Evidence map›Paper›PMID 40052284›Full record

ArticleStroke2025

Mechanical Thrombectomy in Prestroke Disability: Data From the Italian Endovascular Stroke Registry.

Andrea Naldi, Federico D'Agata, Giovanni Pracucci, Valentina Saia, Roberto Cavallo, Davide Castellano, Fabrizio Sallustio, Ilaria Casetta, Enrico Fainardi, Valerio Da Ros and 62 more

Abstract read
In one paragraph

Article in Stroke, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–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

5 citing papers in PubMed.

  1. Observational
  2. Article
  3. Review
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  5. 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

72 authors.

Andrea NaldiNeurology Unit (A.N., R.C.), San Giovanni Bosco Hospital, Turin, Italy.ORCID 0000-0001-7323-0286
Federico D'AgataDepartment of Neuroscience, University of Turin, Italy (F.D.).ORCID 0000-0001-9432-0248
Giovanni PracucciDepartment of NEUROFARBA, Neuroscience Section, University of Florence, Italy (G.P.).ORCID 0000-0002-1722-2211
Valentina SaiaNeurology and Stroke Unit, Santa Corona Hospital, Pietra Ligure, Italy (V.S., T.T.).ORCID 0000-0001-9855-8894
Roberto CavalloNeurology Unit (A.N., R.C.), San Giovanni Bosco Hospital, Turin, Italy.
Davide CastellanoDepartment of Interventional Radiology and Neuroradiology (D.C.), San Giovanni Bosco Hospital, Turin, Italy.ORCID 0000-0003-0785-3252
Fabrizio SallustioUnità di Trattamento Neurovascolare, Ospedale dei Castelli-ASL6, Rome, Italy (F.S.).ORCID 0000-0002-8229-465X
Ilaria CasettaNeurology Unit, University Hospital Arcispedale S. Anna, Ferrara, Italy (I.C.).ORCID 0000-0003-4099-8875
Enrico FainardiDipartimento di Scienze Biomediche, Sperimentali e Cliniche, Neuroradiologia, Università degli Studi di Firenze, Ospedale Universitario Careggi, Firenze, Italy (E.F.).ORCID 0000-0003-0477-724X
Valerio Da RosDipartimento di Biomedicina e Prevenzione, UOSD Radiologia Interventistica, Rome, Italy (V.D.R.).ORCID 0000-0001-7167-7594
Ilaria MaestriniDepartment of Systems Medicine, University of Rome Tor Vergata, Italy (I.M.).ORCID 0000-0003-4996-7506
Sergio Lucio VinciNeuroradiology Unit, Department of Biomedical, Dental and Morphological and Functional Imaging Sciences, University of Messina, Italy (S.L.V.).ORCID 0000-0002-7443-8270
Paolino La SpinaUOSD Stroke Unit AOU G. Martino, Messina, Italy (P.L.S.).
Nicola LimbucciInterventional Neurovascular Unit, Careggi University Hospital, Florence, Italy (N.L.).ORCID 0000-0002-0432-5414
Patrizia NenciniStroke Unit, Azienda Ospedaliero Universitaria Careggi, Firenze, Italy (P.N.).ORCID 0000-0001-7955-8071
Elvis LafeNeuroradiologia Interventistica AUSL Romagna, Cesena, Italy (E.L.).
Marco LongoniNeurologia e Stroke Unit Ospedale Bufalini, Cesena, Italy (M.L.).ORCID 0000-0003-2173-4858
Sandra BraccoUOC Neuroradiologia diagnostica e terapeutica AOU Senese, Siena, Italy (S.B.).ORCID 0000-0002-4721-1425
Rossana TassiUOC Stroke Unit AOU Senese, Siena, Italy (R.T.).ORCID 0000-0002-5906-8718
Stefano ValloneUO Neuroradiologia (S.V.), Ospedale Civile di Baggiovara, AOU Modena, Italy.ORCID 0000-0003-1839-0548
Guido BigliardiNeurologia-Stroke Unit (G. Bigliardi), Ospedale Civile di Baggiovara, AOU Modena, Italy.ORCID 0000-0001-5312-7206
Paolo CerratoAO Città della Salute, Torino, Italy (P.C.).
Lucio CastellanUO Neuroradiologia (L.C.), IRCCS Ospedale Policlinico San Martino, Genova, Italy.ORCID 0000-0002-5463-8785
Massimo Del SetteUO Neurologia (M.D.S.), IRCCS Ospedale Policlinico San Martino, Genova, Italy.
Roberto MenozziUnità Complessa di Neuroradiologia, Azienda Ospedaliero-Universitaria, Parma, Italy (R.M.).ORCID 0009-0008-1473-5565
Alessandro PezziniDepartment of Medicine and Surgery, University of Parma, Italy (A. Pezzini).ORCID 0000-0001-8629-3315
Stefano MerollaIRCCS Istituto delle Scienze Neurologiche di Bologna, UOSI Neuroradiologia Ospedale Maggiore, Bologna, Italy (S. Merolla).ORCID 0000-0001-5078-0365
Stefano ForlivesiDepartment of Neurology and Stroke Center, IRCCS Istituto delle Scienze Neurologiche di Bologna, Maggiore Hospital, Italy (S.F.).ORCID 0000-0003-0609-3044
Sergio NappiniRadiologia e Neuroradiologia diagnostica e interventistica, IRCCS Policlinico San Matteo, Pavia, Italy (S.N.).ORCID 0000-0002-2607-5815
Nicola Davide LoizzoUO Neurologia d'Urgenza e Stroke Unit, IRCCS Fondazione Mondino, Pavia, Italy (N.D.L.).ORCID 0009-0008-5043-9608
Andrea SalettiUO Neuroradiologia Dip (A. Saletti), Neuroscienze AZOU Ferrara, Italy.ORCID 0000-0001-6984-113X
Cristiano AzziniUO Neurologia Dip (C.A.), Neuroscienze AZOU Ferrara, Italy.ORCID 0000-0003-2215-8143
Guido Andrea LazzarottiNeuroradiology Unit, University Hospital of Pisa, Italy (G.A.L.).
Nicola GianniniNeurological Institute, Azienda Ospedaliero Universitaria Pisana, Italy (N.G.).ORCID 0000-0003-0156-2294
Daniele Giuseppe RomanoUOSD Interventistica AOU, Salerno, Italy (D.G.R.).ORCID 0000-0002-7357-7770
Rosa NapoletanoUOSD Stroke Unit AOU San Giovanni di Dio e Ruggi d'Aragona, Salerno, Italy (R.N.).
Nicola BurdiUOC Neuroradiologia (N.B.), Ospedale SS Annunziata, Taranto, Italy.ORCID 0000-0001-5708-4071
Giovanni BoeroUOC Neurologia (G. Boero), Ospedale SS Annunziata, Taranto, Italy.ORCID 0000-0003-4803-064X
Alessio ComaiDepartments of Neuroradiology (A. Comai), Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of Paracelsus Medical University, Bolzano, Italy.ORCID 0000-0002-0566-395X
Elisa Dall'OraNeurology (E.D.), Hospital of Bolzano (SABES-ASDAA), Teaching Hospital of Paracelsus Medical University, Bolzano, Italy.
Nicola CavasinUO Neuroradiologia Ospedale dell'Angelo, Mestre, Italy (N.C.).ORCID 0000-0001-6246-3543
Adriana CritelliUO Neurologia Ospedale dell'Angelo, Mestre, Italy (A. Critelli).
Mauro PlebaniNeuroradiology Department, Verona, Italy (M. Plebani).ORCID 0000-0001-6422-508X
Manuel CappellariStroke Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy (M.C.).ORCID 0000-0002-3534-3201
Domenico Sergio ZimatoreUO Neuroradiologia AOU Consorziale Policlinico, Bari, Italy (D.S.Z.).ORCID 0000-0001-7185-890X
Marco PetruzzellisUOC Neurologia e Stroke Unit "Puca" AOU Consorziale Policlinico, Bari, Italy (M. Petruzzellis).ORCID 0000-0001-7413-6355
Francesco BiraschiDepartment of Human Neurosciences, Interventional Neuroradiology (F.B.), Sapienza University, Rome, Italy.ORCID 0000-0001-7660-2401
Ettore NicoliniDepartment of Human Neurosciences (E.N.), Sapienza University, Rome, Italy.ORCID 0000-0002-8481-6327
Antioco SannaSC Neuroradiologia Diagnostica e interventistica, Ospedale Santa Corona, Pietra Ligure, Italy (A. Sanna).
Tiziana TassinariNeurology and Stroke Unit, Santa Corona Hospital, Pietra Ligure, Italy (V.S., T.T.).ORCID 0000-0002-4344-3034
Edoardo PuglielliASL Teramo, Italy (E.P., A. Casalena).ORCID 0000-0002-3082-249X
Alfonsina CasalenaASL Teramo, Italy (E.P., A. Casalena).
Ivan GallesioS.C. Radiologia e Interventistica AOU "SS. Antonio e Biagio e Cesare Arrigo", Alessandria, Italy (I.G.).ORCID 0000-0002-3964-8221
Delfina FerrandiS.C. Neurologia AOU "SS. Antonio e Biagio e Cesare Arrigo", Alessandria, Italy (D.F.).
Pietro FilauriNeuroradiology Unit, Presidio Ospedaliero Santi Filippo e Nicola di Avezzano, Italy (P.F.).
Simona SaccoNeuroscience Section, Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, Italy (S.S.).ORCID 0000-0003-0651-1939
Adriana PaladiniDepartments of Neuroradiology (A. Paladini), Vito Fazzi Hospital, Lecce, Italy.ORCID 0009-0003-5502-6144
Annalisa RizzoNeurology (A.R.), Vito Fazzi Hospital, Lecce, Italy.
Michele BesanaU.O Neuroradiologia, Dipartimento di Neuroscienze, Presidio Ospedaliero di Cremona (M. Besana), ASST Cremona, Italy.
Alessia GiossiUOC Neurologia e Stroke Unit (A.G.), ASST Cremona, Italy.ORCID 0000-0001-6234-9003
Marco PaviaFondazione Poliambulanza, Brescia, Italy (M. Pavia).ORCID 0000-0002-2560-288X
Paolo InvernizziUO Neurologia, Istituto Ospedaliero Fondazione Poliambulanza, Brescia, Italy (P.I.).ORCID 0000-0001-6897-861X
Pietro AmistàUOC Neuroradiologia (P.A.), Ospedale Santa Maria della Misericordia, Rovigo, Italy.
Monia RussoUOS Stroke Unit (M.R.), Ospedale Santa Maria della Misericordia, Rovigo, Italy.ORCID 0009-0005-1925-6713
Marco FilizzoloUO Radiologia (M.F.), A.O.O.R. Villa Sofia-Cervello, Palermo, Italy.
Marina ManninoUOC Neurologia con Stroke Unit (M.M.), A.O.O.R. Villa Sofia-Cervello, Palermo, Italy.ORCID 0000-0001-7683-7235
Gianluca GalvanoUO Neuroradiologia (G.G.), ARNAS Garibaldi, Catania, Italy.ORCID 0000-0003-2570-5536
Eleonora Lidia SaraccoUO Neurologia (E.L.S.), ARNAS Garibaldi, Catania, Italy.ORCID 0000-0001-5416-3567
Mauro Bergui *Dipartimento di Neuroscienze, Università di Torino, Italy (M. Bergui).ORCID 0000-0002-5336-695X
Salvatore Mangiafico *Interventional Neuroradiology Consultant at IRCCS Neuromed, Pozzilli (IS), and Adjunct Professor of Interventional Neuroradiology at Tor Vergata University, Sapienza University and S. Andrea Hospital, Rome, Italy (S. Mangiafico).
Danilo Toni *Emergency Department Stroke Unit, Department of Human Neurosciences, Sapienza University of Rome, Italy (D.T.).ORCID 0000-0003-2735-8427
IRETAS Collaborators

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe benefits and safety of mechanical thrombectomy (MT) in patients with prestroke disability, classified as modified Rankin Scale (mRS) score of 3 to 4, and anterior circulation stroke remain uncertain. This study aims to evaluate these factors using data from the Italian Registry of Endovascular Treatment in Acute Stroke.

methodsWe analyzed data collected between 2015 and 2021, comparing functional outcomes (mRS), symptomatic intracerebral hemorrhage, and recanalization rates (Thrombolysis in Cerebral Infarction) at 90 days post-MT in patients with prestroke mRS score of 3 to 4 versus 0 to 2. A good outcome was defined as no change in the mRS score from baseline. Subgroup analysis was stratified by age.

resultsA total of 11.411 (96%) patients with prestroke mRS score of 0 to 2 and 477 (4%) patients with prestroke mRS score of 3 to 4 were included. Compared with patients with a baseline mRS score 0 to 2, those with mRS score 3 to 4 were older (82 versus 75 years;

conclusionsOur data suggest that prestroke disability does not imply less chance of returning to prestroke conditions after MT, even in octogenarians, despite higher mortality and lower recanalization rate. More data are warranted to better understand the benefit of MT in this subgroup of patients.

Indexed as

Endovascular ProceduresStrokeThrombectomyAgedAged, 80 and overFemaleHumansItalyMaleMiddle AgedRegistriesTreatment Outcomecerebral infarctionintracranial hemorrhagesstrokethrombectomythrombolytic therapy

Identifiers

PMID40052284
PMCPMC11932441

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