Evidence map›Paper›PMID 41583600›Full record

ArticleStroke (Hoboken, N.J.)2024

Association Between MR-Based Thrombus Imaging Characteristics and Endovascular Therapy Outcome in Acute Ischemic Stroke: A Systematic Review and Meta-Analysis.

Mohammad Hossein Abbasi, Adrienne N Dula, Steven J Warach, Hamidreza Saber

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

4 authors.

Mohammad Hossein AbbasiDepartment of Neurology Dell Medical School The University of Texas at Austin Austin TX.
Adrienne N DulaDepartment of Neurology Dell Medical School The University of Texas at Austin Austin TX.
Steven J WarachDepartment of Neurology Dell Medical School The University of Texas at Austin Austin TX.
Hamidreza SaberDepartment of Neurology Dell Medical School The University of Texas at Austin Austin TX.ORCID https://orcid.org/0000-0001-7590-2023

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Prediction of successful revascularization and achieving a favorable functional outcome may help determine the optimal treatment strategy and improve the management of stroke. A growing body of literature has implicated a predictive value for thrombus imaging characteristics for stroke outcomes. Methods: We conducted an electronic search using PubMed, Ovid MEDLINE, and EMBASE, previously published meta-analyses, and systematic review studies that intervened by endovascular thrombectomy or intravenous thrombolysis following large vessel occlusion stroke from 2000 to 2023 and involved magnetic resonance-based thrombus imaging, then screened 2007 studies against our eligibility criteria. We extracted the enrollees' characteristics and the association between clot features and radiological and functional outcome measures. Results: Thirty-three studies were found eligible, with a total number of 6902 enrollees. Susceptibility vessel sign was found in 3531 subjects (51.2%). Nine studies involved only the administration of intravenous thrombolysis, whereas 24 studies intervened by endovascular thrombectomy. Seventeen studies found at least an association between thrombus imaging characteristics and successful revascularization, whereas the others reported no association. only 13 studies found at least one thrombus characteristic associated with functional outcome, while the others showed no association between  the thrombus characteristics and functional outcome after stroke. Pooled meta-analysis of studies that involved endovascular thrombectomy with or without intravenous thrombolysis showed a statistically significant association between the presence of susceptibility vessel sign and both successful reperfusion (odds ratio [OR]: 1.57 [1.09-2.27]; Conclusion: The presence of susceptibility vessel sign on magnetic resonance-based clot imaging was associated with functional outcome and successful reperfusion following thrombectomy.

Indexed as

large vessel occlusionmagnetic resonance imaging (MRI)strokesusceptibility vessel signthrombus characteristics

Identifiers

PMID41583600
PMCPMC12778482

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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.