Evidence map›Paper›PMID 42361222›Full record

Observational studyEuropean stroke journal2026

Procedure time and 90-day outcomes after endovascular thrombectomy for large-core stroke.

Chengsong Yue, Shihai Yang, Rongzong Li, Linyu Li, Jie Yang, Xiaolei Shi, Wenjie Zi, Yi Lin

Abstract readObservational StudyMulticenter Study
In one paragraph

Observational study in European stroke journal, 2026. 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

8 authors.

Chengsong YueDepartment of Neurology and Institute of Neurology of The First Affiliated Hospital, Institute of Neuroscience, Fujian Key Laboratory of Molecular Neurology, Fujian Medical University, Fuzhou, Fujian 350005, China.ORCID 0000-0002-0703-0224
Shihai YangDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Rongzong LiDepartment of Neurology, No. 924 Hospital of Joint Logistic Support Force of Chinese PLA, Guangxi 541002, China.
Linyu LiDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Jie YangDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Xiaolei ShiDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Wenjie ZiDepartment of Neurology, Xinqiao Hospital and The Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing, China.
Yi LinDepartment of Neurology and Institute of Neurology of The First Affiliated Hospital, Institute of Neuroscience, Fujian Key Laboratory of Molecular Neurology, Fujian Medical University, Fuzhou, Fujian 350005, China.ORCID 0000-0002-8098-4112

Funding

Joint Funds for the Innovation of Science and Technology of Fujian Province 2021Y9131National Natural Science Foundation of China U22A20296
6 · The paper itself

Abstract

introductionProcedure time during endovascular thrombectomy (EVT) has been associated with outcomes in general thrombectomy cohorts, but whether this relationship reflects a threshold or continuous risk accumulation in large-core stroke remains unclear. PATIENTS AND

methodsWe performed a retrospective observational analysis of 490 patients with anterior-circulation large-vessel occlusion (LVO) and large-core infarction, defined by an Alberta Stroke Program Early Computed Tomography Score of 5 or less, from a prospective multicentre registry across 38 centres. Procedure time was analysed categorically and continuously. The primary outcome was the 90-day mRS score of 0-3. Secondary outcomes were 90-day mortality and sICH. Restricted cubic splines tested nonlinearity.

resultsEach 10-min increase in procedure time was associated with lower odds of an modified Rankin Scale (mRS) score of 0-3 (odds ratio, 0.91; 95% CI, 0.86-0.95) and higher mortality (odds ratio, 1.07; 95% CI, 1.02-1.11). On the absolute scale, the marginally standardised probability of mRS 0-3 decreased from 44.5% at 60 min to 27.5% at 150 min (absolute risk difference - 17.1 percentage points; 95% CI, - 27.7 to -6.4). Spline analyses showed no evidence of nonlinearity for functional outcome or mortality. No consistent association with sICH was observed across analyses. DISCUSSION: Longer procedure time was associated with progressively worse functional outcome and higher mortality in large-core EVT, without evidence of a clear nonlinear inflection point.

conclusionThese findings support procedure time as a continuous intraprocedural risk indicator that may inform ongoing procedural reassessment. CLINICAL

trial registrationMAGIC registry, ChiCTR.org.cn Identifier: ChiCTR2100051664.

Indexed as

Endovascular ProceduresStrokeThrombectomyAgedAged, 80 and overFemaleHumansMaleMiddle AgedRegistriesRetrospective StudiesTime FactorsTreatment Outcomeacute ischaemic strokedose–response relationshipEVTlarge-core infarctionLVOprocedure time

Identifiers

PMID42361222
PMCPMC13308648

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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.