2025
Traumatic Vertebral Artery Injury: Diagnosis, Natural History, and Key Considerations for Management
Teasdale B, Owolo E, Padmanaban V, Elsamadicy A, Amllay A, Shankar G, Krieger P, Regenhardt R, Hebert R, Stapleton C, Rabinov J, Matouk C, Patel A, Sujijantarat N. Traumatic Vertebral Artery Injury: Diagnosis, Natural History, and Key Considerations for Management. Journal Of Clinical Medicine 2025, 14: 3159. PMID: 40364191, PMCID: PMC12072270, DOI: 10.3390/jcm14093159.Peer-Reviewed Original ResearchVertebral artery injuryBlunt cervical spine traumaRisk of vertebral artery injuryNatural historyCervical spine traumaVertebral artery occlusionPotential risk of strokeRisk of strokeComprehensive narrative reviewCo-existing injuriesCervical traumaSpine traumaSpinal cord injuryIntracranial hemorrhageIschemic sequelaeEndovascular managementAntiplatelet therapySurgical interventionRecanalization rateArterial injuryArtery occlusionIncreased riskTherapeutic strategiesDiagnostic approachBony injuriesComparative efficacy and safety of stent retrievers as a bailout strategy following failed contact aspiration technique in acute stroke thrombectomy
Ezzeldin M, Hukamdad M, Kasem R, Ezzeldin R, Maier I, T A, Jabbour P, Kim J, Howard B, Alawieh A, Wolfe S, Starke R, Psychogios M, Shaban A, Goyal N, Dye J, Alaraj A, Yoshimura S, Fiorella D, Tanweer O, Romano D, Navia P, Cuellar H, Fragata I, Polifka A, Mascitelli J, Osbun J, Siddiqui F, Moss M, Limaye K, Mokin M, Matouk C, Park M, Brinjikji W, Daglioglu E, Williamson R, Altschul D, Ogilvy C, Crosa R, Levitt M, Gory B, Grandhi R, Paul A, Kan P, Casagrande W, Chowdhry S, Stiefel M, Chaubal V, Spiotta A. Comparative efficacy and safety of stent retrievers as a bailout strategy following failed contact aspiration technique in acute stroke thrombectomy. Journal Of NeuroInterventional Surgery 2025, jnis-2024-022781. PMID: 39884851, DOI: 10.1136/jnis-2024-022781.Peer-Reviewed Original ResearchSymptomatic intracranial hemorrhageTrevo stent retrieverContact aspirationStent retrieverAcute ischemic strokeEndovascular thrombectomyRecanalization rateFunctional outcomesAssociated with higher recanalization ratesOdds of symptomatic intracranial hemorrhageHigher recanalization ratesAssociated with higher oddsEndovascular thrombectomy patientsContact aspiration techniqueIntracranial hemorrhageMulticenter registryRecanalizationReduced oddsStroke thrombectomyHigher oddsIschemic strokeThrombectomyAspiration techniqueBailout strategyOddsMechanical thrombectomy in elderly stroke patients with low ASPECTS: insights from STAR
Cunningham C, Hubbard Z, Kasem R, Elawady S, Sowlat M, Matsukawa H, Maier I, Jabbour P, Kim J, Wolfe S, T 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, Al Kasab S, Spiotta A. Mechanical thrombectomy in elderly stroke patients with low ASPECTS: insights from STAR. Journal Of NeuroInterventional Surgery 2025, 17: e206-e215. PMID: 39855673, DOI: 10.1136/jnis-2024-022677.Peer-Reviewed Original ResearchAlberta Stroke Program Early CT ScoreLow Alberta Stroke Program Early CT ScorePropensity score matchingSymptomatic intracranial hemorrhageEndovascular thrombectomyAnterior circulation large vessel occlusion acute ischemic strokeElderly patientsLVO-AISAssociated with 90-day mortalityRate of atrial fibrillationScore matchingLarge vessel occlusion acute ischemic strokeFirst-pass reperfusionAcute ischemic strokeCT scoreIntracranial hemorrhagePatient selectionMRS scoreAtrial fibrillationClinical factorsFavorable outcomeRecanalization ratePrimary outcomeMechanical thrombectomyPatients
2024
Rescue 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 characteristicsClinical and radiographic outcomes after mechanical thrombectomy in medium-vessel posterior cerebral artery occlusions: Subgroup analysis from STAR.
Almallouhi E, Findlay M, Maier I, 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, 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, Grandhi R. Clinical and radiographic outcomes after mechanical thrombectomy in medium-vessel posterior cerebral artery occlusions: Subgroup analysis from STAR. Interventional Neuroradiology 2024, 15910199241273839. PMID: 39140967, PMCID: PMC11569802, DOI: 10.1177/15910199241273839.Peer-Reviewed Original ResearchPosterior cerebral arteryMiddle cerebral arteryMedium vessel occlusionsFirst-pass recanalizationMechanical thrombectomyCerebral arteryPosterior cerebral artery occlusionStandard-of-care treatmentPatients' median ageFirst-pass success rateIntra-arterial thrombolysisLarge-vessel occlusionCerebral artery occlusionSalvageable brain tissuePrimary occlusionMedian ageClinical outcomesRadiographic outcomesRecanalization rateFollow-upSubgroup analysisArtery occlusionRecanalizationStroke thrombectomyPatientsCerebral venous sinus thrombosis associated with cancer: analysis of the ACTION-CVT study
Vedovati M, Shu L, Henninger N, Zubair A, Heldner M, Al Kasab S, Siegler J, Liebeskind D, Antonenko K, Yaghi S, Paciaroni M. Cerebral venous sinus thrombosis associated with cancer: analysis of the ACTION-CVT study. Journal Of Thrombosis And Thrombolysis 2024, 57: 1008-1017. PMID: 38824485, PMCID: PMC11315801, DOI: 10.1007/s11239-024-02997-w.Peer-Reviewed Original ResearchCases of cerebral vein thrombosisVenous thromboembolismRisk of recurrent venous thromboembolismRadiological characteristics of patientsCerebral vein thrombosisRecurrent venous thromboembolismKaplan-Meier methodLog-rank testAbsence of headacheAll-cause-deathLogistic regression analysisCharacteristics of patientsCancer statusCohort studyPropensity score matchingConsecutive patientsAssociated with cancerRadiological characteristicsVein thrombosisStudy outcomesRecanalization rateOlder ageRisk factorsMultivariate analysisPatient management
2016
Desmoteplase 3 to 9 Hours After Major Artery Occlusion Stroke
von Kummer R, Mori E, Truelsen T, Jensen J, Grønning B, Fiebach J, Lovblad K, Pedraza S, Romero J, Chabriat H, Chang K, Dávalos A, Ford G, Grotta J, Kaste M, Schwamm L, Shuaib A, Albers G. Desmoteplase 3 to 9 Hours After Major Artery Occlusion Stroke. Stroke 2016, 47: 2880-2887. PMID: 27803391, DOI: 10.1161/strokeaha.116.013715.Peer-Reviewed Original ResearchConceptsPlacebo-treated patientsSymptomatic intracranial hemorrhageSerious adverse eventsAdverse eventsMRS scoreTreatment armsIntracranial hemorrhagePooled analysisDay 90Major artery occlusionIschemic stroke patientsRankin Scale scoreMajor cerebral arteriesHigh-grade stenosisSignificant clinical benefitExtended time windowIntravenous desmoteplaseArterial recanalizationArtery occlusionIntravenous treatmentIschemic strokePrimary outcomeCerebral arteryRecanalization rateStroke patients
2009
Endovascular Approaches to Acute Stroke, Part 1: Drugs, Devices, and Data
Nogueira R, Schwamm L, Hirsch J. Endovascular Approaches to Acute Stroke, Part 1: Drugs, Devices, and Data. American Journal Of Neuroradiology 2009, 30: 649-661. PMID: 19279271, PMCID: PMC7051752, DOI: 10.3174/ajnr.a1486.Peer-Reviewed Original ResearchConceptsRecombinant tissue plasminogen activatorIntravenous recombinant tissue plasminogen activatorLonger treatment windowsAcute stroke treatmentHigher recanalization ratesTissue plasminogen activatorPublic health concernMechanical revascularizationAcute strokeReperfusion techniquesEndovascular therapyStroke treatmentEndovascular approachRecanalization ratePharmacologic strategiesTreatment windowUS FoodDrug AdministrationWire disruptionTheoretic advantagesPreclinical trialsHealth concernPlasminogen activatorTherapyStroke
2008
Low-pressure balloon angioplasty with adjuvant pharmacological therapy in patients with acute ischemic stroke caused by intracranial arterial occlusions
Nogueira R, Schwamm L, Buonanno F, Koroshetz W, Yoo A, Rabinov J, Pryor J, Hirsch J. Low-pressure balloon angioplasty with adjuvant pharmacological therapy in patients with acute ischemic stroke caused by intracranial arterial occlusions. Neuroradiology 2008, 50: 331-340. PMID: 18172631, DOI: 10.1007/s00234-007-0340-z.Peer-Reviewed Original ResearchConceptsRecanalization rateIntracranial arteriesLow-pressure balloon angioplastyGlycoprotein IIb-IIIa inhibitorsInternal carotid artery terminusT-PAAdjuvant pharmacological therapyIntravenous t-PAOverall recanalization rateAcute ischemic strokeIIb-IIIa inhibitorsIntracranial arterial occlusionProcedure-related morbidityHigher recanalization ratesChances of recanalizationIA urokinaseSymptomatic hemorrhageAcute strokeCerebral infarctionCoronary balloonIschemic strokeConsecutive patientsPharmacological therapyArterial occlusionMechanical thrombolysis
1999
Low- versus high-dose recombinant urokinase for the treatment of chronic saphenous vein graft occlusion
Teirstein P, Mann J, Cundey P, Schechter E, Jacobs W, Grines C, Stagaman D, Lansky A, Hultquist M, Kusnick B, Heuser R, Kleinert H, Popma J. Low- versus high-dose recombinant urokinase for the treatment of chronic saphenous vein graft occlusion. The American Journal Of Cardiology 1999, 83: 1623-1628. PMID: 10392865, DOI: 10.1016/s0002-9149(99)00163-0.Peer-Reviewed Original ResearchMeSH KeywordsAdultAgedAnticoagulantsCerebral HemorrhageChronic DiseaseCoronary AngiographyCoronary DiseaseDose-Response Relationship, DrugFemaleGraft Occlusion, VascularHeparinHumansInfusions, IntravenousMaleMiddle AgedPlasminogen ActivatorsRecombinant ProteinsSaphenous VeinUrokinase-Type Plasminogen ActivatorConceptsSaphenous vein graftsR-UKStudy drugVein graftsMyocardial infarctionNon-Q-wave myocardial infarctionPrimary study end pointSaphenous vein graft occlusionHigh-dose armStudy end pointLife-threatening bleedingVein graft occlusionHigh-dose groupDuration of infusionRecombinant urokinaseAcceptable success rateIntracerebral bleedPercutaneous revascularizationFinal angiogramGraft occlusionRecanalization rateAngiographic analysisHuman kidney cellsAllergic reactionsLow dose
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