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 occlusionEarlier 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 registryRadiomics-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 circulation
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 analysisPredictors 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 hemorrhageMechanical thrombectomy for large vessel occlusion strokes beyond 24 hours
Shaban A, Al Kasab S, Chalhoub R, Bass E, Maier I, Psychogios M, Alawieh A, Wolfe S, Arthur A, Dumont T, Kan P, Kim J, De Leacy R, Osbun J, T. A, Jabbour P, Park M, Crosa R, Mascitelli J, Levitt M, Polifka A, Casagrande W, Yoshimura S, Matouk C, Williamson R, Gory B, Mokin M, Fragata I, Romano D, Chowdhry S, Moss M, Behme D, Limaye K, Spiotta A, Samaniego E. Mechanical thrombectomy for large vessel occlusion strokes beyond 24 hours. Journal Of NeuroInterventional Surgery 2023, 15: jnis-2022-019372. PMID: 36593118, DOI: 10.1136/jnis-2022-019372.Peer-Reviewed Original ResearchConceptsLarge vessel occlusionMechanical thrombectomyVessel occlusionAssociated with good outcomeMatched group of patientsSymptomatic intracerebral hemorrhageGroup of patientsLarge vessel occlusion strokeEfficacy of thrombectomyPrimary outcome measureOdds of mortalityRetrospective reviewIntracerebral hemorrhageGood outcomeIdentified patientsClinical trialsThrombectomyAdjusted analysesStroke thrombectomyMedical managementOcclusion strokePatientsAneurysm RegistryControl groupOutcome measures
2022
Technical and clinical outcomes in concurrent multivessel occlusions treated with mechanical thrombectomy: insights from the STAR collaboration
Saad H, Eshraghi S, Alawieh A, Akbik F, Cawley C, Howard B, Ash M, Hsu A, Pabaney A, Maier I, Al Kasab S, Naamani K, Jabbour P, Kim J, Wolfe S, Rai A, Starke R, Psychogios M, Shaban A, Arthur A, Yoshimura S, Fragata I, Cuellar-Saenz H, Polifka A, Mascitelli J, Osbun J, Matouk C, Park M, Levitt M, Dumont T, Williamson R, Spiotta A, Grossberg J. Technical and clinical outcomes in concurrent multivessel occlusions treated with mechanical thrombectomy: insights from the STAR collaboration. Journal Of NeuroInterventional Surgery 2022, 15: 1072-1077. PMID: 36597932, DOI: 10.1136/jnis-2022-019608.Peer-Reviewed Original ResearchPosterior circulation occlusionEndovascular thrombectomyVessel occlusionEfficacy of endovascular thrombectomyAssociated with poor functional outcomeSymptomatic intracranial hemorrhageModified Rankin scorePoor functional outcomeLarge vessel occlusionAcute ischemic strokeSingle vessel occlusionPropensity score matchingIntracranial hemorrhageSafety profileClinical outcomesProcedure timeEfficacy profileMatched cohortRankin scoreArtery territoryMultivariate analysisFunctional outcomesMechanical thrombectomyStroke thrombectomyPatientsMulticenter investigation of technical and clinical outcomes after thrombectomy for distal vessel occlusion by frontline technique
Alawieh A, Chalhoub R, Al Kasab S, Jabbour P, Psychogios M, Starke R, Arthur A, Fargen K, De Leacy R, Kan P, Dumont T, Rai A, Crosa R, Maier I, Goyal N, Wolfe S, Cawley C, Mocco J, Tjoumakaris S, Howard B, Dimisko L, Saad H, Ogilvy C, Crowley R, Mascitelli J, Fragata I, Levitt M, Kim J, Park M, Gory B, Polifka A, Matouk C, Grossberg J, Spiotta A. Multicenter investigation of technical and clinical outcomes after thrombectomy for distal vessel occlusion by frontline technique. Journal Of NeuroInterventional Surgery 2022, 15: e93-e101. PMID: 35918129, DOI: 10.1136/jnis-2022-019023.Peer-Reviewed Original ResearchConceptsDistal vessel occlusionPredictors of good outcomeLarge vessel occlusionNational Institutes of Health Stroke ScaleEndovascular thrombectomyVessel occlusionClinical outcomesProcedure timeGood outcomeRetrospective study of patientsAdmission National Institutes of Health Stroke ScaleRate of hemorrhageProximal large vessel occlusionStent retriever groupStudy of patientsStandard-of-careStent retriever thrombectomyMultivariate logistic regressionMedium vessel occlusionsHealth Stroke ScalePropensity score matchingBridging therapyRetrospective studyMatched cohortMulticenter investigation
2012
Long-Term Clinical and Imaging Follow-Up of Complex Intracranial Aneurysms Treated by Endovascular Parent Vessel Occlusion
Matouk CC, Kaderali Z, terBrugge KG, Willinsky RA. Long-Term Clinical and Imaging Follow-Up of Complex Intracranial Aneurysms Treated by Endovascular Parent Vessel Occlusion. American Journal Of Neuroradiology 2012, 33: 1991-1997. PMID: 22555575, PMCID: PMC7964607, DOI: 10.3174/ajnr.a3079.Peer-Reviewed Original ResearchConceptsComplex intracranial aneurysmsMajor ischemic complicationsIntracranial aneurysmsVB aneurysmsIschemic complicationsObliteration rateEndovascular parent vessel occlusionMass effectParent vessel occlusionHigh obliteration ratesLower obliteration ratesHigh mortality rateFlow-diverting stentsTerm ClinicalAnterior circulationSignificant morbidityTreat lesionsSubarachnoid hemorrhageImaging outcomesPeripheral arteriesVessel occlusionCarotid arteryBest treatment techniqueEffective treatmentMortality rate
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