Evidence map›Paper›PMID 39181691›Full record

ArticleAJNR. American journal of neuroradiology2025

Endovascular Thrombectomy versus Medical Management for Acute Basilar Artery Occlusion Stroke in the Elderly.

Huanwen Chen, Marco Colasurdo, Mihir Khunte, Ajay Malhotra, Dheeraj Gandhi

Abstract readComparative Study
In one paragraph

Article in AJNR. American journal of neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

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

  1. Pooled it
  2. 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.

Huanwen ChenFrom the National Institute of Neurological Disorders and Stroke (H.C.), National Institutes of Health, Bethesda, Maryland.
Marco ColasurdoDepartment of Interventional Radiology (M.C.), Oregon Health & Sciences University, Portland, Oregon.ORCID 0000-0002-7823-3088
Mihir KhunteWarren Alpert Medical School (M.K.), Brown University, Providence, Rhode Island.
Ajay MalhotraDepartment of Radiology and Biomedical Imaging (M.K., A.M.), Yale University, New Haven, Connecticut.ORCID 0000-0001-9223-6640
Dheeraj GandhiDivision of Interventional Neuroradiology (H.C., D.G.), Department of Radiology, University of Maryland Medical Center, Baltimore, Maryland dgandhi@umm.edu.ORCID 0000-0001-6741-5970

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeThe efficacy and safety of endovascular thrombectomy (EVT) for elderly patients with basilar artery occlusion (BAO) stroke is unclear. The purpose of this study is to investigate the safety and efficacy of EVT for elderly BAO stroke patients. MATERIALS AND

methodsThis was an explorative retrospective analysis of the 2016-21 National Inpatient Sample in the United States. Elderly patients with BAO stroke (80 years of age or older) with an NIHSS score of at least 5 were included. Primary outcome was discharge home. Secondary outcomes included in-hospital mortality and intracranial hemorrhage (ICH). Outcomes were compared between patients treated with EVT and those treated with medical management (MM) alone. Propensity score matching (PSM) was performed to control confounders. Subgroup analyses were conducted for patients who did and did not receive IV thrombolysis (IVT).

resultsWe identified 2520 elderly patients with BAO stroke; 830 received EVT and 1690 received MM alone. After PSM, 1115 patients and 715 patients remained in the MM and EVT groups, respectively. Compared with PSM controls, EVT was not significantly associated with different rates of home discharge (17.5% versus 12.2%; OR, 1.36 [95% CI, 0.76-2.44],

conclusionsEVT was not significantly associated with more favorable hospitalization outcomes for elderly patients with BAO stroke, and it was significantly associated with an increased risk of ICH. EVT may be an effective treatment for patients who did not receive IVT.

Indexed as

Endovascular ProceduresStrokeThrombectomyVertebrobasilar InsufficiencyAgedAged, 80 and overFemaleHospital MortalityHumansMaleRetrospective StudiesThrombolytic TherapyTreatment OutcomeUnited States

Identifiers

PMID39181691
PMCPMC11878975

What OpenQuestion holds

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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.