Evidence map›Paper›PMID 39971330›Full record

SynthesisAJNR. American journal of neuroradiology2025

Efficacy of the Basilar Artery on Computed Tomography Angiography Score in Predicting Functional Outcomes after Thrombectomy for Basilar Arterial Occlusion: A Frequentist and Bayesian Meta-Analysis.

Ho-Chang Huang, Hui-An Lin, Jyun-Jhe Wang, Sheng-Feng Lin

Abstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis 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 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

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2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

4 authors.

Ho-Chang HuangFrom the School of Medicine, College of Medicine (H.-C.H., J.-J.W.), Taipei Medical University, Taipei, Taiwan.
Hui-An LinDepartment of Emergency Medicine, School of Medicine, College of Medicine (H.-A.L.), Taipei Medical University, Taipei, Taiwan.
Jyun-Jhe WangFrom the School of Medicine, College of Medicine (H.-C.H., J.-J.W.), Taipei Medical University, Taipei, Taiwan.
Sheng-Feng LinDepartment of Emergency Medicine (H.-A.L., S.-F.L.), Taipei Medical University Hospital, Taipei, Taiwan linshengfeng@tmu.edu.tw.ORCID https://orcid.org/0000-0003-0470-2184

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe Basilar Artery on Computed Tomography Angiography (BATMAN) score is a 10-point grading system assessing arterial opacification and thrombus burden in the posterior circulation. It predicts outcomes in endovascular thrombectomy, with lower scores reflecting poor opacification. PURPOSE: This systematic review and meta-analysis evaluated the efficacy of the BATMAN score in predicting 90-day functional outcomes after thrombectomy. DATA SOURCES: We systematically searched PubMed, EMBASE, Scopus, and Cochrane Library and adhered to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines for relevant English and Chinese articles published between January 1, 2017, and December 1, 2024. STUDY SELECTION: The inclusion criteria were as follows: including patients who had undergone endovascular therapy (EVT) for posterior circulation acute ischemic stroke; assessing the BATMAN score through angiographic examinations, such as CTA, DSA, and MRA before EVT; and assessing functional outcomes on day 90 by using the mRS. We excluded duplicate articles, conference summaries, review articles, articles lacking original data, and articles for which the full text was unavailable. DATA ANALYSIS: We determined the standardized mean difference in BATMAN scores between patients with favorable and unfavorable outcomes. Binormal receiver operating characteristic curve analysis determined the BATMAN score's diagnostic performance and the optimal threshold. The Bayesian approach validated the mean between-group difference in the BATMAN scores. DATA SYNTHESIS: A higher BATMAN score was significantly associated with a favorable functional outcome (standardized mean difference in Cohen LIMITATIONS: All of the included studies were observational in design and varied in terms of sample size. Nonetheless, our comprehensive statistical approach, with both frequentist and Bayesian approaches, might have overcome the limitations associated with sample size discrepancies.

conclusionsOur findings suggest the BATMAN score of ≥6 predicts post-thrombectomy favorable functional outcomes in patients with posterior circulation acute ischemic stroke.

Indexed as

Basilar ArteryComputed Tomography AngiographyThrombectomyVertebrobasilar InsufficiencyBayes TheoremEndovascular ProceduresHumansTreatment Outcome

Identifiers

PMID39971330
PMCPMC12453479

What OpenQuestion holds

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Registered trials

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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.