Evidence map›Paper›PMID 42844856›Full record

ArticleNeurointervention2026

Association of Estimated Arterial Stiffness with Collateral Status and Functional Outcome after Endovascular Thrombectomy: A Secondary Analysis of the OPTIMAL-BP Trial.

Minho Han, Eunjeong Park, Jae Wook Jung, Hyungwoo Lee, JoonNyung Heo, Young Dae Kim, Haram Joo, Kwang Hyun Kim, Jaeseob Yun, Jin Kyo Choi and 36 more

Abstract read
In one paragraph

Article in Neurointervention, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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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

46 authors.

Minho HanDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Eunjeong ParkIntegrative Research Center for Cerebrovascular and Cardiovascular Diseases, Yonsei University College of Medicine, Seoul, Korea.
Jae Wook JungDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Hyungwoo LeeDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
JoonNyung HeoDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Young Dae KimDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Haram JooDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea.
Kwang Hyun KimDepartment of Neurology, Kyungpook National University Chilgok Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Jaeseob YunDepartment of Neurology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Jin Kyo ChoiDepartment of Neurology, Seoul Medical Center, Seoul, Korea.
Il Hyung LeeDepartment of Neurology, Kyung Hee University Hospital at Gangdong, Seoul, Korea.
Byung Moon KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.
Dong Joon KimDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.
Na Young ShinDepartment of Radiology, Yonsei University College of Medicine, Seoul, Korea.
Bang-Hoon ChoDepartment of Neurology, Korea University Anam Hospital, Korea University College of Medicine, Seoul, Korea.
Seong Hwan AhnDepartment of Neurology, Chosun University School of Medicine, Gwangju, Korea.
Hyungjong ParkDepartment of Neurology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Sung-Il SohnDepartment of Neurology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Jeong-Ho HongDepartment of Neurology, Keimyung University Dongsan Hospital, Keimyung University School of Medicine, Daegu, Korea.
Tae-Jin SongDepartment of Neurology, Ewha Womans University Seoul Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
Yoonkyung ChangDepartment of Neurology, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Korea.
Gyu Sik KimDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Kwon-Duk SeoDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Kijeong LeeDepartment of Neurology, National Health Insurance Service Ilsan Hospital, Goyang, Korea.
Jun Young ChangDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Jung Hwa SeoDepartment of Neurology, Dong-A University Hospital, Busan, Korea.
Sukyoon LeeDepartment of Neurology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea.
Jang-Hyun BaekDepartment of Neurology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea.
Han-Jin ChoDepartment of Neurology, Pusan National University School of Medicine, Busan, Korea.
Dong Hoon ShinDepartment of Neurology, Gachon University Gil Medical Center, Incheon, Korea.
Jinkwon KimDepartment of Neurology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
Joonsang YooDepartment of Neurology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
Minyoul BaikDepartment of Neurology, Yongin Severance Hospital, Yonsei University College of Medicine, Yongin, Korea.
Yo Han JungDepartment of Neurology, Gangnam Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Yang-Ha HwangDepartment of Neurology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea.
Chi Kyung KimDepartment of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Korea.
Jae Guk KimDepartment of Neurology, Daejeon Eulji Medical Center, Eulji University School of Medicine, Daejeon, Korea.
Chan Joo LeeDepartment of Health Promotion, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Sungha ParkDepartment of Health Promotion, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
Soyoung JeonDepartment of Research Affairs, Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea.
Hye Sun LeeDepartment of Research Affairs, Biostatistics Collaboration Unit, Yonsei University College of Medicine, Seoul, Korea.
Sun U KwonDepartment of Neurology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
Oh Young BangDepartment of Neurology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Ji Hoe HeoDepartment of Neurology, CHA Bundang Medical Center, CHA University School of Medicine, Seongnam, Korea.
Hyo Suk NamDepartment of Neurology, Yonsei University College of Medicine, Seoul, Korea. hsnam@yuhs.ac.
OPTIMAL-BP trial investigators

Funding

Ministry of Health and Welfare HC19C0028
6 · The paper itself

Abstract

purposeEstimated pulse wave velocity (ePWV) is a surrogate of arterial stiffness that may influence stroke outcomes and potentially affect collateral circulation. We examined the association of ePWV with collateral status and 3-month functional outcome after successful endovascular thrombectomy and explored the contribution of collateral status to this relationship across blood pressure (BP) management strategies. MATERIALS AND

methodsIn this secondary analysis of the Outcome in Patients Treated With Intra-Arterial Thrombectomy-Optimal Blood Pressure Control trial, 285 patients were analyzed. Collateral status was assessed using the Tan scale (poor, 0-1; good, 2-3). Poor functional outcome was defined as 3-month modified Rankin Scale score of 3-6. Multivariable logistic and mediation analyses were performed to evaluate the association between ePWV and functional outcomes and to explore direct and indirect pathways.

resultsA total of 285 patients were included (mean age, 73.3±11.3 years; 40.4% women). Each 1 m/s increase in ePWV was associated with poor collaterals (adjusted odds ratio [OR] 1.276, 95% confidence interval [CI] 1.083-1.503) and poor functional outcome (adjusted OR 1.338, 95% CI 1.121-1.597). In mediation analyses, collateral status accounted for only a small proportion of the association between ePWV and poor functional outcome (indirect effect: adjusted β 0.022, 95% CI 0.001-0.053), whereas the direct effect remained significant (adjusted β 0.237, 95% CI 0.115-0.359). Neither the direct effect of ePWV on functional outcome nor the indirect effect through collateral status differed according to BP management strategy.

conclusionHigher ePWV was associated with poor collateral status and unfavorable functional outcome after successful reperfusion. Collateral status accounted for only a small proportion of the observed association between ePWV and functional outcome.

Indexed as

Arterial stiffnessBlood pressureCollateralEndovascular thrombectomyIschemic stroke

Identifiers

PMID42844856
PMCPMC13725173

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