2024
Multicenter early United States feasibility study and periprocedural safety of LVIS EVO for the treatment of unruptured intracranial aneurysms
Kayan Y, Almandoz J, Copelan A, Matouk C, Chaudry M, Altschul D, Essibayi M, Goren O, Yim B, Tsappidi S, Zhang Y, Hui F, Samaniego E, Gudino A, Siddiqui A, Jaikumar V, Puri A, Kühn A, Singh J, Ringer A, Hanel R, De Toledo O, Dabus G, Gooch M, Sizdahkhani S, Field N, Paul A. Multicenter early United States feasibility study and periprocedural safety of LVIS EVO for the treatment of unruptured intracranial aneurysms. Journal Of NeuroInterventional Surgery 2024, 17: jnis-2024-021900. PMID: 38906689, DOI: 10.1136/jnis-2024-021900.Peer-Reviewed Original ResearchConceptsLow-profile visualized intraluminal supportIntracranial aneurysmsHemorrhagic complicationsTreatment of unruptured intracranial aneurysmsComplete neck coverageAverage aneurysm sizeInstitutional review board approvalClass I occlusionReview board approvalAnterior communicating arteryTreatment of intracranial aneurysmsMiddle cerebral artery bifurcationUnruptured intracranial aneurysmsSelf-expanding stentsCerebral artery bifurcationLength of stayParent vessel sizePatient agePeriprocedural complicationsPeriprocedural safetyAneurysm locationAneurysm sizeAntiplatelet therapyBoard approvalIntraluminal supportEarlier 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 differenceRepeat 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
Effect of intravenous thrombolysis before endovascular therapy on outcomes in patients with large core infarct
Anadani M, Almallouhi E, 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, Fragata I, Polifka A, Mascitelli J, Osbun J, Matouk C, Park M, Levitt M, Dumont T, Williamson R, Spiotta A. Effect of intravenous thrombolysis before endovascular therapy on outcomes in patients with large core infarct. Journal Of NeuroInterventional Surgery 2023, 15: jnis-2022-019537. PMID: 36990690, DOI: 10.1136/jnis-2022-019537.Peer-Reviewed Original ResearchConceptsAlberta Stroke Program Early CT ScorePropensity score matching analysisEfficacy of bridging therapyScore matching analysisTreated with MTIntravenous thrombolysisIntracerebral hemorrhageCore infarctBridging therapyMatched cohortMechanical thrombectomyIncreased risk of hemorrhageRisk of hemorrhageMatching analysisEffect of intravenous thrombolysisCT scoreBaseline characteristicsEndovascular therapyFavorable outcomeRetrospective analysisCompare outcomesIncreased riskPatientsSafety outcomesAneurysm RegistryMechanical 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 ResearchMeSH KeywordsBrain IschemiaCerebral HemorrhageEndovascular ProceduresHumansStrokeThrombectomyTreatment OutcomeConceptsLarge 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
Learning Curve for Flow Diversion of Posterior Circulation Aneurysms: A Long-Term International Multicenter Cohort Study
Adeeb N, Dibas M, Griessenauer C, Cuellar H, Salem M, Xiang S, Enriquez-Marulanda A, Hong T, Zhang H, Taussky P, Grandhi R, Waqas M, Aldine A, Tutino V, Aslan A, Siddiqui A, Levy E, Ogilvy C, Thomas A, Ulfert C, Möhlenbruch M, Renieri L, Diestro J, Lanzino G, Brinjikji W, Spears J, Vranic J, Regenhardt R, Rabinov J, Harker P, Müller-Thies-Broussalis E, Killer-Oberpfalzer M, Islak C, Kocer N, Sonnberger M, Engelhorn T, Kapadia A, Yang V, Salehani A, Harrigan M, Krings T, Matouk C, Mirshahi S, Chen K, Aziz-Sultan M, Ghorbani M, Schirmer C, Goren O, Dalal S, Finkenzeller T, Holtmannspötter M, Buhk J, Foreman P, Cress M, Hirschl R, Reith W, Simgen A, Janssen H, Marotta T, Stapleton C, Patel A, Dmytriw A. Learning Curve for Flow Diversion of Posterior Circulation Aneurysms: A Long-Term International Multicenter Cohort Study. American Journal Of Neuroradiology 2022, 43: 1615-1620. PMID: 36229166, PMCID: PMC9731249, DOI: 10.3174/ajnr.a7679.Peer-Reviewed Original ResearchMeSH KeywordsCohort StudiesEmbolization, TherapeuticEndovascular ProceduresHumansIntracranial AneurysmLearning CurveRetrospective StudiesStentsTreatment OutcomeConceptsPosterior circulation aneurysmsTreat posterior circulation aneurysmsUnruptured posterior circulation aneurysmsRate of thromboembolic complicationsTreated with flow diversionSingle flow diverterFlow diversionInternational multicenter cohort studyRate of thromboembolismMulticenter cohort studyFlow divertersOff-label useMulticenter experienceComplication rateHemorrhagic complicationsRetrospective reviewThromboembolic complicationsAnterior circulationStandard treatmentVertebral arteryCohort studyVertebrobasilar aneurysmsTreatment outcomesAneurysmIntracranial aneurysmsMulticenter 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 ResearchMeSH KeywordsArterial Occlusive DiseasesCarotid Artery, InternalEndovascular ProceduresHumansIschemic StrokeRetrospective StudiesStentsStrokeThrombectomyTreatment OutcomeConceptsDistal 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
2018
Risk of Branch Occlusion and Ischemic Complications with the Pipeline Embolization Device in the Treatment of Posterior Circulation Aneurysms
Adeeb N, Griessenauer C, Dmytriw A, Shallwani H, Gupta R, Foreman P, Shakir H, Moore J, Limbucci N, Mangiafico S, Kumar A, Michelozzi C, Zhang Y, Pereira V, Matouk C, Harrigan M, Siddiqui A, Levy E, Renieri L, Marotta T, Cognard C, Ogilvy C, Thomas A. Risk of Branch Occlusion and Ischemic Complications with the Pipeline Embolization Device in the Treatment of Posterior Circulation Aneurysms. American Journal Of Neuroradiology 2018, 39: 1303-1309. PMID: 29880475, PMCID: PMC7655425, DOI: 10.3174/ajnr.a5696.Peer-Reviewed Original ResearchConceptsPosterior circulation aneurysmsPipeline Embolization DevicePosterior cerebral arteryIschemic complicationsInferior cerebellar arteryEmbolization DeviceVertebral arteryCerebellar arteryCerebral arteryBranch occlusionAnterior inferior cerebellar arteryPosterior inferior cerebellar arteryCohort of patientsContralateral vertebral arteryLow associated morbiditySuperior cerebellar arteryLong-term patencyAnterior circulationIschemic eventsAssociated morbidityConsecutive patientsPosterior circulationEndovascular treatmentMultivariable analysisRetrospective review
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