Evidence map›Paper›PMID 40830541›Full record

SynthesisClinical neuroradiology2025

Efficacy and Safety of Mechanical Thrombectomy for Patients with Infective Endocarditis-Related Large Vessel Occlusion: a Systematic Review and Meta-Analysis.

Ocílio Ribeiro Gonçalves, Gabriel de Almeida Monteiro, Ana B Santos, Gabriel Arruda, Antonio Mutarelli, Gabriel Marinheiro, Kleuber Arias Meireles Martins, Marianna Leite, Saul Dominici, Társis Vinícius Cronemberger and 6 more

Abstract readMeta-AnalysisSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Clinical neuroradiology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

16 authors.

Ocílio Ribeiro GonçalvesDepartment of Medicine, Federal University of Piauí, Teresina, PI, Brazil. ocilio41@gmail.com.
Gabriel de Almeida MonteiroSchool of Medicine, Federal University of Ceará, Sobral, CE, Brazil.
Ana B SantosSchool of Medicine, University of Costa Rica, San José, SJ, Costa Rica.
Gabriel ArrudaDepartment of Medicine, Federal University of Piauí, Teresina, PI, Brazil.ORCID http://orcid.org/0009-0008-2780-9332
Antonio MutarelliSchool of Medicine, Federal University of Minas Gerais, Belo Horizonte, MG, Brazil.
Gabriel MarinheiroSchool of Medicine, Federal University of Ceará, Sobral, CE, Brazil.
Kleuber Arias Meireles MartinsUniversity Center of Belo Horizonte, Belo Horizonte, MG, Brazil.
Marianna LeiteSchool of Medicine, Santa Marcelina College, São Paulo, SP, Brazil.
Saul DominiciDepartment of Medicine, Federal University of Maranhão, São Luís, MA, Brazil.
Társis Vinícius CronembergerDepartment of Medicine, Federal University of Piauí, Teresina, PI, Brazil.
Ahmet GünkanDivision of Vascular and Interventional Radiology, Department of Radiology, University of Arizona, Tucson, AZ, USA.
Kelson James AlmeidaDepartment of Medicine, Federal University of Piauí, Teresina, PI, Brazil.
Marcio Yuri FerreiraDepartment of Neurosurgery, Northwell, New Hyde Park, New York, NY, USA.
Christian FerreiraDepartment of Neurosurgery, Northwell, New Hyde Park, New York, NY, USA.
David GordonDepartment of Neurosurgery, Northwell, New Hyde Park, New York, NY, USA.
Yafell SerulleDepartment of Neurosurgery, Northwell, New Hyde Park, New York, NY, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionAcute ischemic stroke (AIS) is the most common neurological complication of infective endocarditis (IE), occurring in 20-40% of patients. In this context, while mechanical thrombectomy (MT) is the standard treatment for patients with AIS due to large-vessel occlusion (LVO), its efficacy and safety in patients with stroke secondary to IE remain unclear.

objectiveTherefore, a more robust analysis of the efficacy and safety of MT in patients with AIS due to IE was conducted to address the gaps identified in previous studies.

methodsAn extensive search of PubMed, Embase, Cochrane Central Register of Controlled Trials, Web of Science, and Scopus databases was conducted from inception to December 2024. The endpoints of interest were: (1) favorable functional outcomes at 90 days, (2) successful recanalization, (3) symptomatic intracranial hemorrhage (sICH), (4) any intracranial hemorrhage (aICH), and (5) overall mortality. The pooled proportion rates were employed with a random effects model with 95% Confidence Intervals (CI) and risk ratios (RR) for binary outcomes with 95% CI. I

resultsEight studies published between 2017 and 2024 enrolled 2037 patients (mean age 57.9 years, 62.3% women), of whom 1401 (69%) received mechanical or endovascular thrombectomy for Infective Endocarditis-Related Large Vessel Occlusion (IE-LVO) stroke. A pooled proportion of 29.0% for favorable functional outcomes (mRS 0-2) was reported (95% CI 14.0-43.0%; I

conclusionHigh successful recanalization rates were achieved in this population through MT, demonstrating its potential as an effective treatment for IE-LVO. However, the clinical outcomes of patients with IE-LVO were significantly unfavorable compared with those of patients without IE-LVO.

Indexed as

EndocarditisIschemic StrokeThrombectomyHumansTreatment OutcomeAcute ischemic strokeInfective endocarditisMeta-analysisThrombectomy

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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.