TY - JOUR T1 - Technical and clinical outcomes in concurrent multivessel occlusions treated with mechanical thrombectomy: insights from the STAR collaboration JF - Journal of NeuroInterventional Surgery JO - J NeuroIntervent Surg DO - 10.1136/jnis-2022-019608 SP - jnis-2022-019608 AU - Hassan Saad AU - Sheila Eshraghi AU - Ali M Alawieh AU - Feras Akbik AU - C Michael Cawley AU - Brian M Howard AU - Makenna Ash AU - Alice Hsu AU - Aqueel Pabaney AU - Ilko Maier AU - Sami Al Kasab AU - Kareem El Naamani AU - Pascal Jabbour AU - Joon-tae Kim AU - Stacey Q Wolfe AU - Ansaar Rai AU - Robert M Starke AU - Marios-Nikos Psychogios AU - Amir Shaban AU - Adam S Arthur AU - Shinichi Yoshimura AU - Isabel Fragata AU - Hugo H Cuellar-Saenz AU - Adam J Polifka AU - Justin Mascitelli AU - Joshua W Osbun AU - Charles Matouk AU - Min S Park AU - Michael R Levitt AU - Travis M Dumont AU - Richard Williamson AU - Alejandro M Spiotta AU - Jonathan A Grossberg A2 - , Y1 - 2022/12/05 UR - http://jnis.bmj.com/content/early/2022/12/05/jnis-2022-019608.abstract N2 - Background Endovascular thrombectomy (EVT) has become the mainstay treatment for large vessel occlusion, with favorable safety and efficacy profile. However, the safety and efficacy of EVT in concurrent multi-territory occlusions (MTVOs) remains unclear.Objective To investigate the prevalence, clinical and technical outcomes of concurrent EVT for MTVOs.Methods Data were included from the Stroke Thrombectomy and Aneurysm Registry (STAR) with 32 stroke centers for EVT performed to treat bilateral anterior or concurrent anterior and posterior circulation occlusions between 2017 and 2021. Patients with MTVO were identified, and propensity score matching was used to compare this group with patients with occlusion in a single arterial territory.Results Of a total of 7723 patients who underwent EVT for acute ischemic stroke, 54 (0.7%) underwent EVT for MTVOs (mean age 69±12.5; female 50%). 28% had bilateral and 72% had anterior and posterior circulations occlusions. The rate of successful recanalization (Thrombolysis in Cerebral Infarction 2b/3), complications, modified Rankin score at 90 days, and mortality was not significantly different between the matched cohorts. Multivariate analysis confirmed that MTVOs were not associated with poor functional outcome, symptomatic intracranial hemorrhage, or longer procedure time.Conclusion Compared with EVT for single vessel occlusions, EVT in appropriately selected patients with MTVOs has a similar efficacy and safety profile.All data relevant to the study are included in the article or uploaded as supplementary information. ER -