Evidence map›Paper›PMID 38685935›Full record

ReviewTherapeutic advances in neurological disorders2024

Overview of systematic reviews comparing endovascular to best medical treatment for large-vessel occlusion acute ischaemic stroke: an umbrella review.

Apostolos Safouris, Lina Palaiodimou, Aristeidis H Katsanos, Odysseas Kargiotis, Konstantinos I Bougioukas, Klearchos Psychogios, Tatiana Sidiropoulou, Stavros Spiliopoulos, Marios-Nikos Psychogios, Georgios Magoufis and 2 more

Abstract readReview
In one paragraph

Review in Therapeutic advances in neurological disorders, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed, 1 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

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Review
  5. Large Core Trial.AJNR. American journal of neuroradiology · 2025
    Review
  6. Drip and ship in patients with acute ischemic stroke: a narrative review.Therapeutic advances in neurological disorders · 2025
    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

12 authors.

Apostolos SafourisStroke Unit, Metropolitan Hospital, Piraeus, Greece.ORCID https://orcid.org/0000-0002-9630-6949
Lina PalaiodimouSecond Department of Neurology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0001-7757-609X
Aristeidis H KatsanosDivision of Neurology, McMaster University and Population Health Research Institute, Hamilton, ON, Canada.
Odysseas KargiotisStroke Unit, Metropolitan Hospital, Piraeus, Greece.ORCID https://orcid.org/0000-0002-8317-6428
Konstantinos I BougioukasDepartment of Hygiene, Social-Preventive Medicine and Medical Statistics, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Klearchos PsychogiosStroke Unit, Metropolitan Hospital, Piraeus, Greece.ORCID https://orcid.org/0000-0003-3993-2545
Tatiana SidiropoulouSecond Department of Anesthesiology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Stavros SpiliopoulosInterventional Radiology Unit, Second Department of Radiology, 'Attikon' University General Hospital, Athens, Greece.
Marios-Nikos PsychogiosDepartment of Neuroradiology, Clinic for Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.
Georgios MagoufisSecond Department of Neurology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.ORCID https://orcid.org/0000-0003-2440-3202
Guillaume TurcDepartment of Neurology, GHU Paris Psychiatrie et Neurosciences, Paris, France.
Georgios TsivgoulisSecond Department of Neurology, 'Attikon' University Hospital, School of Medicine, National and Kapodistrian University of Athens, Rimini 1, Chaidari, Athens 12462, Greece.ORCID https://orcid.org/0000-0002-0640-3797

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: The literature on endovascular treatment (EVT) for large-vessel occlusion (LVO) acute ischaemic stroke (AIS) has been rapidly increasing after the publication of positive randomized-controlled clinical trials (RCTs) and a plethora of systematic reviews (SRs) showing benefit compared to best medical therapy (BMT) for LVO. Objectives: An overview of SRs (umbrella review) and meta-analysis of primary RCTs were performed to summarize the literature and present efficacy and safety of EVT. Design and methods: MEDLINE Results: Three eligible SRs and 4 additional RCTs were included in the overview, comprising a total of 24 RCTs, corresponding to 5968 AIS patients with LVO (3044 randomized to EVT Conclusion: In patients with AIS due to LVO in the anterior or posterior circulation, within 24 h from symptom onset, EVT improves functional outcomes and increases the chance of survival despite increased sICH risk. Registration: PROSPERO Registration Number CRD42023461138.

Indexed as

endovascular treatmentlarge-vessel occlusionmeta-analysismodified Rankin scalemortalityNIHSSstrokesymptomatic intracranial haemorrhagesystematic review

Identifiers

PMID38685935
PMCPMC11057347

What OpenQuestion holds

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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.