{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:16:41Z","timestamp":1788869801212,"version":"build-2803163510"},"reference-count":34,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T00:00:00Z","timestamp":1777593600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["SVIN"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND:<\/jats:title>\n                    <jats:p>The Mechanical Thrombectomy Global Access for Stroke study demonstrated that access to mechanical thrombectomy (MT) is &lt;3% of demand, with severe disparities across urbanization and income levels. Although biplane angiography is the standard, single-plane systems may offer a cost-effective alternative. We conducted a propensity-matched analysis comparing the procedural and clinical outcomes of MT performed in single-plane versus biplane angiography suites.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>METHODS:<\/jats:title>\n                    <jats:p>All consecutive stroke MT cases performed at 3 centers (2 single plane and 1 biplane) between 2018 and 2024 were included. Outcomes assessed included rates of first-pass effect (modified Thrombolysis in Cerebral Infarction score \u22652b on first pass), successful reperfusion (final modified Thrombolysis in Cerebral Infarction score \u22652b), time to reperfusion, complication rates, postprocedural symptomatic intracranial hemorrhage, and good clinical outcome (modified Rankin Scale score 0\u20132) at discharge, 30 days, and 90 days.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      A total of 51 thrombectomies were performed in single-plane suites, and 367 were performed in biplane suites. After propensity matching, 100 patients (50 in each group) were included. In a multivariable analysis, the type of angiography suite was not significantly associated with successful reperfusion (odds ratio, 3.84 [95% CI, 0.22\u201368.4];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.36) or good clinical outcome at 90 days (odds ratio, 0.94 [95% CI, 0.18\u20134.88];\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      =0.94). There were no significant differences in reperfusion rates and clinical outcomes in the unmatched comparison. In the unmatched cohort, higher numbers of patients with medium- or distal-vessel occlusions and posterior circulation strokes were treated in the biplane suite.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>This propensity score\u2013matched analysis comparing MT for large-vessel occlusion in single-plane versus biplane angiography suites demonstrated no statistically significant differences in procedural and clinical outcomes or safety measures. These results indicate that MT using single-plane angiography suites can serve as a viable alternative for treating proximal large-vessel occlusions within the anterior circulation in areas where establishing a full biplane suite is not feasible.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1161\/svin.125.002173","type":"journal-article","created":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T18:00:21Z","timestamp":1778004021000},"update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Matched-Pair Analysis of Patients With Large-Vessel Occlusions Undergoing Thrombectomy Using Single-Plane Versus Biplane Angiography"],"prefix":"10.1161","volume":"6","author":[{"given":"Diwas","family":"Gautam","sequence":"first","affiliation":[{"name":"Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City (D.G., J.A., J.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2985-1517","authenticated-orcid":true,"given":"Sarah E.","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City (S.E.N., S.D., E.P., R.C.R., C.K., R.G., K.P.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sarah","family":"Dabb","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City (S.E.N., S.D., E.P., R.C.R., C.K., R.G., K.P.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erin","family":"Peterson","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City (S.E.N., S.D., E.P., R.C.R., C.K., R.G., K.P.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-9487-9910","authenticated-orcid":true,"given":"Jackson","family":"Aubrey","sequence":"additional","affiliation":[{"name":"Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City (D.G., J.A., J.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-3459-5698","authenticated-orcid":true,"given":"Julian","family":"Brown","sequence":"additional","affiliation":[{"name":"Spencer Fox Eccles School of Medicine, University of Utah, Salt Lake City (D.G., J.A., J.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9247-0146","authenticated-orcid":true,"given":"Philipp","family":"Taussky","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA (P.T.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6779-3592","authenticated-orcid":true,"given":"Robert C.","family":"Rennert","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City (S.E.N., S.D., E.P., R.C.R., C.K., R.G., K.P.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Craig","family":"Kilburg","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City (S.E.N., S.D., E.P., R.C.R., C.K., R.G., K.P.B.)."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9000-6083","authenticated-orcid":true,"given":"Ramesh","family":"Grandhi","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Clinical Neurosciences Center, University of Utah, Salt Lake City (S.E.N., S.D., E.P., R.C.R., 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