Evidence map›Paper›PMID 40117100›Full record

ReviewJournal of thrombosis and thrombolysis2025

Thrombus composition in ischaemic stroke: histological and radiological evaluation, and implications for acute clinical management.

Esmee Dohle, Abhishekh H Ashok, Shiv Bhakta, Isuru Induruwa, Nicholas R Evans

Abstract readReview
In one paragraph

Review in Journal of thrombosis and thrombolysis, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Biomarkers, mechanisms, and precision care in thrombosis.Journal of thrombosis and thrombolysis · 2026
    Article
  2. Review
  3. Review
  4. Frailty and Cardiovascular Risk.European cardiology · 2026
    Review
  5. Beyond Direct Fibrinolysis: Novel Approaches to Thrombolysis.Pharmaceuticals (Basel, Switzerland) · 2025
    Review
  6. Article
  7. Article
  8. Review
  9. 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.

Esmee DohleMedical Sciences Division, John Radcliffe Hospital, University of Oxford, Oxford, UK.
Abhishekh H AshokDepartment of Radiology, University of Cambridge, Cambridge, UK.
Shiv BhaktaDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK.
Isuru InduruwaDepartment of Stroke Medicine, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK.
Nicholas R EvansDepartment of Clinical Neurosciences, University of Cambridge, Cambridge, UK. ne214@cam.ac.uk.ORCID http://orcid.org/0000-0002-7640-4701

Funding

Dunhill Medical Trust JBGS22\20NIHR Cambridge Biomedical Research Centre NIHR203312Royal College of Radiologists Kodak fellowshipStroke Association (UK) SA-SCL-MED-22\100006
6 · The paper itself

Abstract

Ischaemic stroke is one of the key causes of morbidity and mortality worldwide. Although rapid reperfusion through thrombolysis or mechanical thrombectomy is the cornerstone of acute management, the efficacy of these interventions is influenced by the underlying composition of the occluding thrombus, which varies widely. Histological examination of retrieved thrombi allows the determination of thrombus composition and may inform aetiology and secondary prevention strategies. Additionally, radiological features may provide valuable pre-treatment insights into thrombus composition to help predict treatment success. This narrative review discusses histological and radiological indicators of thrombus composition, and how this may predict success of thrombolysis and thrombectomy. Furthermore, it discusses how these insights can be applied in the diagnostic work-up of embolic stroke of undetermined source (ESUS), and the potential utility of emerging biomarkers relating to thrombus formation, in order to optimise secondary prevention strategies.

Indexed as

Ischemic StrokeThrombosisHumansThrombectomyThrombolytic TherapyHistologyIschaemic strokeRadiologyThrombectomyThrombosis

Identifiers

PMID40117100
PMCPMC12009245

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.