Evidence map›Paper›PMID 41573174›Full record

ReviewStroke (Hoboken, N.J.)2025

Endovascular Therapy in Patients With Acute Ischemic Stroke With Large Infarct: A Guideline From the Society of Vascular and Interventional Neurology.

Maxim Mokin, Tudor G Jovin, Sunil A Sheth, Thanh N Nguyen, Kaiz S Asif, Ameer E Hassan, Ashutosh P Jadhav, Cynthia Kenmuir, David S Liebeskind, Ossama Mansour and 7 more

Abstract readReview
In one paragraph

Review in Stroke (Hoboken, N.J.), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

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

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Review
  6. Article
  7. Article
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.

Maxim MokinDepartment of Neurosurgery and Brain Repair University of South Florida Tampa FL.ORCID https://orcid.org/0000-0003-4270-8667
Tudor G JovinDepartment of Neurology Cooper Neurological Institute, Cooper University Health Care Camden NJ.
Sunil A ShethDepartment of Neurology McGovern Medical School at UTHealth Houston TX.
Thanh N NguyenNeurology, Radiology Boston Medical Center Boston MA.
Kaiz S AsifNeuroscience Institute, Ascension Health, and Department of Neurosurgery University of Illinois Chicago IL.
Ameer E HassanDepartment of Neurology, Valley Baptist Medical Center University of Texas Rio Grande Valley Harlingen TX.
Ashutosh P JadhavDepartments of Neurology and Neurosurgery Barrow Neurological Institute Phoenix AZ.
Cynthia KenmuirDepartment of Neurology University of Pittsburgh Pittsburgh PA.
David S LiebeskindUCLA Stroke Center Los Angeles CA.
Ossama MansourNeurology Department, Faculty of Medicine Alexandria University Alexandria Egypt.
Raul G NogueiraDepartment of Neurology University of Pittsburgh Pittsburgh PA.
Robin NovakovicDepartments of Radiology and Neurology UT Southwestern Dallas TX.
Santiago Ortega-GutierrezDepartment of Neurology and Radiology University of Iowa Iowa City Iowa.
Albert J YooDepartment of Neurology Texas Stroke Institute Dallas TX.
Waldo R GuerreroDepartment of Neurosurgery and Brain Repair University of South Florida Tampa FL.
Amer M MalikDepartment of Neurology University of Miami Miller School of Medicine Miami FL.
SVIN GAPS committee

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Recent randomized clinical trials of endovascular therapy in patients with large infarct provided new evidence in support of endovascular interventions in patients with acute ischemic stroke. The Society of Vascular and Interventional Neurology Guidelines and Practice Standards committee aims to provide up-to-date recommendations on focused relevant clinical questions. Here, we review current evidence and provide recommendations for the selection and endovascular treatment of patients with anterior circulation large vessel occlusion and large infarct. Methods: The Society of Vascular and Interventional Neurology Guidelines and Practice Standards committee assembled a writing group and recruited interdisciplinary experts to review and evaluate the current literature. Recommendations were assigned using the Guidelines and Practice Standards Class of Recommendation/Level of Evidence algorithm and guideline format. The recommendations were developed through a consensus process involving an expert panel of vascular neurologists, neurointensivists, and neurointerventionalists. The final guideline was approved by the Guidelines and Practice Standards committee and the Society of Vascular and Interventional Neurology board of directors. Results: Literature review yielded 6 high-quality randomized trials and 6 meta-analyses of patients with large infarct from anterior circulation large vessel occlusion treated with endovascular therapy versus medical management that have been extracted to derive the enclosed summary recommendations. We provide separate recommendations for those presenting within 6 hours of symptoms onset and those presenting in the 6-24-hour treatment window. Conclusion: These guidelines provide focused practical recommendations based on recent evidence regarding the selection and endovascular therapy in patients with acute ischemic stroke with large infarct.

Indexed as

guidelinelarge infarctlarge vessel occlusionstrokethrombectomy

Identifiers

PMID41573174
PMCPMC12671639

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.