Evidence map›Paper›PMID 41573395›Full record

ArticleFrontiers in neurology2025

Clinical outcomes of endovascular treatment for acute basilar artery occlusion patients with extremely severe symptoms.

Yongtao Guo, Yuqian Xie, Miao Chai, Linyu Li, Shuangzhi Wang, Sheng Zhou, Haoxuan Zhu, Gaoming Li, Lilan Wang, Chunye Chen and 12 more

Abstract read
In one paragraph

Article in Frontiers in 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. Article
  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

22 authors.

Yongtao Guo *Department of Neurology, The Affiliated Huaian No.1 People's Hospital of Nanjing Medical University, Nanjing Medical University, Huai'an, Jiangsu, China.
Yuqian Xie *Department of Neurosurgery, The Second Affiliated Hospital of Guangxi Medical University, Nanning, China.
Miao Chai *Department of Neurology, Lanzhou University Second Hospital, Lanzhou, China.
Linyu Li *Department of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Shuangzhi WangDepartment of Neurology, The Third Hospital of Mianyang, Mianyang, China.
Sheng ZhouDepartment of Neurology, Renhuai People's Hospital, Renhuai, China.
Haoxuan ZhuDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Gaoming LiDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Lilan WangDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Chunye ChenDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Mingyang ChenDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yuhan FanDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Qiuyi YangDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yihui YangDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yian ChenDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Binghan WangDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Guanting HengDepartment of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Xuexiao ZhaoDepartment of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Chawen DingDepartment of Neurology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China.
Jiaxing SongDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Jie TangDepartment of Neurology, The People's Hospital of Jianyang City, Jianyang, China.
Zhenqian LiuDepartment of Neurology, The Second Affiliated Hospital of Xuzhou Medical University, Xuzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: This study aimed to investigate the effectiveness and safety of endovascular treatment (EVT) in acute basilar artery occlusion (ABAO) patients with extremely severe symptoms [National Institutes of Health Stroke Scale (NIHSS) score >25] in the real world. Methods: This study was a subgroup analysis of a prospective multicenter cohort study (EVT for Acute Basilar Artery Occlusion Study, BASILAR registry). Patients were categorized into EVT and standard medical treatment (SMT) groups. The primary effectiveness outcome was the distribution of modified Rankin Scale (mRS) scores at 90 days. Safety outcomes included 90-day mortality and symptomatic intracerebral hemorrhage (sICH) within 48 h. Results: Among 436 ABAO patients with extremely severe symptoms, 342 (78.4%) underwent EVT. Compared with SMT, EVT was significantly associated with greater odds of favorable shift in mRS distribution [adjusted OR (aOR) 3.98, 95% CI 2.02-7.84, Conclusions: In ABAO patients with extremely severe symptoms, EVT demonstrated superior functional outcomes and lower mortality. Minimizing onset to treatment time and puncture to reperfusion time is essential for optimizing clinical outcomes in this patient population.

Indexed as

endovascularlarge vessel occlusionprognosisstrokestroke severity (NIHSS)treatment

Identifiers

PMID41573395
PMCPMC12819325

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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.