Evidence mapPaperPMID 36938708Full record

ReviewStroke2023

Large Vessel Occlusion Stroke due to Intracranial Atherosclerotic Disease: Identification, Medical and Interventional Treatment, and Outcomes.

Adam de Havenon, Osama O Zaidat, Sepideh Amin-Hanjani, Thanh N Nguyen, Aaron Bangad, Mehdi Abbasi, Mohammad Anadani, Eyad Almallouhi, Rano Chatterjee, Mikael Mazighi and 7 more

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Stroke, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07335107 (Intravenous Tirofiban After Bridging Therapy for Acute Stroke With Atherosclerotic Large Artery Occlusion), which is not on this map. Cited by 60 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
60citing papers in PubMed, 5 pooled it
25.6field-weighted citation impact, top 1% of its field
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.

NCT07335107 phase3not yet recruitingnot on this mapstarted 2026, after this paper: background citation

Intravenous Tirofiban After Bridging Therapy for Acute Stroke With Atherosclerotic Large Artery Occlusion (RESCUE-AS): A Multicenter, Randomized, Open Label, Blinded Endpoint Study

TypeinterventionalSponsorBeijing Tiantan HospitalRan2026 to 2027Enrolled564ConditionsAcute Ischemic StrokeArmsIntravenous Tirofiban, Standard Medical Therapy
3 · Its place in the literature

Who cites it

60 citing papers in PubMed, 5 syntheses or guidelines pooled it, 99 citations in OpenAlex.

  1. Glycoprotein inhibitors as a first line rescue treatment after unsuccessful recanalization of endovascular thrombectomy: A systematic review and meta-analysis.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2026
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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

17 authors at 13 institutions in 4 countries.

Adam de HavenonNeurology, Yale University, New Haven, CT (A.d.H., A.B., M.A.).ORCID 0000-0001-8178-8597
Osama O ZaidatNeurology, Mercy Health, Toledo, OH (O.O.Z.).ORCID 0000-0003-4881-4698
Sepideh Amin-HanjaniNeurosurgery, UH Cleveland Medical Center, OH (S.A.-H.).ORCID 0000-0002-1289-4596
Thanh N NguyenNeurology, Boston Medical Center, MA (T.N.N.).ORCID 0000-0002-2810-1685
Aaron BangadNeurology, Yale University, New Haven, CT (A.d.H., A.B., M.A.).ORCID 0000-0002-0304-950X
Mehdi AbbasiNeurology, Medical University of South Carolina, Charleston (M.A., E.A., S.A.K.).ORCID 0000-0001-6978-2563
Mohammad AnadaniNeurology, Yale University, New Haven, CT (A.d.H., A.B., M.A.).ORCID 0000-0002-7813-2949
Eyad AlmallouhiNeurology, Medical University of South Carolina, Charleston (M.A., E.A., S.A.K.).ORCID 0000-0002-6873-7901
Rano ChatterjeeRadiology, Washington University in St. Louis, MO (R.C.).ORCID 0000-0002-6172-2010
Mikael MazighiNeurology, Lariboisière Hospital-APHP NORD, FHU Neurovasc, Paris Cité University, INSERM 1144, France (M.M.).ORCID 0000-0003-0911-8999
Eva A MistryNeurology and Rehabilitation Medicine, University of Cincinnati, OH (E.A.M.).ORCID 0000-0002-7426-3650
Shadi YaghiNeurology, Warren Alpert Medical School of Brown University, Providence, RI (S.Y.).ORCID 0000-0003-0031-1004
Colin P DerdeynNeurosurgery, Carver College of Medicine, Iowa City, IA (C.P.D.).ORCID 0000-0002-5932-2683
Keun-Sik HongNeurology, Ilsan Paik Hospital, Inje University, Goyang, South Korea (K.-S.H.).ORCID 0000-0002-4684-6111
Alexandra KvernlandNeurology, NYU Langone Health, New York (A.K.).
Thabele M Leslie-MazwiNeurology, University of Washington, Seattle (T.M.L.-M.).ORCID 0000-0002-4191-2466
Sami Al KasabNeurology, Medical University of South Carolina, Charleston (M.A., E.A., S.A.K.).ORCID 0000-0001-8909-9761
Medical University of South Carolina · USTwitter (United States) · USYale University · USBoston Medical Center · USBrown University · USHanusch Hospital · ATInje University Ilsan Paik Hospital · KRInserm · FRNYU Langone Health · USSt. Anne Mercy Hospital · USUniversity of Iowa · USUniversity of Washington · USWashington University in St. Louis · US

Funding

Yale Clinical and Translational Science AwardUL1TR001863 · YALE UNIVERSITY · 2025 to 2025
$9.9M
Blood Pressure Variability and Ischemic Stroke Outcome (BP-VISO)R01NS130189 · NINDS · YALE UNIVERSITY · 2024 to 2025
$923k
NCATS NIH HHS UL1 TR001863NINDS NIH HHS K23 NS105924NINDS NIH HHS R01 NS130189
6 · The paper itself

Abstract

Large vessel occlusion stroke due to underlying intracranial atherosclerotic disease (ICAD-LVO) is prevalent in 10 to 30% of LVOs depending on patient factors such as vascular risk factors, race and ethnicity, and age. Patients with ICAD-LVO derive similar functional outcome benefit from endovascular thrombectomy as other mechanisms of LVO, but up to half of ICAD-LVO patients reocclude after revascularization. Therefore, early identification and treatment planning for ICAD-LVO are important given the unique considerations before, during, and after endovascular thrombectomy. In this review of ICAD-LVO, we propose a multistep approach to ICAD-LVO identification, pretreatment and endovascular thrombectomy considerations, adjunctive medications, and medical management. There have been no large-scale randomized controlled trials dedicated to studying ICAD-LVO, therefore this review focuses on observational studies.

Indexed as

Brain IschemiaEndovascular ProceduresIntracranial ArteriosclerosisStrokeHumansRetrospective StudiesThrombectomyTreatment Outcomeintracranial atherosclerosismortalityrisk factorsstrokethrombectomy

Identifiers

PMID36938708
PMCPMC10202848
OpenAlexW4327900018

What Socratic holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

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 Socratic graph.