Evidence map›Paper›PMID 40194971›Full record

ArticleJournal of the American Heart Association2025

Prolonged Venous Transit as a Superior Predictor of Functional Outcomes in Successfully Reperfused Large Vessel Occlusions: Comparative Analysis With Cerebral Blood Volume Index and Hypoperfusion Intensity Ratio.

Janet Mei, Hamza Adel Salim, Dhairya A Lakhani, Aneri Balar, Vaibhav Vagal, Manisha Koneru, Dylan Wolman, Risheng Xu, Victor Urrutia, Elisabeth Breese Marsh and 17 more

Abstract readComparative Study
In one paragraph

Article in Journal of the American Heart Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Perfusion imaging parameters predict long-term clinical outcome in isolated posterior cerebral artery occlusion stroke patients.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2025
    Article
  5. Article
  6. 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

27 authors.

Janet MeiDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.
Hamza Adel SalimDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-5208-8425
Dhairya A LakhaniDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0001-7577-1887
Aneri BalarDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-3592-708X
Vaibhav VagalRenaissance School of Medicine at Stony Brook University Stony Brook NY USA.ORCID 0000-0002-8977-2167
Manisha KoneruDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0001-5012-6793
Dylan WolmanDepartment of Radiology Brown University Providence RI USA.ORCID 0000-0002-5012-1690
Risheng XuDepartment of Neurosurgery, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0003-4288-1232
Victor UrrutiaDepartment of Neurology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-4995-6949
Elisabeth Breese MarshDepartment of Neurology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-2385-5074
Benjamin PulliDepartment of Interventional Neuroradiology Stanford Medical Center Palo Alto CA USA.
Meisam HoseinyazdiDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-4051-2946
Licia LunaDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0003-3539-4831
Francis DengDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0003-3117-5076
Nathan Z HysonDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0009-0003-2758-3402
Mona ShahriariDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-1191-7557
Adam A DmytriwNeuroendovascular Program Massachusetts General Hospital & Brigham and Women's Hospital, Harvard Medical School Boston MA USA.ORCID 0000-0003-0131-5699
Adrien GuenegoDepartment of Diagnostic and Interventional Neuroradiology Erasme University Hospital Brussels Belgium.ORCID 0000-0001-7281-1652
Gregory W AlbersDepartment of Interventional Neuroradiology Stanford Medical Center Palo Alto CA USA.ORCID 0000-0003-0263-4632
Hanzhang LuDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0003-3871-1564
Kambiz NaelDepartment of Radiology & Biomedical Imaging University of California San Francisco CA USA.ORCID 0000-0002-4194-9488
Argye E HillisDepartment of Neurology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-5192-1171
Rafael LlinasDepartment of Neurology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-9161-2699
Max WintermarkDepartment of Neuroradiology MD Anderson Medical Center Houston TX USA.ORCID 0000-0002-6726-3951
Tobias D FaizyDepartment of Radiology, Neuroendovascular Program University Medical Center Münster Münster Germany.ORCID 0000-0002-1631-2020
Jeremy J HeitDepartment of Interventional Neuroradiology Stanford Medical Center Palo Alto CA USA.ORCID 0000-0003-1055-8000
Vivek YedavalliDepartment of Radiology, Division of Neuroradiology Johns Hopkins Medical Center Baltimore MD USA.ORCID 0000-0002-2450-4014

Funding

West Virginia IDEA-CTRU54GM104942 · NIGMS · WEST VIRGINIA UNIVERSITY · PI Sijin Wen · 2012 to 2026
$81.0M
NIGMS NIH HHS U54 GM104942
6 · The paper itself

Abstract

backgroundCollateral status plays a crucial role in outcomes after acute ischemic stroke due to large vessel occlusion. Tissue-level collaterals and venous outflow are key components following mechanical thrombectomy. This study evaluates the predictive performance of prolonged venous transit (PVT), cerebral blood volume index, and hypoperfusion intensity ratio in determining 90-day functional outcomes. METHODS AND

resultsWe retrospectively analyzed patients with acute ischemic stroke due to large vessel occlusion with successful mechanical thrombectomy (modified Treatment in Cerebral Infarction score 2b, 2c, or 3). PVT+ was defined as

conclusionsPVT is a superior predictor of 90-day functional outcomes compared with cerebral blood volume index and hypoperfusion intensity ratio, emphasizing the role of venous outflow in collateral assessment and stroke prognosis.

Indexed as

Cerebral Blood VolumeCerebrovascular CirculationIschemic StrokeThrombectomyAgedAged, 80 and overCollateral CirculationFemaleHumansMaleMiddle AgedPredictive Value of TestsRetrospective StudiesTreatment Outcomecollateral assessmentCT perfusionlarge vessel occlusiontissue‐level collateralsvenous outflow

Identifiers

PMID40194971
PMCPMC12132810

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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.