2024
Comparison of anticoagulation vs mechanical thrombectomy for the treatment of iliofemoral deep vein thrombosis
Abramowitz S, Shaikh A, Mojibian H, Mouawad N, Bunte M, Skripochnik E, Lindquist J, Elmasri F, Khalsa B, Bhat A, Nguyen J, Shah N, Noor S, Murrey D, Gandhi S, Raskin A, Schor J, Dexter D. Comparison of anticoagulation vs mechanical thrombectomy for the treatment of iliofemoral deep vein thrombosis. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2024, 12: 101825. PMID: 38278173, PMCID: PMC11523467, DOI: 10.1016/j.jvsv.2024.101825.Peer-Reviewed Original ResearchIliofemoral deep vein thrombosisPost-thrombotic syndromeDeep vein thrombosisIncidence of post-thrombotic syndromeTreatment of iliofemoral deep vein thrombosisVillalta scoreMechanical thrombectomyVein thrombosisSymptom durationBilateral DVTThrombus removalPatients treated with ACAdjunctive catheter-directed thrombolysisSevere post-thrombotic syndromeModerate to severe post-thrombotic syndromeTreated with mechanical thrombectomyAcute venous thrombosisCatheter-directed thrombolysisPrevention of post-thrombotic syndromeBody mass indexTreated with MTNo significant differenceVenous thrombosisBaseline characteristicsVenous thromboembolism
2023
Mechanical Thrombectomy vs. Pharmacomechanical Catheter Directed Thrombolysis for the Treatment of Iliofemoral Deep Vein Thrombosis: A Propensity Score Matched Exploratory Analysis of 12 Month Clinical Outcomes
Abramowitz S, Bunte M, Maldonado T, Skripochnik E, Gandhi S, Mouawad N, Mojibian H, Schor J, Dexter D, Dexter D, Beasley R, Zybulewski A, Ayo D, Cosme-Montalvo O, King C, Cockrell J, Hnath J, Shaikh A, Paulisin J, Shah N, Skripochnik E, Trestman E, Schutzer R, Azene E, O’Connor D, Trestman E, Lodha A, Elmasri F, Moomey C, Annambhotla S, Nguyen J, Mouawad N, Abramowitz S, Bisharat M, Raskin A, Angel W, Roberts J, Kado H, Schor J, Zia S, Maldonado T, Ichinose E, Veerina K, Gandhi S, Murrey D, Bunte M, Khalsa B, Jung M, Long D, Ford R, Winokur R, Noor S, Plotnik A, Lindquist J, Bhat A, Harlin S, Khetarpaul V, Sanchez L, Li S, Long G, Mojibian H. Mechanical Thrombectomy vs. Pharmacomechanical Catheter Directed Thrombolysis for the Treatment of Iliofemoral Deep Vein Thrombosis: A Propensity Score Matched Exploratory Analysis of 12 Month Clinical Outcomes. European Journal Of Vascular And Endovascular Surgery 2023, 67: 644-652. PMID: 37981003, DOI: 10.1016/j.ejvs.2023.11.017.Peer-Reviewed Original ResearchIliofemoral deep vein thrombosisDeep vein thrombosisMechanical thrombectomyMarder scorePharmacomechanical CatheterVenous symptomsSymptom durationPropensity scoreVein thrombosisThrombus removalBilateral deep vein thrombosisIntensive care unit utilisationPost-procedure hospital stayFemoral-popliteal diseaseMonths clinical outcomeAcute venous thrombosisHealthcare resource utilisationPost-thrombotic syndromePost-procedure careRetrospective cohort analysisBody mass indexSingle-session treatmentSigns of diseaseAdjunctive stentingPCDT groupNavigating the Complexity of High-Risk Pulmonary Embolism—Is Mechanical Thrombectomy the Answer We Need?
Mojibian H, Shah K, Khosla A. Navigating the Complexity of High-Risk Pulmonary Embolism—Is Mechanical Thrombectomy the Answer We Need? Journal Of The Society For Cardiovascular Angiography & Interventions 2023, 3: 101178. PMID: 39131974, PMCID: PMC11308594, DOI: 10.1016/j.jscai.2023.101178.Peer-Reviewed Original ResearchSix-Month Outcomes of Mechanical Thrombectomy for Treating Deep Vein Thrombosis: Analysis from the 500-Patient CLOUT Registry
Shaikh A, Zybulewski A, Paulisin J, Bisharat M, Mouawad N, Raskin A, Ichinose E, Abramowitz S, Lindquist J, Azene E, Shah N, Nguyen J, Cockrell J, Khalsa B, Khetarpaul V, Murrey D, Veerina K, Skripochnik E, Maldonado T, Bunte M, Annambhotla S, Schor J, Kado H, Mojibian H, Dexter D. Six-Month Outcomes of Mechanical Thrombectomy for Treating Deep Vein Thrombosis: Analysis from the 500-Patient CLOUT Registry. CardioVascular And Interventional Radiology 2023, 46: 1571-1580. PMID: 37580422, PMCID: PMC10615929, DOI: 10.1007/s00270-023-03509-8.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisSerious adverse eventsMechanical thrombectomyVillalta scorePostthrombotic syndromeAdverse eventsVein thrombosisSymptom severityLarge prospective registryMedian Villalta scoreSix-month outcomesFemoral-popliteal segmentQuality of lifeClotTriever systemComer studyMarder scorePurposeMechanical thrombectomyProspective registryVenous patencyClinical outcomesDVT patientsOutcomes RegistryDuplex ultrasoundLife scoresVenous flowSix-Month Deep Vein Thrombosis Outcomes by Chronicity: Analysis of the Real-World ClotTriever Outcomes Registry
Abramowitz S, Kado H, Schor J, Annambhotla S, Mojibian H, Marino A, Maldonado T, Gandhi S, Paulisin J, Bunte M, Angel W, Roberts J, Veerina K, Long D, Elmasri F, Shaikh A, Beasley R, Dexter D, Investigators F. Six-Month Deep Vein Thrombosis Outcomes by Chronicity: Analysis of the Real-World ClotTriever Outcomes Registry. Journal Of Vascular And Interventional Radiology 2023, 34: 879-887.e4. PMID: 37105663, DOI: 10.1016/j.jvir.2022.12.480.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisSerious adverse eventsChronic deep vein thrombosisClotTriever systemMechanical thrombectomyOutcomes RegistryStent placementDevice-related serious adverse eventsLower extremity deep vein thrombosisExtremity deep vein thrombosisComplete thrombus removalMedian Villalta scoreFatal pulmonary embolismReal-world patientsSelf-reported questionnaire scoresChronic thrombusSubacute groupVillalta scorePulmonary embolismVein thrombosisAdverse eventsPhysician's discretionThrombosis outcomesThrombus removalChronic subgroupSafety and Effectiveness of Mechanical Thrombectomy From the Fully Enrolled Multicenter, Prospective CLOUT Registry
Dexter D, Kado H, Shaikh A, Schor J, Annambhotla S, Zybulewski A, Paulisin J, Bisharat M, Mouawad N, Bunte M, Maldonado T, Skripochnik E, Raskin A, Gandhi S, Ichinose E, Beasley R, Mojibian H, Investigators C. Safety and Effectiveness of Mechanical Thrombectomy From the Fully Enrolled Multicenter, Prospective CLOUT Registry. Journal Of The Society For Cardiovascular Angiography & Interventions 2023, 2: 100585. PMID: 39129803, PMCID: PMC11308834, DOI: 10.1016/j.jscai.2023.100585.Peer-Reviewed Original ResearchDeep vein thrombosisLower extremity deep vein thrombosisProximal lower extremity deep vein thrombosisPrimary effectiveness end pointExtremity deep vein thrombosisEffectiveness end pointSerious adverse eventsClotTriever systemAdverse eventsMechanical thrombectomyDevice-related serious adverse eventsHistory of DVTEnd pointIntensive care unit monitoringPercutaneous mechanical thrombectomyProcedural blood lossIndependent core laboratorySelf-reported painBilateral thrombiComer patientsMarder scoreHospital outcomesSymptom durationThrombus burdenMost patientsClotTriever system for mechanical thrombectomy of deep vein thrombosis
Chan S, Gaupp F, Mojibian H. ClotTriever system for mechanical thrombectomy of deep vein thrombosis. Future Cardiology 2023, 19: 29-38. PMID: 36637020, DOI: 10.2217/fca-2022-0100.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisClotTriever systemVein thrombosisMechanical thrombectomyCatheter-directed thrombolytic therapyCatheter-directed thrombolysisPercutaneous mechanical thrombectomyHigh bleeding riskPost-thrombotic syndromeCurrent treatment strategiesLong-term symptomsRemoval of clotsBleeding riskThrombolytic therapyImproved outcomesTreatment strategiesThrombectomy devicesUS FDAThrombosisThrombectomyClotsThrombolysisThrombusSyndromeTherapy
2022
Interim outcomes of mechanical thrombectomy for deep vein thrombosis from the All-Comer CLOUT Registry
Dexter DJ, Kado H, Schor J, Annambhotla S, Olivieri B, Mojibian H, Maldonado TS, Gandhi S, Paulisin J, Bunte MC, Angel W, Roberts J, Veerina K, Abramowitz S, Elmasri F, Hnath J, Jung M, Long D, Sanchez L, Cosme O, Skripochnik E, Lodha A, Shaikh A, King C, Bisharat M, Beasley RE, Investigators C. Interim outcomes of mechanical thrombectomy for deep vein thrombosis from the All-Comer CLOUT Registry. Journal Of Vascular Surgery Venous And Lymphatic Disorders 2022, 10: 832-840.e2. PMID: 35218955, DOI: 10.1016/j.jvsv.2022.02.013.Peer-Reviewed Original ResearchConceptsDeep vein thrombosisLower extremity deep vein thrombosisPrimary effectiveness end pointExtremity deep vein thrombosisEffectiveness end pointSerious adverse eventsComer patientsVein thrombosisAdverse eventsClinical outcomesDevice-related serious adverse eventsBilateral deep vein thrombosisVenous Clinical Severity ScoreNumeric Pain Rating ScaleEnd pointComplete thrombus removalPost-thrombotic syndromeClinical severity scorePain rating scaleQuality of lifeClotTriever systemMarder scoreClinical improvementSymptom durationMechanical thrombectomy
2020
Mechanical thrombectomy for pulmonary embolism in patients with patent foramen Ovale
Nezami N, Chockalingam A, Cornman-Homonoff J, Marino A, Pollak J, Mojibian H. Mechanical thrombectomy for pulmonary embolism in patients with patent foramen Ovale. CVIR Endovascular 2020, 3: 89. PMID: 33247349, PMCID: PMC7695793, DOI: 10.1186/s42155-020-00180-9.Peer-Reviewed Original ResearchMechanical thrombectomyPulmonary embolismHigh-risk pulmonary embolismMain pulmonary artery pressureInari FlowTriever SystemIntermediate-high riskRisk pulmonary embolismUnderwent mechanical thrombectomyPulmonary artery pressureRight heart strainDeep venous thrombosisClinical success ratePatent foramen ovaleCoronary artery angiogramFlowTriever SystemHospital mortalityArtery pressurePatent foramenVenous thrombosisForamen ovaleMental statusRetrospective analysisPatientsStroke 1ThrombectomySimultaneous proximal embolic protection and inferior vena cava mechanical thrombectomy using the FlowTriever system
Murali N, Division of Interventional Radiology D, Nezami N, Latich I, Brown J, Mojibian H, Division of Vascular and Interventional Radiology D. Simultaneous proximal embolic protection and inferior vena cava mechanical thrombectomy using the FlowTriever system. Diagnostic And Interventional Radiology 2020, 26: 345-348. PMID: 32209508, PMCID: PMC7360082, DOI: 10.5152/dir.2019.19458.Peer-Reviewed Original ResearchConceptsProximal embolic protectionMechanical thrombectomy devicesPulmonary embolismNew mechanical thrombectomy deviceHepatic hematomaEmbolic protectionThrombectomy devicesSevere bilateral lower extremity edemaBilateral lower extremity edemaLarge hepatic hematomaPossible pulmonary embolismLower extremity edemaFlowTriever SystemExtremity edemaRadical hysterectomyMechanical thrombectomyOcclusive thrombusIVC compressionPercutaneous managementCase reportComplete resolutionLabel useOvarian cancerDisease processInterventional radiologists
2019
Right Atrial and Massive Pulmonary Artery Mechanical Thrombectomy Under Echocardiography Guidance Using the FlowTriever System
Nezami N, Latich I, Murali N, Ali R, Lin BA, ShervinRad M, Pollak J, Mojibian H. Right Atrial and Massive Pulmonary Artery Mechanical Thrombectomy Under Echocardiography Guidance Using the FlowTriever System. EJVES Short Reports 2019, 45: 22-25. PMID: 31828229, PMCID: PMC6888743, DOI: 10.1016/j.ejvssr.2019.10.001.Peer-Reviewed Original ResearchTransthoracic echocardiography guidanceEchocardiography guidanceFlowTriever SystemPulmonary embolismMechanical thrombectomyFluoroscopy guidancePulmonary arterial thrombiRight hip arthroplastyMassive pulmonary embolismRight atrial thrombusPulmonary artery embolectomyYear old femaleAtrial thrombusCardiopulmonary arrestPulmonary arteryCase reportPercutaneous interventionArterial thrombiHip arthroplastyCardiac chambersOld femaleThrombectomyEmbolismThrombusClots