2024
Higher proceduralist stroke thrombectomy volume is associated with reduced inpatient mortality
Koo A, Renedo D, Ney J, Amllay A, Kanzler M, Stogniy S, Alawieh A, Sujijantarat N, Antonios J, Al Kasab S, Malhotra A, Hebert R, Matouk C, de Havenon A. Higher proceduralist stroke thrombectomy volume is associated with reduced inpatient mortality. Journal Of NeuroInterventional Surgery 2024, jnis-2024-022021. PMID: 39214687, DOI: 10.1136/jnis-2024-022021.Peer-Reviewed Original ResearchIn-hospital deathIn-hospital mortalityAcute ischemic strokeCut-pointsAbsolute risk of deathAssociated with lower oddsState Inpatient DatabasesFlorida State Inpatient DatabaseIn-hospital moralityRates of in-hospital mortalityDiagnosis of acute ischemic strokePrimary study outcomeRisk of deathStroke careOptimal cut-pointAssociated with reduced inpatient mortalityEndovascular thrombectomyRetrospective cohort studyLower oddsPotential confoundersAbsolute riskAcute ischemic stroke patientsInpatient mortalityCohort studyInpatient DatabaseOutcomes 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 registryRepeat thrombectomy after large vessel re-occlusion: a propensity score matched analysis of technical and clinical outcomes
Zohdy Y, Saad H, Howard B, Cawley C, Pabaney A, Akbik F, Dimisko L, Maier I, Spiotta A, Jabbour P, Wolfe S, Rai A, Kim J, Mascitelli J, Starke R, Shaban A, Yoshimura S, De Leacy R, Kan P, Fragata I, Polifka A, Arthur A, Park M, Matouk C, Levitt M, Tjoumakaris S, Liman J, Waiters V, Pradilla G, Fargen K, Alawieh A, Grossberg J. Repeat thrombectomy after large vessel re-occlusion: a propensity score matched analysis of technical and clinical outcomes. Journal Of NeuroInterventional Surgery 2024, 17: e102-e102. PMID: 38238008, DOI: 10.1136/jnis-2023-021197.Peer-Reviewed Original ResearchConceptsSymptomatic intracranial hemorrhageRate of symptomatic intracranial hemorrhageLarge vessel occlusionNational Institutes of Health Stroke ScaleEndovascular thrombectomyRe-occlusionClinical outcomesRecurrent large vessel occlusionAcute large vessel occlusionRate of functional independenceNational Institutes of Health Stroke Scale scorePropensity score matching analysisCohort of patientsRetrospective cohort studyLarge vessel occlusion strokeScore matching analysisStandard of careEndovascular thrombectomy proceduresScores of patientsHealth Stroke ScaleComprehensive stroke centerPropensity score matchingIntracranial hemorrhagePatient cohortComparing patients
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 study
2022
307 The Hospital Frailty Risk Score Independently Predicts Increased Complication Rates and Healthcare Resource Utilization After Endovascular Treatment of Ruptured Aneurysms
Koo A, Elsamadicy A, Sarkozy M, Sherman J, Reeves B, Freedman I, Antonios J, Sujijantarat N, Renado D, Hebert R, Malhotra A, Matouk C. 307 The Hospital Frailty Risk Score Independently Predicts Increased Complication Rates and Healthcare Resource Utilization After Endovascular Treatment of Ruptured Aneurysms. Neurosurgery 2022, 68: 67-68. DOI: 10.1227/neu.0000000000001880_307.Peer-Reviewed Original ResearchHospital Frailty Risk ScoreNon-routine dischargeFrailty Risk ScoreEndovascular treatmentIntracranial aneurysmsPerioperative complicationsLower frailtyHospital costsRisk scoreNational Inpatient Sample databaseMean total hospital costMultivariate logistic regression analysisICD-10 diagnostic codesImpact of frailtyRetrospective cohort studyHealthcare resource utilizationEvaluation of patientsTotal hospital costsAdverse healthcare outcomesAdministrative hospital dataRuptured intracranial aneurysmLogistic regression analysisRegression analysisMultivariate regression analysisAdult patients
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