2025
Comparative Safety and Efficacy of Balloon Mounted Stents and Self Expanding Stents in Rescue Stenting for Large Vessel Occlusion: Secondary analysis of the RESCUE-ICAS Registry.
Al Kasab S, Mierzwa A, Tahhan I, Yaghi S, Jumaa M, Inoa V, Capasso F, Nahhas M, Starke R, Fragata I, Bender M, Moldovan K, Maier I, Grossberg J, Jabbour P, Psychogios M, Samaniego E, Burkhardt J, Altschul D, Mascitelli J, Ezzeldin M, Grandhi R, de Havenon A, Nguyen T, Hassan A. Comparative Safety and Efficacy of Balloon Mounted Stents and Self Expanding Stents in Rescue Stenting for Large Vessel Occlusion: Secondary analysis of the RESCUE-ICAS Registry. American Journal Of Neuroradiology 2025, ajnr.a8895. PMID: 40550702, DOI: 10.3174/ajnr.a8895.Peer-Reviewed Original ResearchBalloon-mounted stentsModified Rankin ScaleSelf-expanding stentsLarge vessel occlusionVessel occlusionMechanical thrombectomyRescue stentingClinical outcomesRecurrent strokeInfarct volumePatients treated with mechanical thrombectomyModified Rankin scale 0Symptomatic intracranial hemorrhageMulticenter observational studyInverse probabilityIntracranial atherosclerotic stenosisAssociated with higher oddsRate of restenosisSecondary analysisPrimary endpointIntracranial hemorrhageNo significant differenceFollow-upRankin ScaleIntracranial stenosisNavigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature
Patel M, Sujijantarat N, Patel A, Dmytriw A, Regenhardt R. Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature. Journal Of Cerebrovascular And Endovascular Neurosurgery 2025 PMID: 40312959, DOI: 10.7461/jcen.2025.e2024.11.004.Peer-Reviewed Original ResearchAcute ischemic strokeVascular tortuosityIschemic strokeM1 segment occlusionGold standard treatmentLarge vessel occlusionManagement of acute ischemic strokeOptimal reperfusionEndovascular therapyCase reportFemale presentingStandard treatmentSegment occlusionEndovascular proceduresArterial loopCarotid arteryStroke thrombectomyVessel occlusionThrombectomy casesEndovascular toolsProcedural techniquesCarotid artery loopsThrombectomyDelivery devicesOcclusion
2024
The effect of intravenous thrombolysis in stroke patients with unsuccessful thrombectomy.
Elawady S, Kasem R, Matsukawa H, Cunningham C, Sowlat M, Nawabi N, Orscelik A, Venegas J, Isidor J, Loulida H, Maier I, Jabbour P, Kim J, Wolfe S, Rai A, Starke R, Psychogios M, Samaniego E, Goyal N, Yoshimura S, Cuellar H, Howard B, Alawieh A, Alaraj A, Ezzeldin M, Romano D, Tanweer O, Mascitelli J, Fragata I, Polifka A, Siddiqui F, Osbun J, Grandhi R, Crosa R, Matouk C, Park M, Levitt M, Brinjikji W, Moss M, Daglioglu E, Williamson R, Navia P, Kan P, De Leacy R, Chowdhry S, Altschul D, Spiotta A, Al Kasab S. The effect of intravenous thrombolysis in stroke patients with unsuccessful thrombectomy. Interventional Neuroradiology 2024, 15910199241279009. PMID: 39262342, PMCID: PMC11559907, DOI: 10.1177/15910199241279009.Peer-Reviewed Original ResearchAcute ischemic stroke patientsLarge vessel occlusionAcute ischemic strokeIntracranial hemorrhageBenefit of intravenous thrombolysisMechanical thrombectomyIntravenous thrombolysisMT alone groupAlone groupMT groupSecondary outcomesAnterior circulation large vessel occlusionSymptomatic intracranial hemorrhageEffect of intravenous thrombolysisIVT + MTIntravenous thrombolysis prior to MTPropensity score matchingMedian ageSymptomatic ICHMTICI scoreFailed recanalizationPrimary outcomeFunctional outcomesPatientsVessel occlusionRescue stenting in refractory mechanical thrombectomy: A review
Mahmoud N, Abdalkader M, Kasab S, de Havenon A, Tong X, Jia B, Klein P, Psychogios M, Fischer U, Miao Z, Nguyen T. Rescue stenting in refractory mechanical thrombectomy: A review. Advanced Neurology 2024, 3: 3950. DOI: 10.36922/an.3950.Peer-Reviewed Original ResearchRescue stentingMechanical thrombectomyTreatment of large vessel occlusionNon-randomized observational studyIncreased reperfusion ratePatient selection criteriaStent-assisted angioplastyImproving clinical outcomesIntracranial atherosclerotic stenosisLarge vessel occlusionAlternative access routesPatient-specific characteristicsLocal thrombolysisClinical outcomesPosterior circulationRecanalization rateEndovascular techniquesReperfusion rateAntithrombotic useIntracranial dissectionTreatment strategiesVessel occlusionObservational studyAtherosclerotic stenosisClot characteristicsPost-Thrombectomy Subarachnoid Hemorrhage: Incidence, Predictors, Clinical Relevance, and Effect Modulators
Chen H, Colasurdo M, Khunte M, Malhotra A, Gandhi D. Post-Thrombectomy Subarachnoid Hemorrhage: Incidence, Predictors, Clinical Relevance, and Effect Modulators. Diagnostics 2024, 14: 1856. PMID: 39272641, PMCID: PMC11394096, DOI: 10.3390/diagnostics14171856.Peer-Reviewed Original ResearchSubarachnoid hemorrhageIntraparenchymal hemorrhageAssociated with higher oddsEndovascular thrombectomyFemale sexAssociated with increased odds of in-hospital mortalityHospital outcomesHigher oddsNon-SAH groupSite of vascular occlusionOdds of in-hospital mortalityMultivariate logistic regression modelEndovascular thrombectomy patientsIn-Hospital MortalityAssociated with increased oddsOdds of routine dischargeClinical detrimentRegression modelsLogistic regression modelsVascular occlusionSelf-CareVessel occlusionPatientsSignificant predictorsHemorrhageRelative Cerebral Blood Flow as an Indirect Imaging Surrogate in Patients With Anterior Circulation Large Vessel Occlusion and Association of Baseline Characteristics With Poor Collateral Status
Salim H, Hamam O, Parilday G, Moustafa R, Ghandour S, Rutgers M, Sharara M, Cho A, Mazumdar I, Radmard M, Shin C, Montes D, Malhotra A, Romero J, Yedavalli V. Relative Cerebral Blood Flow as an Indirect Imaging Surrogate in Patients With Anterior Circulation Large Vessel Occlusion and Association of Baseline Characteristics With Poor Collateral Status. Journal Of The American Heart Association 2024, 13: e034581. PMID: 39158542, PMCID: PMC11963935, DOI: 10.1161/jaha.124.034581.Peer-Reviewed Original ResearchConceptsAnterior circulation large vessel occlusionAcute ischemic strokeLarge vessel occlusionCollateral statusAdmission laboratory valuesChronic kidney diseaseBaseline characteristicsCerebral blood flowVessel occlusionPoor CSConsecutive patientsMale sexLaboratory valuesComputed tomography perfusion dataPretreatment computed tomography perfusionKidney diseasePredictors of favorable outcomeAssociation of baseline characteristicsRetrospective multicenter studyBlood flowPoor collateral statusIndications of CSCerebral perfusion parametersPatient baseline characteristicsRelative cerebral blood flowEarlier Endovascular Thrombectomy and Mortality in Patients with Anterior Circulation Large Vessel Occlusion: A Propensity-Matched Analysis of the Stroke Thrombectomy and Aneurysm Registry
Matsukawa H, Crosa R, Cunningham C, Maier I, Al Kasab S, Jabbour P, Kim J, Wolfe S, Rai A, Starke R, Psychogios M, Shaban A, Goyal N, Yoshimura S, Cuellar H, Howard B, Alawieh A, Alaraj A, Ezzeldin M, Romano D, Tanweer O, Mascitelli J, Fragata I, Polifka A, Siddiqui F, Osbun J, Matouk C, Park M, Levitt M, Brinjikji W, Moss M, Williamson R, Navia P, Kan P, De Leacy R, Chowdhry S, Spiotta A, Collaborators S. Earlier Endovascular Thrombectomy and Mortality in Patients with Anterior Circulation Large Vessel Occlusion: A Propensity-Matched Analysis of the Stroke Thrombectomy and Aneurysm Registry. World Neurosurgery 2024, 189: e435-e441. PMID: 38908685, DOI: 10.1016/j.wneu.2024.06.082.Peer-Reviewed Original ResearchConceptsAIS-LVO patientsAnterior circulation large vessel occlusionLarge vessel occlusionEndovascular thrombectomyAcute ischemic strokePoor outcomeVessel occlusionReceiver operating characteristic curve analysisCharacteristic curve analysisPropensity-matched analysisScore matching analysisSecondary outcomesPrimary outcomeIntracranial hemorrhageNo significant differencePuncture timePatientsStroke thrombectomyCurve analysisIschemic strokeAneurysm RegistryMortalityThrombectomyOutcomesSignificant differenceAutomated detection of early signs of irreversible ischemic change on CTA source images in patients with large vessel occlusion
Mak A, Matouk C, Avery E, Behland J, Haider S, Frey D, Madai V, Vajkoczy P, Griessenauer C, Zand R, Hendrix P, Abedi V, Sanelli P, Falcone G, Petersen N, Sansing L, Sheth K, Payabvash S, Malhotra A. Automated detection of early signs of irreversible ischemic change on CTA source images in patients with large vessel occlusion. PLOS ONE 2024, 19: e0304962. PMID: 38870240, PMCID: PMC11175522, DOI: 10.1371/journal.pone.0304962.Peer-Reviewed Original ResearchConceptsDiffusion-weighted imagingLarge vessel occlusionIrreversible ischemic changesPoor functional outcomeFunctional outcomesIschemic changesInfarct volumeAlberta Stroke Program Early CT ScorePredicting poor functional outcomeVessel occlusionFollow-up diffusion-weighted imagingAnterior circulation LVO strokeCTA source imagesReceiver operating characteristic curveExpert human readersPredicting final infarctionASPECTS regionsAdmission CTANon-inferior performanceBaseline CTACT scoreFinal infarctEndovascular therapyHU attenuationValidation cohortOutcomes and differences by occluded vessel after endovascular thrombectomy for isolated medium vessel occlusions
Matsukawa H, Uchida K, Cunningham C, Sowlat M, Elawady S, Maier I, Jabbour P, Kim J, Wolfe S, Rai A, Starke R, Psychogios M, Shaban A, Arthur A, Cuellar H, Howard B, Alawieh A, Romano D, Tanweer O, Mascitelli J, Fragata I, Polifka A, Osbun J, Crosa R, Matouk C, Park M, Brinjikji W, Moss M, Williamson R, Navia P, Kan P, De Leacy R, Chowdhry S, Ezzeldin M, Spiotta A, Levitt M, Yoshimura S, Collaborators F. Outcomes and differences by occluded vessel after endovascular thrombectomy for isolated medium vessel occlusions. Journal Of The Neurological Sciences 2024, 462: 123054. PMID: 38889600, DOI: 10.1016/j.jns.2024.123054.Peer-Reviewed Original ResearchNational Institutes of Health Stroke ScaleModified Rankin scoreMedium vessel occlusionsHealth Stroke ScaleBaseline National Institutes of Health Stroke ScaleEndovascular thrombectomyOutcomes of endovascular thrombectomyStroke ScaleM2 occlusionsModified Rankin score 0OddsBaseline NIHSS scoreVessel occlusionRankin scoreInternational multicenter registryNIHSS scoreScoresOutcomesNo significant differenceMulticenter registryNeurological deteriorationBaselineSignificant differenceVascular territoriesOccluded vesselOutcomes of Mechanical Thrombectomy for Patients With Stroke Presenting With Low Alberta Stroke Program Early Computed Tomography Score in Early and Late Time Windows
Elawady S, Cunningham C, Matsukawa H, Uchida K, Lin S, Maier I, Jabbour P, Kim J, Wolfe S, Rai A, Starke R, Psychogios M, Samaniego E, Arthur A, Yoshimura S, Cuellar H, Grossberg J, Alawieh A, Romano D, Tanweer O, Mascitelli J, Fragata I, Polifka A, Osbun J, Crosa R, Matouk C, Park M, Levitt M, Brinjikji W, Moss M, Dumont T, Williamson R, Navia P, Kan P, De Leacy R, Chowdhry S, Ezzeldin M, Spiotta A, Al Kasab S. Outcomes of Mechanical Thrombectomy for Patients With Stroke Presenting With Low Alberta Stroke Program Early Computed Tomography Score in Early and Late Time Windows. Neurosurgery 2024, 95: 877-885. PMID: 39293795, DOI: 10.1227/neu.0000000000002992.Peer-Reviewed Original ResearchAlberta Stroke Program Early Computed Tomography ScoreLower Alberta Stroke Program Early Computed Tomography ScoreComputed tomography scoreLarge vessel occlusionMechanical thrombectomyRate of symptomatic ICHMedian admission National Institutes of Health Stroke Scale scoreAnterior circulation large vessel occlusionProportion of female patientsVessel occlusionPrevalence of atrial fibrillationIntracranial large vessel occlusionAdmission National Institutes of Health Stroke Scale scoreNational Institutes of Health Stroke Scale scoreMulticenter international registryOutcomes of mechanical thrombectomyRetrospective cohort studyWindow groupStroke Scale scoreSymptomatic ICHNo significant differenceFemale patientsPropensity matchingAtrial fibrillationInternational registryPrediction of Large Vessel Occlusion Stroke Using Clinical Registries for Research.
de Havenon A, Ayodele I, Alhanti B, Mac Grory B, Xian Y, Fonarow G, Smith E, Worrall B. Prediction of Large Vessel Occlusion Stroke Using Clinical Registries for Research. Neurology 2024, 102: e209424. PMID: 38759133, PMCID: PMC11175650, DOI: 10.1212/wnl.0000000000209424.Peer-Reviewed Original ResearchConceptsLarge vessel occlusionNIH Stroke ScaleConsistent with previous studiesAdult acute ischemic stroke patientsCross-sectional cohort analysisAcute ischemic stroke patientsLarge vessel occlusion strokePosterior circulation strokeDiagnosis of ischemic strokeReceiver operating curveNeuroimagingGWTG-StrokeIschemic stroke patientsVascular neuroimagingAdult patientsAtrial fibrillationCirculation strokeCohort analysisClinical covariatesStroke patientsOcclusion strokeVessel occlusionPrevious studiesCut-pointsStroke ScaleRadiomics-Based Prediction of Collateral Status from CT Angiography of Patients Following a Large Vessel Occlusion Stroke
Avery E, Abou-Karam A, Abi-Fadel S, Behland J, Mak A, Haider S, Zeevi T, Sanelli P, Filippi C, Malhotra A, Matouk C, Falcone G, Petersen N, Sansing L, Sheth K, Payabvash S. Radiomics-Based Prediction of Collateral Status from CT Angiography of Patients Following a Large Vessel Occlusion Stroke. Diagnostics 2024, 14: 485. PMID: 38472957, PMCID: PMC10930945, DOI: 10.3390/diagnostics14050485.Peer-Reviewed Original ResearchCollateral statusCollateral scoreLarge vessel occlusionAcute LVO strokeRadiomics modelTest cohortCT angiography of patientsAdmission computed tomography angiographyAnterior circulation territoryAngiography of patientsLong-term outcomesReceiver operating characteristic areaRadiomics-based predictionCollateral arterial circulationOperating characteristics areaAdmission CTACirculation territoryCT angiographyClinical outcomesRadiomic featuresTreatment triageOcclusion strokeVessel occlusionPatientsArterial circulationEmergent Large Vessel Occlusion due to Intracranial Stenosis: Identification, Management, Challenges, and Future Directions
Al Kasab S, Nguyen T, Derdeyn C, Yaghi S, Amin-Hanjani S, Kicielinski K, Zaidat O, de Havenon A. Emergent Large Vessel Occlusion due to Intracranial Stenosis: Identification, Management, Challenges, and Future Directions. Stroke 2024, 55: 355-365. PMID: 38252763, DOI: 10.1161/strokeaha.123.043635.Peer-Reviewed Original ResearchConceptsIntracranial atherosclerotic stenosisVessel occlusionRecurrence riskEarly recurrence riskHigh-risk patientsAggressive medical managementRecurrent stroke riskEndovascular therapyHemodynamic failureTreatment strategiesPerfusion imagingAdvanced ageEndovascular interventionIntracranial stenosisMedical managementRisk factorsHigh riskAdvanced imagingAtherosclerotic stenosisStroke riskOcclusionStenosisPatientsRiskCost-benefit analysis of intraoperative neuromonitoring for cardiac surgery
Jain B, Rahim F, Thirumala P, McGarvey M, Balzer J, Nogueira R, van der Goes D, de Havenon A, Sultan I, Ney J. Cost-benefit analysis of intraoperative neuromonitoring for cardiac surgery. Journal Of Stroke And Cerebrovascular Diseases 2024, 33: 107576. PMID: 38232584, DOI: 10.1016/j.jstrokecerebrovasdis.2024.107576.Peer-Reviewed Original ResearchConceptsLarge vessel occlusionCardiac surgeryIntraoperative neuromonitoringModified Rankin ScaleDetect large vessel occlusionHigh-risk patientsOne-way sensitivity analysesLifetime costsProbabilistic sensitivity analysesNeurological complicationsRankin ScaleSurgeryFunctional outcomesLifetime horizonVessel occlusionPatientsDecision-analysis treeSocietal perspectiveNeuromonitoringCost-savingTime-driven activity-based costing (TDABC) of direct-to-angiography pathway for acute ischemic stroke patients with suspected large vessel occlusion
Sangha K, White T, Boltyenkov A, Bastani M, Sanmartin M, Katz J, Malhotra A, Rula E, Naidich J, Sanelli P. Time-driven activity-based costing (TDABC) of direct-to-angiography pathway for acute ischemic stroke patients with suspected large vessel occlusion. Journal Of Stroke And Cerebrovascular Diseases 2024, 33: 107516. PMID: 38183964, DOI: 10.1016/j.jstrokecerebrovasdis.2023.107516.Peer-Reviewed Original ResearchAcute ischemic strokeEndovascular treatmentAcute ischemic stroke patientsAppropriate patient selection criteriaNovel care pathwayIschemic stroke patientsLarge vessel occlusionPatient selection criteriaInstitutional patient databaseTime-driven activity-based costingEligible patientsAnterior circulationIschemic strokeClinical outcomesPatient factorsStroke patientsAIS patientsVessel occlusionCare pathwayPatient costsMain cost driversPatientsPatient databaseAngiography suiteCT pathway
2023
Comparison of balloon guide catheter versus non-balloon guide catheter for mechanical thrombectomy in patients with distal medium vessel occlusion
Orscelik A, Kallmes D, Bilgin C, Musmar B, Senol Y, Kobeissi H, Elawady S, Cunningham C, Matsukawa H, Zandpazandi S, Sowlat M, Maier I, Al Kasab S, Jabbour P, Kim J, Wolfe S, Rai A, Starke R, Psychogios M, Samaniego E, Arthur A, Yoshimura S, Cuellar H, Howard B, Alawieh A, Romano D, Tanweer O, Mascitelli J, Fragata I, Polifka A, Osbun J, Crosa R, Matouk C, Park M, Levitt M, Moss M, Dumont T, Williamson R, Navia P, Kan P, De Leacy R, Chowdhry S, Ezzeldin M, Spiotta A, Brinjikji W. Comparison of balloon guide catheter versus non-balloon guide catheter for mechanical thrombectomy in patients with distal medium vessel occlusion. Journal Of NeuroInterventional Surgery 2023, 16: 587-594. PMID: 37918906, DOI: 10.1136/jnis-2023-020925.Peer-Reviewed Original ResearchConceptsDistal medium vessel occlusionBGC groupBalloon guide catheterMedium vessel occlusionsMechanical thrombectomyVessel occlusionProcedure timeCerebral arteryDistal embolizationNon-BGC groupGuide catheterRate of distal embolizationAnterior cerebral arteryPosterior cerebral arteryLarge vessel occlusionFPE rateReduce distal embolizationNeurological outcomeRetrospective studyAdult patientsClinical outcomesIntracranial accessFinal recanalizationMTICI scoreSubgroup analysisASPECTS evolution after endovascular successful reperfusion in the early and extended time window.
Anadani M, Finitsis S, Pop R, Darcourt J, Clarençon F, Richard S, de Havenon A, Liebeskind D, Marnat G, Bourcier R, Sibon I, Dargazanli C, Arquizan C, Blanc R, Lapergue B, Consoli A, Eugène F, Vannier S, Caroff J, Denier C, Boulanger M, Gauberti M, Saleme S, Macian F, Rosso C, Turc G, Ozkul-Wermester O, Papagiannaki C, Olivot J, Le Bras A, Evain S, Wolff V, Timsit S, Gentric J, Bourdain F, Veunac L, Maïer B, Ben Hassen W, Gory B. ASPECTS evolution after endovascular successful reperfusion in the early and extended time window. Interventional Neuroradiology 2023, 15910199231196953. PMID: 37671452, DOI: 10.1177/15910199231196953.Peer-Reviewed Original ResearchSuccessful reperfusionEndovascular therapySafety outcomesAlberta Stroke Program Early CTAnterior circulation large vessel occlusionEarly neurological improvementProspective multicenter registrySuccessful endovascular therapyLarge vessel occlusionExtended time windowIncomplete reperfusionEarly CTMulticenter registryNeurological improvementStroke severityComplete reperfusionParenchymal hemorrhageStroke patientsExcellent outcomesInfarct extentVessel occlusionFavorable outcomeGood collateralsReliable imaging biomarkerReperfusionEndovascular Therapy for Acute Stroke: New Evidence and Indications
Sahoo A, Abdalkader M, Yamagami H, Huo X, Sun D, Jia B, Weyland C, Diana F, Kaliaev A, Klein P, Bui J, Kasab S, de Havenon A, Zaidat O, Zi W, Yang Q, Michel P, Siegler J, Yaghi S, Hu W, Nguyen T. Endovascular Therapy for Acute Stroke: New Evidence and Indications. Journal Of Neuroendovascular Therapy 2023, 17: 232-242. PMID: 38025253, PMCID: PMC10657733, DOI: 10.5797/jnet.ra.2023-0047.Peer-Reviewed Original ResearchRandomized clinical trialsTreatment of patientsIntravenous thrombolysisEndovascular therapyMechanical thrombectomyClinical trialsAcute ischemic strokeDistal vessel occlusionNon-contrast CTExtended windowOngoing studiesCTA collateralsRescue stentingTandem occlusionsAcute strokeCore infarctIschemic strokeTreatment indicationsCore infarctionVessel occlusionRecent trialsThrombectomyPatientsAdvanced imagingNarrative reviewMechanical thrombectomy beyond 24 hours from last known well in tandem lesions: A multicenter cohort study.
Rodriguez-Calienes A, Hassan A, Siegler J, Galecio-Castillo M, Farooqui M, Jumaa M, Janjua N, Divani A, Ribo M, Abraham M, Petersen N, Fifi J, Guerrero W, Malik A, Nguyen T, Sheth S, Yoo A, Linares G, Lu Y, Vivanco-Suarez J, Ortega-Gutierrez S. Mechanical thrombectomy beyond 24 hours from last known well in tandem lesions: A multicenter cohort study. Interventional Neuroradiology 2023, 15910199231196960. PMID: 37642978, DOI: 10.1177/15910199231196960.Peer-Reviewed Original ResearchSymptomatic intracranial hemorrhageNIH Stroke ScaleMechanical thrombectomyHospital mortalityComplete reperfusionTandem lesionsFunctional independenceAnterior circulation tandem lesionsEffectiveness of MTMulticenter cohort studyLarge vessel occlusionFuture prospective studiesTreatment of patientsOutcomes of interestMulticenter registryStroke ScaleCohort studyIntracranial hemorrhageProspective studyVessel occlusionHematoma 2Treatment weightingPatientsInverse probabilityMortalityPredictors of Angiographic Outcome After Failed Thrombectomy for Large Vessel Occlusion: Insights from the Stroke Thrombectomy and Aneurysm Registry
Webb M, Essibayi M, Al Kasab S, Maier I, Psychogios M, Grossberg J, Alawieh A, Wolfe S, Arthur A, Dumont T, Kan P, Kim J, De Leacy R, Osbun J, Rai A, Jabbour P, Park M, Crosa R, Levitt M, Polifka A, Yoshimura S, Matouk C, Williamson R, Fragata I, Chowdhry S, Starke R, Samaniego E, Cuellar H, Spiotta A, Mascitelli J. Predictors of Angiographic Outcome After Failed Thrombectomy for Large Vessel Occlusion: Insights from the Stroke Thrombectomy and Aneurysm Registry. Neurosurgery 2023, 93: 1168-1179. PMID: 37377425, DOI: 10.1227/neu.0000000000002560.Peer-Reviewed Original ResearchConceptsLarge vessel occlusionMechanical thrombectomyProcedure timeSubgroup analysisPosterior circulation large vessel occlusionOnset-to-puncture timeAssociated with more complicationsStroke thrombectomyVessel occlusionPremorbid modified Rankin ScaleAneurysm RegistrySymptomatic intracerebral hemorrhageIncreased procedure timeBalloon guide catheterInternal carotid arteryAssociated with lesser oddsRescue intracranial stentingPredictors of angiographic outcomeRescue stentingRetrospective reviewM2 occlusionsAngiographic outcomesNo significant differenceFailed thrombectomyIntracerebral hemorrhage
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