Evidence map›Paper›PMID 40175718›Full record

Observational studyJournal of neurology2025

Procedural and Clinical Outcome of Stroke after thrombectomy according to etiology: results from a nationwide registry.

Ilaria Casetta, Giovanni Pracucci, Valentina Saia, Enrico Fainardi, Fabrizio Sallustio, Bruno Del Sette, Tiziana Benzi Markushi, Orazio Buonomo, Ludovica Ferraù, Mauro Bergui and 60 more

Abstract readObservational Study
PubMed Publisher
In one paragraph

Observational study in Journal of neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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

2 citing papers in PubMed.

  1. Observational
  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

70 authors.

Ilaria CasettaIRCCS San Camillo Hospital, 30126, Venice, Italy. ilaria.casetta@hsancamillo.it.ORCID http://orcid.org/0000-0003-4099-8875
Giovanni PracucciDepartment of NEUROFARBA, Neuroscience Section, University of Florence, Florence, Italy.
Valentina SaiaS. Corona Hospital, Pietra Ligure, Italy.
Enrico FainardiDipartimento Di Scienze Biomediche, Sperimentali E Cliniche, Università Degli Studi Di Firenze, Ospedale Universitario Careggi, Florence, Italy.
Fabrizio SallustioPoliclinico Tor Vergata, Rome, Italy.
Bruno Del SetteIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Tiziana Benzi MarkushiIRCCS Ospedale Policlinico San Martino, Genoa, Italy.
Orazio BuonomoUniversity Hospital A.O.U. "G. Martino" Messina, Messina, Italy.
Ludovica FerraùUniversity Hospital A.O.U. "G. Martino" Messina, Messina, Italy.
Mauro BerguiDip Neuroscienze, University of Torino, Torino, Italy.
Paolo CerratoA.O. Città Della Salute, Turin, Italy.
Sandra BraccoA.O.U Senese, Siena, Italy.
Rossana TassiA.O.U Senese, Siena, Italy.
Stefano ValloneA.O.U. Modena, Ospedale Civile Di Baggiovara, Modena, Italy.
Guido BigliardiA.O.U. Modena, Ospedale Civile Di Baggiovara, Modena, Italy.
Guido A LazzarottiUniversity Hospital of Pisa, Pisa, Italy.
Nicola GianniniUniversity Hospital of Pisa, Pisa, Italy.
Leonardo RenieriInterventional Neurovascular Unit, Careggi University Hospital, Florence, Italy.
Patrizia NenciniStroke Unit, Azienda Ospedaliero Univarsitaria Careggi, Florence, Italy.
Daniele RomanoA.O.U. Salerno, Salerno, Italy.
Rosa NapoletanoA.O.U. Salerno, Salerno, Italy.
Simone GalluzzoIRCCS Istituto Di Scienze Neurologiche Di Bologna, Bologna, Italy.
Andrea ZiniIRCCS Istituto Di Scienze Neurologiche Di Bologna, Bologna, Italy.
Roberto MenozziA.O.U. Parma, Parma, Italy.
Alessandro PezziniA.O.U. Parma, Parma, Italy.
Nicolò MandruzzatoAzienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
Manuel CappellariAzienda Ospedaliera Universitaria Integrata Verona, Verona, Italy.
Maria RuggieroOspedale Bufalini, Cesena, Italy.
Marco LongoniOspedale Bufalini, Cesena, Italy.
Sergio NappiniPoliclinico San Matteo, Pavia, Italy.
Federico MazzacanePoliclinico San Matteo, Pavia, Italy.
Nicola BurdiOspedale "SS. Annunziata", Taranto, Italy.
Giovanni BoeroOspedale "SS. Annunziata", Taranto, Italy.
Nicola CavasinOspedale Dell'Angelo, Mestre, Italy.
Adriana CritelliOspedale Dell'Angelo, Mestre, Italy.
Andrea CalzoniS. Corona Hospital, Pietra Ligure, Italy.
Tiziana TassinariS. Corona Hospital, Pietra Ligure, Italy.
Andrea SalettiA.O.U. Ferrara, Ferrara, Italy.
Cristiano AzziniA.O.U. Ferrara, Ferrara, Italy.
Valerio Da RosPoliclinico Tor Vergata, Rome, Italy.
Giordano LacidognaPoliclinico Tor Vergata, Rome, Italy.
Domenico S ZimatorePoliclinico Di Bari, Bari, Italy.
Marco PetruzzellisPoliclinico Di Bari, Bari, Italy.
Davide CastellanoOspedale San Giovanni Bosco, Turin, Italy.
Andrea NaldiOspedale San Giovanni Bosco, Turin, Italy.
Francesco BiraschiDepartment of Human Neurosciences, Sapienza University, Rome, Italy.
Ettore NicoliniDepartment of Human Neurosciences, Sapienza University, Rome, Italy.
Alessio ComaiOspedale Provinciale Di Bolzano, Bolzano, Italy.
Elisa Dall' OraOspedale Provinciale Di Bolzano, Bolzano, Italy.
Emilio LozuponeVito Fazzi Hospital, Lecce, Italy.
Marcella CaggiulaVito Fazzi Hospital, Lecce, Italy.
Ivan GallesioA.O.U. Alessandria, Alessandria, Italy.
Delfina FerrandiA.O.U. Alessandria, Alessandria, Italy.
Marco PerriPresidio Ospedaliero SS. Filippo E Nicola, Avezzano, Italy.
Simona SaccoDepartment of Biotechnological and Applied Clinical Sciences - University of L'Aquila, L'Aquila, Italy.
Michele BesanaASST Cremona, Cremona, Italy.
Alessia GiossiASST Cremona, Cremona, Italy.
Giuseppe CaritàOspedale Santa Maria Misericordia, Rovigo, Italy.
Monia RussoOspedale Santa Maria Misericordia, Rovigo, Italy.
Gianluca GalvanoARNAS Garibaldi CT, Catania, Italy.
Eleonora SaraccoARNAS Garibaldi CT, Catania, Italy.
Marco PaviaFondazione Poliambulanza, Brescia, Italy.
Paolo InvernizziFondazione Poliambulanza, Brescia, Italy.
Marco FilizzoloOspedale S. Bortolo, Vicenza, Italy.
Marina ManninoOspedali Riuniti Villa Sofia Cervello, Palermo, Italy.
Edoardo PuglielliASL Teramo, Teramo, Italy.
Alfonsina CasalenaASL Teramo, Teramo, Italy.
Salvatore Mangiafico *IRCCS Neuromed, Pozzilli, Italy.
Danilo Toni *Department of Human Neurosciences, Sapienza University, Rome, Italy.
IRETAS group

Funding

Ministero della Salute 1-336562
6 · The paper itself

Abstract

backgroundThe impact of stroke etiology on outcomes in patients who underwent endovascular thrombectomy (EVT) is still a matter of debate. We studied the effect of aterosclerotic versus cardioembolic etiology on the clinical and radiological outcome of patients with stroke due to large vessel occlusion (LVO) treated with EVT on a large sample of stroke patients enrolled in a nationwide registry.

methodsThe source of data was the Italian Registry of Endovascular Stroke Treatments, a national, prospective, observational internet-based registry including patients treated with EVT since 2011. We extracted and compared data of patients suffering from large atherosclerosis (LAA) or cardioembolic (CE) stroke.

resultsWe included 5193 patients, 3899 CE, and 1294 LAA stroke. Patients with CE were significantly older (p < 0.001), and their stroke severity at admission was significantly higher (p < 0.001). Moreover, patients with LAA had significantly longer onset to end of procedure time, and procedure duration than CE patients. Good outcome at three months was reported in 45.2% of LAA and 45.4% of CE patients (p = 0.89). In the multivariable analysis, patients with CE had higher odds of achieving successful (OR = 1.61; 95% CI 1.35-1.92) or complete (OR = 1.40; 95% CI 1.21-1.62) recanalization Futile recanalization was detected more frequently in CE patients (OR = 1.35; 95% CI 1.18-1.61). There were no statistically significant differences in clinical outcomes (mRS 02: OR = 1.12; 95% CI 0.92-1.36). LAA patients had higher odds of sICH (OR = 0.65; 95% CI 0.49-0.85). The shift analysis showed a trend toward a better outcome in CE patients (OR = 1.19; 95% CI 0.99-1.35), which was statistically significant in subjects with anterior circulation stroke. (OR = 1.21; 95% CI 1.04-1.35).

conclusionsThe study showed a better chance of successful recanalization in CE patients, a slightly better outcome in CE patients with anterior circulation stroke after adjusting for baseline confounders, despite their more unfavourable risk factor profile, and a higher chance of futile recanalization.

Indexed as

Embolic StrokeIschemic StrokeRegistriesStrokeThrombectomyAgedAged, 80 and overEndovascular ProceduresFemaleHumansItalyMaleMiddle AgedProspective StudiesTreatment OutcomeEtiologyIschemic strokeLarge vessel occlusionThrombectomy

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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.