Study characteristics of included analyses
Study | Study type | MC | Registry/RCT name | IVT-E/IVT-IN | Matching | n | Age | Admission NIHSS | STG (min) | D/ITG (min) | TICI | Grading sICH | POI | |||||||||
dMTE | IVT+MTE | dMTE | IVT+MTE | p | dMTE | IVT+MTE | p | dMTE | IVT+MTE | P | dMTE | IVT + MTE | p | |||||||||
Broeg-Morvay et al17 | PO | – | Bernese Stroke Registry | IVT-E | √ | 40 | 40 | 77+/−14 | 78+/−12 | 0.85 | 17 range (4–38) | 17 range (4–36) | 0.85 | 229+/−79 | 262+/−85 | 0.01² | N/A | N/A | N/A | m | PROACT II | − |
Wang et al18 | PO | √ | ACTUAL | IVT-E | √ | 138 | 138 | 67 (59–75) | 67 (59–73) | 0.58 | 16 (13–21) | 17 (13–21) | 0.50 | N/A | N/A | N/A | 106 (61–135) | 147 (114–200) | <0.001 | m | HBC | − |
Weber et al19 | RO | − | N/A | IVT-E/IN | − | 145 (70 IVT-E, 75 IVT-IN) | 105 | 69+/−15 | 70+/−13 | 0.882 | 15 (9–19) | 16 (12–20) | 0.215 | 210 (152–330) | 233 (198–295) | 0.103 | 112 (60–153) | 148 (122–167) | <0.001 | m | ECASS III | √³ |
Sanak et al31 | RO | √ | N/A | IVT-IN | − | 179 | 193 | 66+/−12 | 63+/−14 | N/A | 15 | 18 | <0.001 | N/A | N/A | N/A | N/A | N/A | N/A | n.s. | SITS-MOST | − |
Coutinho et al20 | RCT/ PO1 | √ | SWIFT/STAR | IVT-IN | − | 131 | 160 | 69+/−12 | 67+/−13 | 0.14 | 17 (13–20) | 17 (13–20) | 0.86 | 262 (201–375) | 254 (195–305) | 0.10 | 79 (54–120) | 79 (49–111) | 0.46 | M | ICH w NIHSS increase≥4 or death | − |
Abilleira et al21 | PO | √ | SONIA | IVT-IN | − | 599 | 567 | 68+/−14 | 69+/−13 | 0.464 | 17 (12–20) | 17 (13–20) | 0.627 | 300 (174.564) | 246 (186–318) | <0.001 | N/A | N/A | N/A | M | SITS-MOST | − |
Kaesmacher et al32 | RO | − | N/A | IVT-IN | − | 79 | 160 | 73+/−12 | 70+/−16 | 0.083 | 15 (11–18) | 15 (11–17) | 0.851 | 195 (135–256) | 195 (157–247) | 0.913 | N/A | N/A | N/A | O | N/A | − |
Behme et al33 | RO | √ | N/A | IVT-IN | − | 27 | 66 | 74 (48–91) | 74 (32–91) | 0.30 | 17+/−8 | 16+/−6 | 0.70 | 192 (72–329) | 194 (83–396) | 0.50 | N/A | N/A | N/A | M | N/A | − |
Guedin et al22 | RO | − | N/A | IVT-IN | − | 40 | 28 | 65+/−15 | 69+/−14 | 0.24 | 15 (10–20) | 18 (13–19) | 0.39 | 204 (175–290) | 240 (187–275) | 0.62 | N/A | N/A | N/A | n.s. | PH2 with NIHSS increase≥4 | − |
Maier et al23 | RO | − | N/A | IVT-IN | − | 28 | 81 | 76 (63–80) | 75 (62–80) | 0.827 | 13 (8–18) | 17 (11–21) | 0.013 | 174 (120–253) | 153 (120–213) | 0.365 | N/A | N/A | N/A | M | ICH within 48 h w NIHSS increase of≥4 points | − |
Rai et al24 | RO | − | N/A | IVT-IN | − | 52 | 38 | 69+/−18 | 63+/−19 | 0.15 | 16 (10–22) | 18 (13–23) | 0.08 | 319+/−270 | 106+/−52 | <0.001 | 47+/−32 | 60+/−33 | 0.054 | m | N/A | − |
Leker et al25 | RO | − | N/A | IVT-IN | − | 33 | 24 | 64+/−15 | 67+/−14 | 0.53 | N/A | N/A | N/A | 284+/−132 | 242+/−71 | 0.17 | 140+/−97 | 149+/−63 | 0.73 | O | N/A | − |
Minnerup et al26 | PO | √ | REVASK | IVT-IN | − | 504 | 603 | 69+/−15 | 68+/−14 | N/A | 15 (9) | 15 (7) | N/A | 294+/−227 | 233+/−179 | <0.001 | N/A | N/A | N/A | N/A | N/A | √4 |
Alonso de Lecinana et al27 | PO | √ | FUN-TPA | IVT-IN | − | 21 | 53 | 74 (66–78) | 64 (51–73) | 0.006 | 19 (13–22) | 17 (14–22) | 0.24 | 210 (168–257) | 275 (225–345) | 0.02 | N/A | N/A | N/A | O | SITS-MOST | √5 |
Davalos et al28 | RO | √ | N/A | IVT-IN | − | 67 | 74 | 66+/−14 | 66+/−13 | N/A | 18 (15–29) | 17 (11–21) | 330 (195–605) | 290 (225–360) | N/A | N/A | N/A | N/A | M | PH2 | √6 | |
Nogueira et al51 | PO | √ | NASA | IVT-IN | − | 179 | 136 | 68+/−14 | 67+/−16 | 0.8 | 18+/−6 | 19+/−7 | 0.3 | N/A | N/A | N/A | N/A | N/A | N/A | M | N/A | √7 |
Wee et al61 | RO | − | N/A | IVT-IN | − | 29 | 21 | 71+/−14 | 73+/−16 | 0.745 | 15+/−7 | 15+/−7 | 0.780 | 220+/−187 | 165+/−60 | 0.204 | N/A | N/A | N/A | M | ECASS II | − |
Mulder et al30 | RCT | √ | MR CLEAN | IVT-IN | − | 30 | 203 | 65 (54–76) | 68 (62–78) | N/A | 19 (14–22) | 18 (14–22) | N/A | 242 (200–300) | 265 (214–315) | N/A | N/A | N/A | N/A | O | − | |
Goyal et al5 | RCT | √ | ESCAPE | IVT-IN | − | 45 | 120 | 71+/−16 | 70+/−12 | N/A | 15.5 (12–21) | 17 (13–20) | N/A | 359 (193.5–551) | 162 (140–236) | <0.01 | 48 (28–65) | 53 (40–74) | N/A | M | ECASS II | − |
Jovin et al1 | RCT | √ | REVASCAT | IVT-IN | 33 | 70 | 66+/−11 | 66+/−12 | N/A | 18+/−4 | 16+/−5 | N/A | 281+/−114 | 267+/−83.7 | N/A | 74.3+/−27.6 | 64+/−28.3 | N/A | M | SITS-MOST | − | |
Summary | 4 RCT, 6 PO, 10 RO | 12 MC studies | 2 IVT-E 1 IVT-E/IN 17 IVT-IN | two studies performed case matching | 2399 | 2880 | 5 |
1, combined data of SWIFT and STAR; 2, unmatched cohorts; 3, 20.4%; 4, 12.0%; 5, 7.6%; 6, 13.5%; 7, 10.8%; MC, multi-center; RO, retrospective observational; PO, prospective observational; PH-RCT, post-hoc randomized controlled trial analysis; RCT, randomized controlled trial; IVT-E, direct mechanical thrombectomy patients eligible for IVT; IVT-IN, direct mechanical thrombectomy patients ineligible for IVT; dMTE, direct mechanical thrombectomy; IVT+MTE, intravenous thrombolysis and mechanical thrombectomy; STG, symptom onset to groin puncture interval; D/ITG, door or imaging to groin puncture interval; TICI, thrombolysis in cerebral Infarction; m, modified; o, original; n.s., not specified; sICH, symptomatic intracranial hemorrhage; POI, posterior occlusions included; N/A, not available; PROACT, intra-arterial prourokinase for acute ischemic stroke; ECASS, European Cooperative Acute Stroke Study; SITS-MOST, safe implementation of thrombolysis in stroke-monitoring study in Italy; w, with; PH2, parenchymal hematoma type 2 according to the ECASS I criteria; data are generally displayed as mean +/-SD deviation or median (IQR) if not otherwise specified.