Evidence map›Paper›PMID 41584972›Full record

ArticleStroke (Hoboken, N.J.)2023

Endovascular Treatment in Patients With Acute Ischemic Stroke and Comorbid Cancer: Analysis of the Italian Registry of Endovascular Treatment in Acute Stroke.

Federica Letteri, Giovanni Pracucci, Valentina Saia, Fabrizio Sallustio, Alfredo Paolo Mascolo, Valerio Da Ros, Rossana Tassi, Maurizio Acampa, Sandra Bracco, Alessandro De Vito and 38 more

Abstract read
In one paragraph

Article in Stroke (Hoboken, N.J.), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed, 1 pooled it
–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

9 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Mechanical thrombectomy for the treatment of large vessel occlusion due to cancer-related cerebral embolism: A systematic review.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
    Pooled it
  2. Review
  3. Review
  4. Article
  5. Review
  6. Article
  7. Long-term outcomes of mechanical thrombectomy in acute ischaemic stroke patients with concomitant malignancy.Postepy w kardiologii interwencyjnej = Advances in interventional cardiology · 2024
    Article
  8. Article
  9. Review
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

48 authors.

Federica LetteriEmergency Department, Stroke Unit Sapienza University Hospital Rome Italy.ORCID https://orcid.org/0000-0003-4732-5366
Giovanni PracucciStroke Unit Ospedale Careggi-University Hospital Firenze Italy.
Valentina SaiaStroke Unit Santa Corona Hospital Pietra Ligure, SV Italy.
Fabrizio SallustioStroke Unit University Hospital of Tor Vergata Rome Italy.
Alfredo Paolo MascoloStroke Unit University Hospital of Tor Vergata Rome Italy.
Valerio Da RosDepartment of Biomedicine and Prevention University Hospital of Rome "Tor Vergata" Rome Italy.
Rossana TassiStroke Unit Azienda Ospedaliera Universitaria Senese Siena SI Italy.
Maurizio AcampaStroke Unit Azienda Ospedaliera Universitaria Senese Siena SI Italy.
Sandra BraccoNeurointerventional Unit Azienda Ospedaliera Universitaria Senese Siena SI Italy.
Alessandro De VitoClinica Neurologica University of Ferrara Ferrara Italy.
Ilaria CasettaClinica Neurologica University of Ferrara Ferrara Italy.
Andrea SalettiNeuroradiology Department of Radiology, Arcispedale S. Anna-University Hospital Ferrara Italy.
Guido BigliardiStroke Unit, Neurology Clinic Department of Neuroscience Civil Hospital of Baggiovara University Hospital of Modena Modena Italy.
Stefano ValloneNeuroradiology, Department of Neuroscience Civil Hospital of Baggiovara University Hospital of Modena Modena Italy.
Marta IacobucciDepartment of Human Neuroscience, Interventional Neuroradiology Sapienza University Hospital Rome Italy.
Patrizia NenciniStroke Unit Ospedale Careggi-University Hospital Firenze Italy.
Vanessa PalumboStroke Unit Ospedale Careggi-University Hospital Firenze Italy.
Sergio NappiniInterventional Neuroradiology Unit Ospedale Careggi-University Hospital Firenze Italy.
Laura MalfattoIRCCS Ospedale Policlinico San Martino Neuroradiology and Neurology Genova Italy.
Cinzia FinocchiIRCCS Ospedale Policlinico San Martino Neuroradiology and Neurology Genova Italy.
Lucio CastellanIRCCS Ospedale Policlinico San Martino Interventional Neuroradiology Unit Genova Italy.
Simona SaccoNeuroscience Section Department of Biotechnological and Applied Clinical Sciences University of L'Aquila L'Aquila Italy.
Nicola GianniniDepartment of Clinical and Experimental Medicine Neurological Institute University of Pisa Pisa Italy.
Guido Andrea LazzarottiDepartment of Neuroradiology Azienda Ospedaliero Universitaria Pisana (AOUP) Pisa Italy.
Roberto CavalloNeurology Unit San Giovanni Bosco Hospital Turin Italy.
Chiara ComelliInterventional Neuroradiology Unit San Giovanni Bosco Hospital Turin Italy.
Adriana CritelliStroke Unit Ospedale dell'Angelo Mestre Italy.
Nicola CavasinNeuroradiology Unit Ospedale dell'Angelo, USSL3 Serenissima Mestre Italy.
Simona MarcheselliNeurologia d'urgenza e Stroke Unit IRCCS Humanitas Research Hospital, Rozzano Milano Italy.
Nunzio Paolo NuzziNeuroradiology Unit IRCCS Humanitas Research Hospital, Rozzano Milano Italy.
Mauro MagoniStroke Unit Vascular Neurology, Spedali Civili Brescia Italy.
Roberto GasparottiNeuroradiology Unit Department of Molecular and Translational Medicine, University of Brescia and ASST Spedali Civili Hospital Brescia Italy.
Paolo InvernizziStroke Unit Fondazione Poliambulanza Brescia Italy.
Marco PaviaNeuroradiology Unit Fondazione Poliambulanza Brescia Italy.
Angelica TinelliStroke Unit Ospedale SS. Annunziata Taranto Italy.
Nicola BurdiNeuroradiology Unit "SS. Annunziata" Hospital Taranto Italy.
Tiziana TassinariStroke Unit Santa Corona Hospital Pietra Ligure, SV Italy.
Riccardo PadolecchiaNeuroradiology Unit (R.P.) S. Corona Hospital-ASL2 Savonese, Pietra Ligure, SV Italy.
Marco PetruzzellisNeurology Unit and Stroke Center Department of Basic Medical Sciences Neurosciences and Sense Organs University of Bari "Aldo Moro" Bari Italy.
Luigi ChiumaruloInterventional Neuroradiology Unit Policlinico Bari Bari Italy.
Maria Valeria SaddiUnit of Neurology San Francesco Hospital Nuoro Italy.
Giovanni DuiRadiology and Interventional Radiology Unit and Neurology Unit Ospedale San Francesco Nuoro Italy.
Monia RussoStroke Unit Ospedale S. Maria Misericordia Rovigo Italy.
Pietro AmistàNeuroradiology Unit Ospedale S. Maria Misericordia Rovigo Italy.
Andrea ZiniIRCCS Istituto delle Scienze Neurologiche di Bologna Neurology Department and Stroke Center Maggiore Hospital Bologna Italy.
Salvatore MangiaficoInterventional Neuroradiology Unit Ospedale Careggi-University Hospital Firenze Italy.
Danilo ToniDepartment of Human Neurosciences University La Sapienza Rome.
“on behalf of the Italian Registry of Endovascular Treatment in Acute Stroke”

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute stroke patients with comorbid cancer (CC) are more preferably addressed with endovascular treatment (EVT) than thrombolytic therapy, due to the presumed potential risk of hemorrhagic transformation and systemic bleeding. This study aims to evaluate clinical and procedural outcomes of acute stroke patients with CC receiving EVT. Methods: Using the Italian Registry of Endovascular Treatment in Acute Stroke, we reviewed prospectively collected data of CC patients treated with EVT from 2011 to 2017. Outcome measures were modified Thrombolysis in Cerebral Infarction score, symptomatic intracranial hemorrhage rate, and 3-month modified Rankin scale. We also compared CC patients with a control group without cancer (non-comorbid cancer) receiving EVT and matched the 2 populations with a 1:1 propensity score. Results: Out of 4598 stroke patients treated with EVT, 165 (3.6%) had a CC. Modified Thrombolysis in Cerebral Infarction 2b-3 was obtained in 73.8% of CC and 74.5% of non-comorbid cancer patients ( Conclusion: Although 3-month all-cause mortality was significantly higher in CC patients, successful recanalization and hemorrhagic transformation rate were comparable in both groups. In cancer patients, a metastatic and active disease seem to be associated with a poorer functional outcome, whereas a diagnosis of breast cancer appears to be more frequent in patients with a mild or no disability at long term.

Indexed as

3‐month functional independenceactive cancercomorbid cancerendovascular treatmentischemic strokemetastasis

Identifiers

PMID41584972
PMCPMC12778633

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.