Evidence map›Paper›PMID 39661336›Full record

ArticleStroke and vascular neurology2024

Association between stroke subtypes and outcomes of endovascular therapy: a post-hoc analysis of the ANGEL-ASPECT Trial.

Da Lu, Raynald Raynald, Dapeng Sun, Na Zheng, Bohao Zhang, Leilei Luo, Sifei Wang, Sihu Pan, Yuchao Dou, Mengxing Wang and 4 more

Abstract read
In one paragraph

Article in Stroke and vascular neurology, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

14 authors.

Da Lu *Department of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China.
Raynald Raynald *Department of Interventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-4749-3514
Dapeng SunDepartment of Interventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.ORCID http://orcid.org/0000-0001-6321-5381
Na ZhengDepartment of Traditional Chinese Medicine, Tianjin Huanhu Hospital, Tianjin, China.
Bohao ZhangDepartment of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China.ORCID http://orcid.org/0000-0002-6524-4028
Leilei LuoDepartment of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China.ORCID http://orcid.org/0000-0003-4843-5225
Sifei WangDepartment of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China.
Sihu PanDepartment of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China.
Yuchao DouDepartment of Neurosurgery, Tianjin Huanhu Hospital, Tianjin, China.ORCID http://orcid.org/0000-0002-2834-8805
Mengxing WangBeijing Tiantan Hospital, Beijing, China.ORCID http://orcid.org/0000-0002-4245-4014
Yuesong PanBeijing Tiantan Hospital, Beijing, China.
Xiaochuan HuoDepartment of Interventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.ORCID http://orcid.org/0000-0003-1264-5132
Zhongrong MiaoDepartment of Interventional Neuroradiology, Beijing Tiantan Hospital, Beijing, China.
Ming WeiTianjin Huanhu Hospital, Tianjin, China drweiming@163.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesOur study aims to examine the value of endovascular therapy (EVT) and its comparison to medical management (MM) in ischaemic stroke patients accompanied by large artery atherosclerosis (LAA) and non-LAA

methodsmodified Rankin scale score (mRS) was evaluated at 90 days post the stroke attack and was considered as the primary outcome. Other outcomes measured in this study included score changes of 0-2 and 0-3 on the mRS. The occurrence of symptomatic intracranial haemorrhage at 24 hours after EVT was also measured as a safety endpoint. Logistic regression analysis was used to determine the associations.

resultsIn the LAA group, no significant difference in mRS at 90-day (median IQR 3 (2-5) vs 4 (3-4), 95% CI 0.53 to 2.00, p=0.924), mRS 0-2 and mRS 0-3 was observed between EVT and MM groups. However, in the non-LAA group, patients who underwent EVT had lower 90-day mRS scores (4 (2-5) vs 4 (3-5), generalised OR 1.47, 95% CI 1.14 to 1.88, p<0.001). No interaction effect on the primary outcomes between treatment options and aetiology. More intracranial haemorrhage events within 48 hours were identified in the EVT group for both LAA and non-LAA cohorts (LAA: 40.98% vs 9.62%, relative risk (RR) 4.26, 95% CI 1.76 to 10.34, p<0.001; non-LAA, 52.07% vs 19.65%, RR 2.65, 95% CI 1.90 to 3.70, respectively).

conclusionsFor large infarcts, EVT may be more effective than MM for patients with non-LAA aetiology, but not for those with LAA stroke. As no interaction effect was found, the benefit of EVT compared with MM did not vary by stroke subtypes.

Indexed as

Stroke

Identifiers

PMID39661336
PMCPMC12230217

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