Cochrane · systematic review · CD014676

Different types of percutaneous endovascular interventions for acute ischemic stroke

Bai, X, Zhang, X, Gong, H, et al. · Cochrane Database of Systematic Reviews · 2023 · Cochrane Library

StrokeAMSTAR 2: not assessed
SoF tableOnly the outcomes this review put in its Summary of Findings table are listed (the Cochrane Handbook caps them at about seven per comparison). Its other analyses are not shown here.
Questions
6
current version
GRADE rated
6
No studies
0
Included studies
NR
No studies 0 · 0%Ungraded 0 · 0%Very low 0 · 0%Low 0 · 0%Moderate 0 · 0%High 6 · 100%

Ungraded means an effect was reported without a GRADE rating; it is not a gap. No studies means the review found nothing to answer the question. The six categories are a display order, not a score.

Questions and results

Thrombo‐aspiration alone compared with stent‐retrieval thrombectomy alone for acute ischemic stroke

Population: people with acute ischemic stroke
6 questions
OutcomeEffectEvidenceStatus / GRADE
Functional independence at 3 months (mRS 0 to 2) (primary outcome)
Thrombo‐aspiration alone vs stent‐retrieval thrombectomy alone
RR 0.97 [0.82, 1.13]2 studies · 633 participantsHigh
Successful reperfusion (mTICI 2b to 3) postprocedure
Thrombo‐aspiration alone vs stent‐retrieval thrombectomy alone
RR 1.01 [0.95, 1.07]2 studies · 650 participantsHigh
All‐cause mortality within 3 months
Thrombo‐aspiration alone vs stent‐retrieval thrombectomy alone
RR 1.01 [0.74, 1.37]2 studies · 633 participantsHigh
Intracranial hemorrhage on imaging at 24 hours
Thrombo‐aspiration alone vs stent‐retrieval thrombectomy alone
RR 1.03 [0.86, 1.24]2 studies · 645 participantsHigh
Symptomatic intracranial hemorrhage at 24 hours
Thrombo‐aspiration alone vs stent‐retrieval thrombectomy alone
RR 0.9 [0.49, 1.68]2 studies · 645 participantsHigh
Procedure‐related adverse events within 3 months
Thrombo‐aspiration alone vs stent‐retrieval thrombectomy alone
RR 0.98 [0.68, 1.41]2 studies · 651 participantsHigh