J
Joni Clark
Researcher at Barrow Neurological Institute
Publications - 3
Citations - 2146
Joni Clark is an academic researcher from Barrow Neurological Institute. The author has contributed to research in topics: Stroke & Angioplasty. The author has an hindex of 3, co-authored 3 publications receiving 1778 citations. Previous affiliations of Joni Clark include St. Joseph's Hospital and Medical Center.
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Journal ArticleDOI
Stenting versus Aggressive Medical Therapy for Intracranial Arterial Stenosis
Marc I. Chimowitz,Michael J. Lynn,Colin P. Derdeyn,Tanya N. Turan,David Fiorella,Bethany F Lane,L. Scott Janis,Helmi L. Lutsep,Stanley L. Barnwell,Michael F. Waters,Brian L. Hoh,J. Maurice Hourihane,Elad I. Levy,Andrei V. Alexandrov,Mark R. Harrigan,David Chiu,Richard P. Klucznik,Joni Clark,Cameron G. McDougall,Mark D. Johnson,G. Lee Pride,Michel T. Torbey,Osama O. Zaidat,Zoran Rumboldt,Harry J. Cloft +24 more
TL;DR: In patients with intracranial arterial stenosis, aggressive medical management was superior to PTAS with the use of the Wingspan stent system, both because the risk of early stroke after PTAS was high and because therisk of stroke with aggressive medical therapy alone was lower than expected.
Journal ArticleDOI
Aggressive Medical Treatment With or Without Stenting in High-Risk Patients With Intracranial Artery Stenosis (Sammpris): The Final Results of a Randomised Trial
Colin P. Derdeyn,Marc I. Chimowitz,Michael J. Lynn,David Fiorella,Tanya N. Turan,L. Scott Janis,Jean Montgomery,Azhar Nizam,Bethany F Lane,Helmi L. Lutsep,Stanley L. Barnwell,Michael F. Waters,Brian L. Hoh,J. Maurice Hourihane,Elad I. Levy,Andrei V. Alexandrov,Mark R. Harrigan,David Chiu,Richard P. Klucznik,Joni Clark,Cameron G. McDougall,Mark D. Johnson,G. Lee Pride,John R. Lynch,Osama O. Zaidat,Zoran Rumboldt,Harry J. Cloft +26 more
TL;DR: The findings lend support to the use of aggressive medical management rather than PTAS with the Wingspan system in high-risk patients with atherosclerotic intracranial arterial stenosis.
Journal ArticleDOI
Detailed Analysis of Periprocedural Strokes in Patients Undergoing Intracranial Stenting in Stenting and Aggressive Medical Management for Preventing Recurrent Stroke in Intracranial Stenosis (SAMMPRIS)
David Fiorella,Colin P. Derdeyn,Michael J. Lynn,Stanley L. Barnwell,Brian L. Hoh,Elad I. Levy,Mark R. Harrigan,Richard P. Klucznik,Cameron G. McDougall,G. Lee Pride,Osama O. Zaidat,Helmi L. Lutsep,Michael F. Waters,J. Maurice Hourihane,Andrei V. Alexandrov,David Chiu,Joni Clark,Mark D. Johnson,Michel T. Torbey,Zoran Rumboldt,Harry J. Cloft,Tanya N. Turan,Bethany F Lane,L. Scott Janis,Marc I. Chimowitz +24 more
TL;DR: Periprocedural strokes in SAMMPRIS had multiple causes with the most common being perforator occlusion, and excluding patients with these features from undergoing percutaneous transluminal angioplasty and stenting to lower the procedural risk would limit per cutaneous translumsinal angio-stenting and stent selection to a small subset of patients.