Evidence map›Paper›PMID 39832918›Full record

GuidelineStroke and vascular neurology2025

Chinese stroke association guidelines on reperfusion therapy for acute ischaemic stroke 2024.

Yunyun Xiong, Shuya Li, Chunjuan Wang, Dapeng Sun, Zixiao Li, HongQiu Gu, Aoming Jin, Qiang Dong, Liping Liu, Zhongrong Miao and 2 more

Abstract readPractice Guideline
In one paragraph

Guideline in Stroke and vascular neurology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
30citing papers in PubMed, 6 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

30 citing papers in PubMed, 6 syntheses or guidelines pooled it.

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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

12 authors.

Yunyun XiongDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.ORCID 0000-0003-1353-2295
Shuya LiDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.ORCID 0000-0002-7263-0365
Chunjuan WangDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.ORCID 0000-0002-1627-5004
Dapeng SunDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.ORCID 0000-0001-6321-5381
Zixiao LiDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.ORCID 0000-0002-4713-5418
HongQiu GuChina National Clinical Research Center for Neurological Diseases, Beijing, China.ORCID 0000-0003-1608-1856
Aoming JinChina National Clinical Research Center for Neurological Diseases, Beijing, China.ORCID 0000-0002-7221-5444
Qiang DongDepartment of Neurology, Huashan Hospital Fudan University, Shanghai, China.
Liping LiuDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.
Zhongrong MiaoDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China.
Yongjun WangDepartment of Neurology, Beijing Tiantan Hospital, Beijing, China yongjunwang@ncrcnd.org.cn.ORCID 0000-0002-9976-2341
Chinese Stroke Association Guidelines Writing Group on Reperfusion Therapy for Acute Ischemic Stroke

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundStroke remains a major global health challenge, with China experiencing a significant burden due to its high incidence and severe outcomes. Reperfusion therapies, such as intravenous thrombolysis and endovascular thrombectomy, have shown substantial benefits in improving early outcomes for ischaemic stroke. Recent clinical trials have validated the safety and efficacy of a broader range of thrombolytic agents and expanded the eligible patient populations for both intravenous thrombolysis and mechanical thrombectomy. This guideline aims to provide the latest evidence-based insights in the field of reperfusion therapy.

methodsThe Chinese Stroke Association (CSA) established a writing group to develop updated guidelines on reperfusion therapy for acute ischaemic stroke. A comprehensive search of MEDLINE (via PubMed) was conducted up to 30 September 2024. Experts in the field of stroke engaged in extensive discussions, both online and offline, to evaluate the latest evidence. Each recommendation was graded using the CSA's class of recommendation and level of evidence in the Guideline Development Manual of the CSA.

resultsThis guideline, reviewed and approved by the CSA Guidelines Writing Group, outlines the criteria for patient selection for thrombolysis and thrombectomy and summarises the latest evidence on various thrombolytic drug options to support decision-making in reperfusion therapy. Additionally, the guideline includes green channel flow charts for intravenous thrombolysis and mechanical thrombectomy, designed to assist clinicians in optimising their clinical decisions.

conclusionThis guideline updates the latest advancements in the field of reperfusion therapy for acute ischaemic stroke. It is anticipated that future clinical research will further advance areas such as innovative thrombolytic agents, expanded indications for thrombolysis and mechanical thrombectomy.

Indexed as

Endovascular ProceduresEvidence-Based MedicineFibrinolytic AgentsIschemic StrokeThrombectomyThrombolytic TherapyChinaClinical Decision-MakingHumansPatient SelectionRisk AssessmentRisk FactorsTreatment OutcomeFibrinolytic AgentsIschaemic StrokeThrombectomyThrombolysis

Identifiers

PMID39832918
PMCPMC12573363

What Socratic 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 Socratic graph.