2024
Prolonged intracranial catheter dwell time exacerbates penumbral stress and worsens stroke thrombectomy outcomes
Alawieh A, Elawady S, Zohdy Y, Chalhoub R, Cunningham C, Howard B, Cawley C, Barrow D, Akbik F, Pabaney A, Tong F, Al Kasab S, Jabbour P, Goyal N, Arthur A, Siddiqui F, Yoshimura S, Park M, Brinjikji W, Matouk C, Romano D, Altschul D, Williamson R, Moss M, De Leacy R, Ezzeldin M, Kan P, Levitt M, Grandhi R, Mascitelli J, Grossberg J, Spiotta A. Prolonged intracranial catheter dwell time exacerbates penumbral stress and worsens stroke thrombectomy outcomes. Journal Of NeuroInterventional Surgery 2024, 17: e303-e312. PMID: 39542713, DOI: 10.1136/jnis-2024-022271.Peer-Reviewed Original ResearchSymptomatic intracranial hemorrhageAcute ischemic strokeModified Rankin ScaleMechanical thrombectomyRecanalization successIncreasing SICHDuration of catheter useBlood flowCatheter dwell timeNegative predictors of outcomeAnalysis of patientsMulticenter international registryPropensity scorePredictors of outcomeInternal carotid arteryCerebral artery blood flowMiddle cerebral arteryArtery blood flowIn vitro modelIntracranial hemorrhageCatheter placementCatheter useCaliber catheterProcedure timeAIS patientsCervical Dissection in Patients With Tandem Lesions Is Associated With Distal Embolism and Lower Recanalization Success
Galecio-Castillo M, Guerrero W, Hassan A, Farooqui M, Jumaa M, Divani A, Abraham M, Petersen N, Fifi J, Malik A, Siegler J, Nguyen T, Sheth S, Yoo A, Linares G, Janjua N, Quispe-Orozco D, Olivé-Gadea M, Tekle W, Zaidi S, Sabbagh S, Barkley T, Prasad A, De Leacy R, Abdalkader M, Salazar-Marioni S, Soomro J, Gordon W, Turabova C, Rodriguez-Calienes A, Dibas M, Mokin M, Yavagal D, Ribo M, Jovin T, Ortega-Gutierrez S. Cervical Dissection in Patients With Tandem Lesions Is Associated With Distal Embolism and Lower Recanalization Success. Stroke 2024, 55: 1808-1817. PMID: 38913799, DOI: 10.1161/strokeaha.123.046148.Peer-Reviewed Original ResearchConceptsInternal carotid arteryCervical internal carotid arteryDistal embolizationModified thrombolysisTandem lesionsMulticenter retrospective cohort studyParenchymal hematoma type 2Internal carotid artery stenosis/occlusionModified Rankin Scale scoreSymptomatic intracranial hemorrhageInverse probability of treatment weightingCerebral Infarction scoreCervical ICA dissectionRetrospective cohort studyProbability of treatment weightingRankin Scale scoreAssociated with higher ratesFunctional independenceRates of hypertensionAssociated with distal embolizationSelf-expanding stentsDissection etiologyRisk of distal embolizationICA occlusionCervical dissectionAnesthetic management for large vessel occlusion acute ischemic stroke with tandem lesions
Farooqui M, Galecio-Castillo M, Hassan A, Divani A, Jumaa M, Ribo M, Petersen N, Abraham M, Fifi J, Guerrero W, Malik A, Siegler J, Nguyen T, Sheth S, Yoo A, Linares G, Janjua N, Quispe-Orozco D, Tekle W, Sabbagh S, Zaidi S, Gadea M, Prasad A, Qureshi A, De Leacy R, Abdalkader M, Salazar-Marioni S, Soomro J, Gordon W, Turabova C, Rodriguez-Calienes A, Vivanco-Suarez J, Mokin M, Yavagal D, Jovin T, Ortega-Gutierrez S. Anesthetic management for large vessel occlusion acute ischemic stroke with tandem lesions. Journal Of NeuroInterventional Surgery 2024, 17: 139-147. PMID: 38429099, DOI: 10.1136/jnis-2023-021360.Peer-Reviewed Original ResearchSymptomatic intracranial hemorrhageModified Rankin scoreFavorable functional outcomeAlberta Stroke Program Early CT ScoreNational Institutes of Health Stroke ScaleEndovascular therapyInternal carotid arteryFunctional outcomesAcute ischemic strokeProcedural sedationExcellent recanalizationTandem lesionsAssociated with superior functional outcomesBaseline Alberta Stroke Program Early CT ScoreAnesthetic strategyRecanalization timeAnterior circulation tandem lesionsGeneral anesthesiaAnesthetic techniqueDegree of internal carotid arteryInternal carotid artery stentingOptimal anesthetic strategyIschemic strokeLarge vessel occlusion acute ischemic strokeAcute ischemic stroke patientsComparison between transradial and transfemoral mechanical thrombectomy for ICA and M1 occlusions: insights from the Stroke Thrombectomy and Aneurysm Registry (STAR)
Silva M, Elawady S, Maier I, Al Kasab S, Jabbour P, Kim J, Wolfe S, Rai A, Psychogios M, Samaniego E, Goyal N, Yoshimura S, Cuellar H, Grossberg J, Alawieh A, Alaraj A, Ezzeldin M, Romano D, Tanweer O, Mascitelli J, Fragata I, Polifka A, Siddiqui F, Osbun J, Crosa R, Matouk C, Levitt M, Brinjikji W, Moss M, Dumont T, Williamson R, Navia P, Kan P, De Leacy R, Chowdhry S, Spiotta A, Park M, Starke R. Comparison between transradial and transfemoral mechanical thrombectomy for ICA and M1 occlusions: insights from the Stroke Thrombectomy and Aneurysm Registry (STAR). Journal Of NeuroInterventional Surgery 2024, 17: 147-153. PMID: 38388480, DOI: 10.1136/jnis-2023-021358.Peer-Reviewed Original ResearchSymptomatic intracerebral hemorrhageInternal carotid arteryIntracerebral hemorrhageMechanical thrombectomyReperfusion timeM1 occlusionTransradial approachMiddle cerebral artery M1 occlusionFunctional outcomesRate of symptomatic intracerebral hemorrhageStroke thrombectomyDistal embolizationTICI 3 reperfusionAneurysm RegistryRate of distal embolizationMultivariate regression analysisAcute ischemic strokeShorter reperfusion timeRate of thrombolysisFemoral thrombectomyMulticenter databaseTICI 2cClinical outcomesRevascularization ratesMultivariate analysisTenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection
Albers G, Jumaa M, Purdon B, Zaidi S, Streib C, Shuaib A, Sangha N, Kim M, Froehler M, Schwartz N, Clark W, Kircher C, Yang M, Massaro L, Lu X, Rippon G, Broderick J, Butcher K, Lansberg M, Liebeskind D, Nouh A, Schwamm L, Campbell B. Tenecteplase for Stroke at 4.5 to 24 Hours with Perfusion-Imaging Selection. New England Journal Of Medicine 2024, 390: 701-711. PMID: 38329148, DOI: 10.1056/nejmoa2310392.Peer-Reviewed Original ResearchConceptsModified Rankin ScaleSymptomatic intracranial hemorrhageInternal carotid arteryMiddle cerebral arteryRankin ScalePlacebo groupTenecteplase groupIntracranial hemorrhageIncidence of symptomatic intracranial hemorrhageCerebral arteryIncidence of symptomatic intracerebral hemorrhageCarotid arteryPlacebo-controlled trialSymptomatic intracerebral hemorrhageEvidence of occlusionSafety populationDouble-blindPerfusion-imagingMedian timeClinical outcomesIntracerebral hemorrhagePlaceboPerfusion imagingPrimary outcomeOdds ratioThrombectomy in Stroke Patients With Low Alberta Stroke Program Early Computed Tomography Score: Is Modified Thrombolysis in Cerebral Infarction (mTICI) 2c/3 Superior to mTICI 2b?
Elawady S, Saway B, 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, Collaborators O. Thrombectomy in Stroke Patients With Low Alberta Stroke Program Early Computed Tomography Score: Is Modified Thrombolysis in Cerebral Infarction (mTICI) 2c/3 Superior to mTICI 2b? Journal Of Stroke 2024, 26: 95-103. PMID: 38326708, PMCID: PMC10850454, DOI: 10.5853/jos.2023.02292.Peer-Reviewed Original ResearchLower Alberta Stroke Program Early Computed Tomography ScoreAlberta Stroke Program Early Computed Tomography ScoreFavorable 90-day outcomeComputed tomography scoreMTICI 2bMechanical thrombectomyModified thrombolysisCerebral infarctionOutcomes of patientsRetrospective cohort studyInternal carotid arteryMiddle cerebral arteryAssociated with higher oddsBaseline characteristicsFavorable outcomeMTICI 2c/3MTICICohort studyCerebral arteryCarotid arteryStroke thrombectomyPatientsThrombectomy-capable stroke centersInclusion criteriaAneurysm Registry
2023
Outcomes of mechanical thrombectomy in stroke patients with extreme large infarction core
Almallouhi E, Zandpazandi S, Anadani M, Cunningham C, Sowlat M, Matsukawa H, Orscelik A, Elawady S, 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, 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. Outcomes of mechanical thrombectomy in stroke patients with extreme large infarction core. Journal Of NeuroInterventional Surgery 2023, 16: 1268-1274. PMID: 38041671, DOI: 10.1136/jnis-2023-021046.Peer-Reviewed Original ResearchConceptsLarge vessel occlusionIntracranial internal carotid arteryMechanical thrombectomyInfarct coreFavorable outcomeAlberta Stroke Program Early CT ScoreAssociated with favorable outcomesIntravenous tissue plasminogen activatorOutcomes of mechanical thrombectomyRetrospective cohort studyGroup of patientsNational Institutes of Health Stroke ScaleInternal carotid arteryLarge vessel occlusion patientsTissue plasminogen activatorOutcomes of MTMiddle cerebral arteryYears of ageHealth Stroke ScaleMRS 0Median ageCT scoreModified thrombolysisAspiration thrombectomyCohort studyOperative Strategies for Aplastic Circle of Willis Arteries on CTA in Meningioma Surgery: A Case Report
Tabor J, Pappajohn A, Lei H, O'Brien J, Fulbright R, Morales-Valero S, Moliterno J. Operative Strategies for Aplastic Circle of Willis Arteries on CTA in Meningioma Surgery: A Case Report. Neurosurgery Practice 2023, 4: e00058. PMID: 39959393, PMCID: PMC11809949, DOI: 10.1227/neuprac.0000000000000058.Peer-Reviewed Original ResearchComputed tomography angiographyInternal carotid arteryA1 arteriesPreoperative computed tomography angiographyCarotid arteryNeurovascular structuresRemnants of tumorsNear-total resectionSupraclinoid internal carotid arteryRelationship of tumorSphenoid wing meningiomaAnterior cerebral arteryAssociated with tumorsCircle of Willis arteriesCircle of WillisTumor involvementPreoperative imagingSurgical strategyMeningioma surgeryInvasive modalitiesCase reportMicrovascular DopplerCerebral arteryTumorPreoperative planningPredictors 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
2022
Characterization of Cerebral Hemodynamics with TCD in Patients Undergoing VA-ECMO and VV-ECMO: a Prospective Observational Study
Caturegli G, Zhang L, Mayasi Y, Gusdon A, Ergin B, Ponomarev V, Kim B, Keller S, Geocadin R, Whitman G, Cho S, Ziai W. Characterization of Cerebral Hemodynamics with TCD in Patients Undergoing VA-ECMO and VV-ECMO: a Prospective Observational Study. Neurocritical Care 2022, 38: 407-413. PMID: 36510107, PMCID: PMC9744662, DOI: 10.1007/s12028-022-01653-6.Peer-Reviewed Original ResearchConceptsVA-ECMOVV-ECMOIntraparenchymal hemorrhageTCD studiesAssociated with intraparenchymal hemorrhageComposite bleeding eventsCerebral hemodynamicsVA-ECMO patientsSingle-center cohortTCD-mean flow velocityBackgroundExtracorporeal membrane oxygenationVV ECMO patientsTertiary care centerProspective observational studyProspective cohort studyInternal carotid arteryAcute brain injuryVenovenous ECMOECMO populationBleeding eventsECMO modeMembrane oxygenationMulticenter studyVenoarterial ECMOPulsatility indexHippocampal recording via the RNS system reveals marked ipsilateral activation of epileptiform activity during Wada testing
Quraishi IH, Brown FC, Johnson MH, Hirsch LJ. Hippocampal recording via the RNS system reveals marked ipsilateral activation of epileptiform activity during Wada testing. Epilepsy & Behavior 2022, 134: 108854. PMID: 35905518, DOI: 10.1016/j.yebeh.2022.108854.Peer-Reviewed Original ResearchConceptsResponsive neurostimulation systemWada testingEpileptiform activityElicitation of seizuresTemporal lobe resectionInternal carotid arteryMedial temporal structuresHippocampal vasculatureIpsilateral activationLobe resectionPosterior circulationElectrographic seizuresTemporal lobectomyElectrographic changesIntractable epilepsyClinical correlatesWada testCarotid arteryHippocampal spikesNegative findingsNeurostimulation systemHippocampal EEGHippocampal activityPatientsTransient increaseA Phase III, prospective, double-blind, randomized, placebo-controlled trial of thrombolysis in imaging-eligible, late-window patients to assess the efficacy and safety of tenecteplase (TIMELESS): Rationale and design
Albers G, Campbell B, Lansberg M, Broderick J, Butcher K, Froehler M, Schwamm L, Nouh A, Liebeskind D, Toy F, Yang M, Massaro L, Schoeffler M, Purdon B. A Phase III, prospective, double-blind, randomized, placebo-controlled trial of thrombolysis in imaging-eligible, late-window patients to assess the efficacy and safety of tenecteplase (TIMELESS): Rationale and design. International Journal Of Stroke 2022, 18: 237-241. PMID: 35262424, DOI: 10.1177/17474930221088400.Peer-Reviewed Original ResearchConceptsAcute ischemic strokeInternal carotid arteryPlacebo-controlled trialRankin Scale scoreSymptom onsetDay 90Scale scoreMiddle cerebral artery occlusionEfficacy of tenecteplaseLate-window patientsSafety of tenecteplaseSymptomatic intracranial hemorrhageCerebral artery occlusionLarge vessel occlusionPhase IIIPrimary efficacy objectiveBetter clinical outcomesAdverse eventsArtery occlusionEndovascular thrombectomyIschemic strokeMCA occlusionClinical outcomesIntracranial hemorrhageSalvageable tissueStaged endovascular treatment of a coexisting parasellar aneurysm and endoscopic resection of a pituitary macroadenoma: illustrative case
Nene A, Hong CS, McGuone D, Matouk CC, Omay SB. Staged endovascular treatment of a coexisting parasellar aneurysm and endoscopic resection of a pituitary macroadenoma: illustrative case. Journal Of Neurosurgery Case Lessons 2022, 3: case21699. PMID: 36130536, PMCID: PMC9379633, DOI: 10.3171/case21699.Peer-Reviewed Original Research
2021
DIAPH1 Variants in Non–East Asian Patients With Sporadic Moyamoya Disease
Kundishora AJ, Peters ST, Pinard A, Duran D, Panchagnula S, Barak T, Miyagishima DF, Dong W, Smith H, Ocken J, Dunbar A, Nelson-Williams C, Haider S, Walker RL, Li B, Zhao H, Thumkeo D, Marlier A, Duy PQ, Diab NS, Reeves BC, Robert SM, Sujijantarat N, Stratman AN, Chen YH, Zhao S, Roszko I, Lu Q, Zhang B, Mane S, Castaldi C, López-Giráldez F, Knight JR, Bamshad MJ, Nickerson DA, Geschwind DH, Chen SL, Storm PB, Diluna ML, Matouk CC, Orbach DB, Alper SL, Smith ER, Lifton RP, Gunel M, Milewicz DM, Jin SC, Kahle KT. DIAPH1 Variants in Non–East Asian Patients With Sporadic Moyamoya Disease. JAMA Neurology 2021, 78: 993-1003. PMID: 34125151, PMCID: PMC8204259, DOI: 10.1001/jamaneurol.2021.1681.Peer-Reviewed Original ResearchConceptsSporadic moyamoya diseaseMoyamoya diseaseValidation cohortDiscovery cohortIntracranial internal carotid arteryRisk genesBilateral moyamoya diseaseTransfusion-dependent thrombocytopeniaLarger validation cohortNon-East Asian patientsInternal carotid arteryAsian individualsCompound heterozygous variantsNon-East AsiansProgressive vasculopathyTransmitted variantsAsian patientsChildhood strokeMedical recordsCarotid arteryTherapeutic ramificationsMAIN OUTCOMEMouse brain tissuePatientsUS hospitalsCarotid Stenosis and Recurrent Ischemic Stroke
Yaghi S, de Havenon A, Rostanski S, Kvernland A, Mac Grory B, Furie KL, Kim AS, Easton JD, Johnston SC, Henninger N. Carotid Stenosis and Recurrent Ischemic Stroke. Stroke 2021, 52: 2414-2417. PMID: 33940954, PMCID: PMC8268075, DOI: 10.1161/strokeaha.121.034089.Peer-Reviewed Original ResearchConceptsHigh-risk transient ischemic attackTransient ischemic attackEffect of clopidogrelMinor ischemic strokeIschemic strokeIschemic stroke riskCarotid stenosisIschemic attackStroke riskCervical internal carotid arteryAddition of clopidogrelDual antiplatelet therapyRecurrent ischemic strokeCox regression modelInternal carotid arteryAntiplatelet therapyPrimary outcomePoint trialCarotid arteryInclusion criteriaClopidogrelAdjusted modelStenosisPatientsStrokeEndovascular therapy with or without intravenous thrombolysis in acute stroke with tandem occlusion
Anadani M, Marnat G, Consoli A, Papanagiotou P, Nogueira RG, Spiotta AM, Bourcier R, Kyheng M, Labreuche J, Siddiqui AH, Ribo M, de Havenon A, Fischer U, Sibon I, Dargazanli C, Arquizan C, Cognard C, Olivot JM, Anxionnat R, Audibert G, Mazighi M, Blanc R, Lapergue B, Richard S, Gory B, Investigators T. Endovascular therapy with or without intravenous thrombolysis in acute stroke with tandem occlusion. Journal Of NeuroInterventional Surgery 2021, 14: 314-320. PMID: 33911016, DOI: 10.1136/neurintsurg-2020-017202.Peer-Reviewed Original ResearchConceptsCervical internal carotid arteryIntravenous thrombolysisAcute ischemic strokeTandem occlusionsEndovascular therapyInternal carotid arteryFavorable outcomeAcute strokeIschemic strokeCarotid arteryHigher oddsAnterior circulation tandem occlusionAcute tandem occlusionIschemic Stroke RegistrySignificant hemorrhagic complicationsIVT treatmentHemorrhagic complicationsStroke RegistrySuccessful reperfusionRankin ScaleConsecutive patientsIPTW analysisPrimary outcomeEndovascular treatmentPuncture timeValue of Emergent Neurovascular Imaging for “Seat Belt Injury”: A Multi-institutional Study
Sherbaf F, Chen B, Pomeranz T, Shahriari M, Adin M, Mirbagheri S, Beheshtian E, Jalilianhasanpour R, Pakpoor J, Lazor J, Kamali A, Yousem D. Value of Emergent Neurovascular Imaging for “Seat Belt Injury”: A Multi-institutional Study. American Journal Of Neuroradiology 2021, 42: 743-748. PMID: 33541893, PMCID: PMC8041015, DOI: 10.3174/ajnr.a6992.Peer-Reviewed Original ResearchConceptsBlunt cerebrovascular injurySeat belt signMotor vehicle collisionsCerebrovascular injurySeat belt injuryMulti-institutional studyBelt injuryVascular injuryNeurovascular imagingNew neurologic deficitsLarge-scale multi-institutional studyInternal carotid arteryLogistic regression analysisElectronic medical recordsCTA/MRANeurologic sequelaeMost patientsNeurologic deficitsAdult patientsPediatric patientsClinical findingsCTA findingsEmergency departmentAcute traumaRisk factorsDuration of symptomatic stroke and successful reperfusion with endovascular thrombectomy for anterior circulation large vessel occlusive stroke
de Havenon A, Alexander MD, Nogueira RG, Haussen DC, Castonguay AC, Linfante I, Johnson MA, Nguyen TN, Mokin M, Zaidat OO. Duration of symptomatic stroke and successful reperfusion with endovascular thrombectomy for anterior circulation large vessel occlusive stroke. Journal Of NeuroInterventional Surgery 2021, 13: 1128-1131. PMID: 33526478, PMCID: PMC8325713, DOI: 10.1136/neurintsurg-2020-016961.Peer-Reviewed Original ResearchConceptsAcute ischemic stroke patientsIschemic stroke patientsSymptomatic strokeSuccessful reperfusionLogistic regression modelsAcute strokeEndovascular therapyStroke patientsLarge vessel occlusive strokeAnterior circulation occlusionCerebral Infarction scoreReal-world cohortLarge vessel occlusionBalloon guide catheterMiddle cerebral arteryIndividual patient dataInternal carotid arteryProbability of reperfusionLower ratesOcclusive strokeEndovascular thrombectomyMechanical thrombectomySecondary outcomesStroke onsetPrimary outcome
2020
Multiple Cerebrovascular Insults in Pseudoxanthoma Elasticum
Sunmonu N. Multiple Cerebrovascular Insults in Pseudoxanthoma Elasticum. Journal Of Stroke And Cerebrovascular Diseases 2020, 30: 105524. PMID: 33360520, DOI: 10.1016/j.jstrokecerebrovasdis.2020.105524.Peer-Reviewed Original ResearchConceptsAntiplatelet therapyPatients of European ancestryClinically significant haemorrhageSystemic genetic disordersRight internal carotid arteryIschaemic cerebral infarctionIncreased risk of GIRisk of ischaemic strokeHistory of GIInternal carotid arteryRisk of GIHaemorrhagic strokeSecondary stroke preventionRetinal bleedingVascular risk factorsVariable presentationPseudoxanthoma elasticumQuality of lifeSignificant haemorrhageNo historyIncreased riskCerebrovascular insultCerebral infarctionCarotid arteryPrimary disorderCarotid, Vertebral, and Brachiocephalic Interventions
Anantha-Narayanan M, Nagpal S, Mena-Hurtado C. Carotid, Vertebral, and Brachiocephalic Interventions. Interventional Cardiology Clinics 2020, 9: 139-152. PMID: 32147116, DOI: 10.1016/j.iccl.2019.12.008.Peer-Reviewed Original ResearchConceptsProximal internal carotid arteryCommon carotid artery bifurcationPosterior circulation strokeVertebral artery stenosisInternal carotid arteryCoronary stealVertebrobasilar insufficiencyArtery atherosclerosisArtery stenosisCarotid atherosclerosisVertebral arteryMajor trialsInterventional techniquesCarotid arteryCarotid artery bifurcationHigh incidenceProximal segmentAtherosclerosisArtery bifurcationArteryCarotidBrachiocephalicStenosisInsufficiencyStroke
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