Aman B. Patel
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View article: Who Obtains Informed Consent for Endovascular Thrombectomy in Acute Stroke? A Survey of Clinicians
Who Obtains Informed Consent for Endovascular Thrombectomy in Acute Stroke? A Survey of Clinicians Open
Background and Purpose Informed consent (IC) practices for endovascular thrombectomy (EVT) in acute stroke are not well elucidated. We investigated the roles and specialties of those obtaining EVT IC, aiming to provide insights for enhanci…
View article: Angiographic perfusion outperforms large artery vasospasm for predicting the impact of rescue therapy in subarachnoid hemorrhage
Angiographic perfusion outperforms large artery vasospasm for predicting the impact of rescue therapy in subarachnoid hemorrhage Open
Aneurysmal subarachnoid hemorrhage (aSAH) contributes disproportionately to stroke-related disability due to its prevalence in younger patients. Large vessel vasospasm complicates aSAH and is often treated with endovascular rescue therapy …
View article: Baseline predictors of poor clinical outcome despite recanalization of distal middle cerebral artery occlusions
Baseline predictors of poor clinical outcome despite recanalization of distal middle cerebral artery occlusions Open
Objective Mechanical thrombectomy (MT) is well-established for the treatment of acute ischemic stroke (AIS) from large vessel occlusion (LVO), with growing data supporting the expansion to distal and medium vessel occlusions (DMVO). Despit…
View article: A multicenter, propensity score-matched analysis of functional outcomes and recanalization success with or without Trevo for Medium and distal vessel occlusion
A multicenter, propensity score-matched analysis of functional outcomes and recanalization success with or without Trevo for Medium and distal vessel occlusion Open
Background Endovascular therapy (EVT) for stroke due to distal or medium vessel occlusion (DMVO) is safe. Due to the distinct anatomical characteristics of DMVOs, further evaluation of EVT is crucial to determine which devices may yield be…
View article: International multi-center study of middle meningeal artery embolization for chronic subdural hematoma in cancer patients: Efficacy, safety, and outcomes in a high-risk population
International multi-center study of middle meningeal artery embolization for chronic subdural hematoma in cancer patients: Efficacy, safety, and outcomes in a high-risk population Open
Background Middle meningeal artery embolization (MMAE) is a promising treatment for chronic subdural hematoma (cSDH). Cancer patients are at risk for cSDH due to thrombocytopenia. The efficacy of MMAE in this population has not been studie…
View article: Traumatic Vertebral Artery Injury: Diagnosis, Natural History, and Key Considerations for Management
Traumatic Vertebral Artery Injury: Diagnosis, Natural History, and Key Considerations for Management Open
Vertebral artery injury (VAI) is a known complication of blunt cervical spine trauma with a potential risk of stroke. Factors including cervical bony injury, spinal cord injury, and overall trauma severity have been linked to an increased …
View article: Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature
Navigating severe vascular tortuosity and cervical carotid loop management in stroke thrombectomy: A case report and review of the literature Open
Endovascular therapy is the current gold standard treatment for the management of acute ischemic stroke from large vessel occlusion. Despite this, the presence of severe vascular tortuosity and cervical carotid loops can hinder the success…
View article: Triple Woven EndoBridge device strategy for recurrent basilar tip aneurysm: A case report
Triple Woven EndoBridge device strategy for recurrent basilar tip aneurysm: A case report Open
Background Coil embolization and surgical clipping are among the treatment options for acutely ruptured cerebral aneurysms. However, wide-neck aneurysms may necessitate stent placement, introducing dual antiplatelet therapy risks during su…
View article: Prediction of persistent incomplete occlusion of intracranial aneurysms treated with woven EndoBridge device
Prediction of persistent incomplete occlusion of intracranial aneurysms treated with woven EndoBridge device Open
View article: Predictors of perioperative stroke in patients with Ischemic-type moyamoya disease treated with surgical revascularization: A retrospective multicenter study
Predictors of perioperative stroke in patients with Ischemic-type moyamoya disease treated with surgical revascularization: A retrospective multicenter study Open
Hypertension and smoking were significant predictors of perioperative stroke in patients with ischemic-type MMD undergoing surgical revascularization. These findings emphasize the importance of managing risk factors in ischemic-type MMD. F…
View article: Incidence and predictors of Woven EndoBridge (WEB) shape modification following treatment of intracranial aneurysms in a large multicenter study
Incidence and predictors of Woven EndoBridge (WEB) shape modification following treatment of intracranial aneurysms in a large multicenter study Open
View article: Efficacy and safety of mechanical thrombectomy in distal medium middle cerebral artery occlusion ischemic stroke patients on low-dose aspirin
Efficacy and safety of mechanical thrombectomy in distal medium middle cerebral artery occlusion ischemic stroke patients on low-dose aspirin Open
Background: Acute ischemic stroke (AIS) from distal medium vessel occlusion (DMVO) presents unique treatment challenges. Mechanical thrombectomy (MT) is emerging as a viable option for these patients, yet the role of pre-stroke aspirin tre…
View article: Clinical outcomes of patients with unsuccessful mechanical thrombectomy versus best medical management of medium vessel occlusion stroke in the middle cerebral artery territory
Clinical outcomes of patients with unsuccessful mechanical thrombectomy versus best medical management of medium vessel occlusion stroke in the middle cerebral artery territory Open
Background Current randomized controlled trials are investigating the efficacy and safety of mechanical thrombectomy (MT) in patients with medium vessel occlusion (MeVO) stroke. Whether best medical management (MM) is more efficient than u…
View article: Impaired Sphenoparietal Venous Drainage Is Associated With Increased Risk of Vasospasm in Aneurysmal Subarachnoid Hemorrhage
Impaired Sphenoparietal Venous Drainage Is Associated With Increased Risk of Vasospasm in Aneurysmal Subarachnoid Hemorrhage Open
Background Adequate venous drainage of brain parenchyma is essential to maintain cerebral perfusion and clearance of cerebrospinal fluid. The cortical vein opacification score (COVES) is a radiographic metric calculated from a computed tom…
View article: Abstract 259: Efficacy of Endovascular Therapy Techniques In Specific Stroke Etiologies For Distal And Medium Intracranial Occlusion
Abstract 259: Efficacy of Endovascular Therapy Techniques In Specific Stroke Etiologies For Distal And Medium Intracranial Occlusion Open
View article: Predictors and Outcomes of Excellent Recanalization Versus Successful Recanalization After Thrombectomy in Proximal and Distal Medium Vessel Occlusion Strokes: A Multinational Study
Predictors and Outcomes of Excellent Recanalization Versus Successful Recanalization After Thrombectomy in Proximal and Distal Medium Vessel Occlusion Strokes: A Multinational Study Open
Background Acute ischemic stroke arising from medium vessel occlusions (MeVO) poses substantial challenges in treatment and management. This study aims to elucidate the outcomes and factors contributing to achieving excellent recanalizatio…
View article: Endovascular therapy versus medical management in isolated posterior cerebral artery acute ischemic stroke: A multinational multicenter propensity score-weighted study
Endovascular therapy versus medical management in isolated posterior cerebral artery acute ischemic stroke: A multinational multicenter propensity score-weighted study Open
Background: Despite the proven effectiveness of endovascular therapy (EVT) in acute ischemic strokes (AIS) involving anterior circulation large vessel occlusions, isolated posterior cerebral artery (PCA) occlusions (iPCAo) remain underexpl…
View article: Predictive value of follow-up infarct volume on functional outcomes in middle cerebral artery M2 segment vessel occlusion stroke treated with mechanical thrombectomy
Predictive value of follow-up infarct volume on functional outcomes in middle cerebral artery M2 segment vessel occlusion stroke treated with mechanical thrombectomy Open
Background: Medium vessel occlusion (MeVO) strokes, particularly affecting the M2 segment of the middle cerebral artery, represent a critical proportion of acute ischemic strokes, posing significant challenges in management and outcome pre…
View article: The impact of hypertension on clinical outcomes in moyamoya disease: a multicenter, propensity score-matched analysis
The impact of hypertension on clinical outcomes in moyamoya disease: a multicenter, propensity score-matched analysis Open
Background Moyamoya disease (MMD) is a rare cerebrovascular disorder characterized by progressive steno-occlusive changes in the internal carotid arteries, leading to an abnormal vascular network. Hypertension is prevalent among MMD patien…
View article: Mechanical Thrombectomy Versus Intravenous Thrombolysis in Distal Medium Vessel Acute Ischemic Stroke: A Multinational Multicenter Propensity Score-Matched Study
Mechanical Thrombectomy Versus Intravenous Thrombolysis in Distal Medium Vessel Acute Ischemic Stroke: A Multinational Multicenter Propensity Score-Matched Study Open
Background and Purpose The management of acute ischemic stroke (AIS) due to distal medium vessel occlusion (DMVO) remains uncertain, particularly in comparing the effectiveness of intravenous thrombolysis (IVT) plus mechanical thrombectomy…
View article: Insights into vessel perforations during thrombectomy: Characteristics of a severe complication and the effect of thrombolysis
Insights into vessel perforations during thrombectomy: Characteristics of a severe complication and the effect of thrombolysis Open
Introduction: Thrombectomy complications remain poorly explored. This study aims to characterize periprocedural intracranial vessel perforation including the effect of thrombolysis on patient outcomes. Patients and methods: In this multice…
View article: Creation of a predictive calculator to determine adequacy of occlusion of the woven endobridge (WEB) device in intracranial aneurysms—A retrospective analysis of the WorldWide WEB Consortium database
Creation of a predictive calculator to determine adequacy of occlusion of the woven endobridge (WEB) device in intracranial aneurysms—A retrospective analysis of the WorldWide WEB Consortium database Open
Background Endovascular treatment with the woven endobridge (WEB) device has been widely utilized for managing intracranial aneurysms. However, predicting the probability of achieving adequate occlusion (Raymond–Roy classification 1 or 2) …
View article: Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis
Treatment of large intracranial aneurysms using the Woven EndoBridge (WEB): a propensity score-matched analysis Open
View article: Characterizing the heat stress and air pollution exposome to assess acute kidney injury in NYC runners
Characterizing the heat stress and air pollution exposome to assess acute kidney injury in NYC runners Open
View article: Wildfire smoke events were not associated with healthcare utilization for pediatric asthma in a large New York City cohort
Wildfire smoke events were not associated with healthcare utilization for pediatric asthma in a large New York City cohort Open
View article: Comparison of pipeline embolization device and flow redirection endoluminal device in the treatment of intracranial aneurysms: A systematic review and meta-analysis
Comparison of pipeline embolization device and flow redirection endoluminal device in the treatment of intracranial aneurysms: A systematic review and meta-analysis Open
Background Advancements in flow diversion technology have revolutionized the treatment of intracranial aneurysms. The pipeline embolization device (PED) and the flow redirection endoluminal device (FRED) have emerged as prominent tools in …
View article: First multicenter study evaluating the utility of the BENCHMARK<sup>TM</sup> BMX<sup>TM</sup> 81 large-bore access catheter in neurovascular interventions
First multicenter study evaluating the utility of the BENCHMARK<sup>TM</sup> BMX<sup>TM</sup> 81 large-bore access catheter in neurovascular interventions Open
Introduction This study is the first multicentric report on the safety, efficacy, and technical performance of utilizing a large bore (0.081″ inner diameter) access catheter in neurovascular interventions. Methods Data were retrospectively…
View article: Impact and determinants of door in–door out time for stroke thrombectomy transfers in a large hub-and-spoke network
Impact and determinants of door in–door out time for stroke thrombectomy transfers in a large hub-and-spoke network Open
Introduction The mantra “time is brain” cannot be overstated for patients suffering from acute ischemic stroke. This is especially true for those with large vessel occlusions (LVOs) requiring transfer to an endovascular thrombectomy (EVT) …
View article: Outcomes of mechanical thrombectomy in anticoagulated patients with acute distal and medium vessel stroke
Outcomes of mechanical thrombectomy in anticoagulated patients with acute distal and medium vessel stroke Open
Background: Stroke remains a major health concern globally, with oral anticoagulants widely prescribed for stroke prevention. The efficacy and safety of mechanical thrombectomy (MT) in anticoagulated patients with distal medium vessel occl…
View article: Transcranial Doppler cerebrovascular reactivity: Thresholds for clinical significance in cerebrovascular disease
Transcranial Doppler cerebrovascular reactivity: Thresholds for clinical significance in cerebrovascular disease Open
Background and Purpose Thresholds for abnormal transcranial Doppler cerebrovascular reactivity (CVR) studies are poorly understood, especially for patients with cerebrovascular disease. Using a real‐world cohort with cerebral arterial sten…