Predictors 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 hemorrhage482 Triple Therapy Versus Dual Antiplatelet Therapy for Dolichoectatic Vertebrobasilar Fusiform Aneurysms Treated With Flow Diverters: The Last Frontier?
Siddiqui A, Monteiro A, Hanel R, Kan P, Mohanty A, Cortez G, Rabinovich M, Matouk C, Sujijantarat N, Romero C, Stone J, Ebersole K, Fry L, Natarajan S, Thomson B, Ortega-Gutierrez S, Vivanco-Suarez J, Wakhloo A, Levy E. 482 Triple Therapy Versus Dual Antiplatelet Therapy for Dolichoectatic Vertebrobasilar Fusiform Aneurysms Treated With Flow Diverters: The Last Frontier? Neurosurgery 2023, 69: 103-104. DOI: 10.1227/neu.0000000000002375_482.Peer-Reviewed Original ResearchTriple therapy groupDual antiplatelet therapyVertebrobasilar fusiform aneurysmsBrainstem compressionIschemic strokeAneurysm characteristicsFusiform aneurysmsFlow diversionIschemic stroke ratePoor natural historyRetrospective data collectionOverall rateAntiplatelet therapyBaseline disabilityHemorrhagic complicationsRadial access useTriple therapyAngiographic outcomesClinical outcomesClinical presentationHigh morbimortalityAdjunctive coilingSimilar patientsMedian numberPerforator occlusion