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2026

Procedural factors associated with successful recanalization in patients with acute ischemic stroke treated with endovascular thrombectomy-a nationwide register-based observational study.

Johan Wassélius, Emma Hall, Birgitta Ramgren, Tommy Andersson, Teresa Ullberg

Registry-linked trialOpen access · greenAbstract readObservational Study
In one paragraph

Observational study 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. It is linked to trial NCT06975696 (Fusion Imaging in Endovascular Thrombectomy for Acute Ischemic Stroke), which is not on this map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.7field-weighted citation impact, top 10% 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.

NCT06975696 narecruitingnot on this map

Fusion Imaging in Endovascular Thrombectomy for Acute Ischemic Stroke

TypeinterventionalSponsorRegion SkaneRan2026 to 2027Enrolled300ConditionsStroke AcuteArmsStandard endovascular thrombectomy with Fusion, Standard EVT without Fusion
3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 7 citations in OpenAlex.

  1. Review
  2. Article
  3. Article
  4. Article
  5. Radiolucent head immobilization during neurointerventional procedures: A pilot study from a single-institution experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  6. Article
  7. Article
  8. Observational
  9. 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

5 authors at 2 institutions in 2 countries.

Johan WasséliusMedical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.ORCID 0000-0003-1896-381X
Emma HallMedical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.
Birgitta RamgrenMedical Imaging and Physiology, Skåne University Hospital, Lund, Sweden.
Tommy AnderssonDepartments of Neuroradiology, Karolinska University Hospital and Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
Teresa UllbergDepartment of Clinical Sciences Lund, Lund University, , Lund, Sweden.ORCID 0000-0002-6717-0915
Lund University · SEKarolinska University Hospital · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

IntroductionSeveral studies have addressed technical aspects of endovascular thrombectomy (EVT), but it is not well known how procedural factors contribute to technical success in routine healthcare. The aim was to explore factors associated with technically successful EVT on nationwide scale.MethodsWe did an observational register-based study assessing factors associated with technical success off anterior circulation EVT in Sweden. The main outcome was successful recanalization defined as modified treatment in cerebral ischemia score 2b-3. The association between baseline and treatment variables and successful recanalization were explored using Chi-square(d) test and univariable logistic regression. Multivariable logistic regression was used to define predictors of successful recanalization.ResultsThe study included 3211 patients treated during 2015 to 2020. Successful recanalization was achieved in 83.1% (2667) with a gradual improvement in technical outcome over the period. After adjustment for age and occlusion location, thet use of general anesthesia, balloon guide catheter (BGC) and an operator with an overall success rate of >85% were independent predictors of successful recanalization. An overall operator success rate of <80% or 80-85%, and an annual center volume lower than 50 were predicitors of recanalization failure.ConclusionThis study illustrates factors associated with procedural success in endovascular thrombectomy on a nationwide scale including the use of general anesthesia, BGC, annual center volumes >50 cases per year and the overall success rate of the individual operator. It highlights the potential benefit of systematic performance measurements, benchmarking, and continuous training to bring all centers and operators to the highest level of performance.

Indexed as

Endovascular ProceduresIschemic StrokeStrokeThrombectomyAgedAged, 80 and overFemaleHumansMaleMiddle AgedRegistriesSwedenTreatment Outcomeacute ischemic stroke treatmentEndovaskular thrombectomynational quality registry datasuccessful recalaizationsuccess rate

Identifiers

PMID38646674
PMCPMC11571570
OpenAlexW4395009477

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

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.