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Catheter treatment is not only effective, but also cost-effective for ischemic stroke

Catheter treatment is not only effective, but also cost-effective for ischemic stroke

29 September 2026

With ischemic stroke, every minute counts. However, many patients do not seek hospital care until it is too late, for example, because symptoms are not immediately recognized or because people wake up with signs of neurological deficits. As a result, a group of patients is no longer eligible for catheter treatment. 

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Platelets: more than a band-aid

Platelets: more than a band-aid

23 September 2026

Some processes in our body might seem obvious to us. If you cut your finger, the bleeding will stop shortly and form a scab. Behind that seemingly simple process hides a sophisticated system of platelets and clotting factors. By now, we know that platelets do much more than halt bleeding: they function as information carriers and regulators of disease processes. 

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Carim Maastricht
Carim Maastricht

Publications

Section Barend Mees Section Leon Schurgers Section Elham Bidar
  • 2020
    • Kowalewski, M., Gozdek, M., Zielinski, K., Raffa, G. M., Suwalski, P., & Lorusso, R. (2020). Long-term mortality after percutaneous coronary intervention with drug-eluting stents compared with coronary artery bypass grafting for multivessel and left main disease: a meta-analysis. Kardiologia Polska, 78(7-8), 759-761. https://doi.org/10.33963/KP.15397
    • Abrams, D., Lorusso, R., Vincent, J.-L., & Brodie, D. (2020). ECMO during the COVID-19 pandemic: when is it unjustified?Critical Care, 24(1), Article 507. https://doi.org/10.1186/s13054-020-03230-9
    • Mommers, E. H. H., van Kooten, L., Nienhuijs, S. W., Reilingh, T. S. D., Lubbers, T., Mees, B. M. E., Schurink, G. W. H., & Bouvy, N. D. (2020). Can Electric Nose Breath Analysis Identify Abdominal Wall Hernia Recurrence and Aortic Aneurysms? A Proof-of-Concept Study. Surgical Innovation, 27(4), 366-372. Article 1553350620917898. https://doi.org/10.1177/1553350620917898
    • Wubbeke, L. F., Naves, C. C. L. M., Daemen, J. W. H. C., Jacobs, M. J., & Mees, B. M. E. (2020). Editor's Choice – Mortality and Major Amputation after Revascularisation in Octogenarians Versus Non-Octogenarians with Chronic Limb Threatening Ischaemia: A Systematic Review and Meta-Analysis. European Journal of Vascular and Endovascular Surgery, 60(2), 231-241. https://doi.org/10.1016/j.ejvs.2020.04.027
    • Squiccimarro, E., Rociola, R., Haumann, R. G., Grasso, S., Lorusso, R., & Paparella, D. (2020). Extracorporeal Oxygenation and Coronavirus Disease 2019 Epidemic: Is the Membrane Fail-Safe to Cross Contamination?Asaio Journal, 66(8), 841-843. https://doi.org/10.1097/MAT.0000000000001199
    • Jiritano, F., Lorusso, R., & Santarpino, G. (2020). Causes of Thrombocytopenia in Cardiac Surgery: Looking for the Holy Grail?Annals of Thoracic Surgery, 110(2), 751-752. https://doi.org/10.1016/j.athoracsur.2020.01.018
    • Timmermans, S. A. M. E. G., Abdul-Hamid, M. H., van Paassen, P., & Limburg Renal Registry (2020). Chronic thrombotic microangiopathy in patients with a C3 gain of function protein. Nephrology Dialysis Transplantation, 35(8), 1449-1451. https://doi.org/10.1093/ndt/gfaa050
    • Ong, J., Zhang, J. J. Y., Lorusso, R., MacLaren, G., & Ramanathan, K. (2020). Extracorporeal membrane oxygenation in pregnancy and the postpartum period: a systematic review of case reports. International Journal of Obstetric Anesthesia, 43, 106-113. https://doi.org/10.1016/j.ijoa.2020.04.004
    • Calafiore, A. M., Lorusso, R., Kheirallah, H., Alsaied, M. M., Alfonso, J. J. R. A., Di Baldassare, A., Gallina, S., Gaudino, M., & Di Mauro, M. (2020). Late tricuspid regurgitation and right ventricular remodeling after tricuspid annuloplasty. Journal of Cardiac Surgery, 35(8), 1891-1900. https://doi.org/10.1111/jocs.14840
    • Mees, B. M. E., Wubbeke, L. F., & Daemen, J. W. H. C. (2020). Re "Gentamicin Containing Collagen Implants and Groin Wound Infections in Vascular Surgery: A Prospective Randomised Controlled Multicentre Trial". European Journal of Vascular and Endovascular Surgery, 60(2), 318-319. https://doi.org/10.1016/j.ejvs.2020.04.023
    • Chaldoupi, S.-M., Heuts, S., Vainer, J., & Maesen, B. (2020). Surgical Options to Tackle Coronary Artery Kinking in Thoracoscopic Left Atrial Appendage Clipping. Annals of Thoracic Surgery, 110(2), E119-E121. https://doi.org/10.1016/j.athoracsur.2019.12.039
    • Timmermans, S. A. M. E. G., Werion, A., Spaanderman, M. E. A., Reutelingsperger, C. P., Damoiseaux, J. G. M. C., Morelle, J., & Paassen, P. (2020). The natural course of pregnancies in women with primary atypical haemolytic uraemic syndrome and asymptomatic relatives. British Journal of Haematology, 190(3), 442-449. https://doi.org/10.1111/bjh.16626
    • Worku, E., Gill, D., Brodie, D., Lorusso, R., Combes, A., & Shekar, K. (2020). Provision of ECPR during COVID-19: evidence, equity, and ethical dilemmas. Critical Care, 24(1), Article 462. https://doi.org/10.1186/s13054-020-03172-2
    • Olson, T. L., O'Neil, E. R., Ramanathan, K., Lorusso, R., MacLaren, G., & Anders, M. M. (2020). Extracorporeal membrane oxygenation in peripartum cardiomyopathy: A review of the ELSO Registry. International Journal of Cardiology, 311, 71-76. https://doi.org/10.1016/j.ijcard.2020.03.006
    • Zwakenberg, S. R., de Jong, P. A., Hendriks, E. J., Westerink, J., Spiering, W., de Borst, G. J., Cramer, M. J., Bartstra, J. W., Doesburg, T., Rutters, F., van der Heijden, A. A., Schalkwijk, C., Schurgers, L. J., van der Schouw, Y. T., Beulens, J. W. J., & SMART Study Grp (2020). Intimal and medial calcification in relation to cardiovascular risk factors. PLOS ONE, 15(7), Article 0235228. https://doi.org/10.1371/journal.pone.0235228
    • Peeters, F. E. C. M., Dudink, E. A. M. P., Weijs, B., Fabritz, L., Chua, W., Kietselaer, B. L. J. H., Wildberger, J. E., Meex, S. J. R., Kirchhof, P., Crijns, H. J. G. M., & Schurgers, L. J. (2020). Biomarkers Associated With Aortic Valve Calcification: Should We Focus on Sex Specific Processes?Frontiers in Cell and Developmental Biology, 8, Article 604. https://doi.org/10.3389/fcell.2020.00604
    • De Boer, S. W., Heinen, S. G. H., Goudeketting, S. R., De Haan, M. W., Mees, B. M., Van Den Heuvel, D. A. F., & De Vries, J.-P. P. M. (2020). Novel diagnostic and imaging techniques in endovascular iliac artery procedures. Expert review of cardiovascular therapy, 18(7), 395-404. https://doi.org/10.1080/14779072.2020.1780916
    • Emanuel, A. L., Meijer, R. I., Woerdeman, J., van Raalte, D. H., Diamant, M., Kramer, M. H. H., Serlie, M. J., Eringa, E. C., & Serne, E. H. (2020). Effects of a Hypercaloric and Hypocaloric Diet on Insulin-Induced Microvascular Recruitment, Glucose Uptake, and Lipolysis in Healthy Lean Men. Arteriosclerosis Thrombosis and Vascular Biology, 40(7), 1695-1704. https://doi.org/10.1161/atvbaha.120.314129
    • Suverein, M. M., Delnoij, T. S. R., Lorusso, R., Bol, M. E., Weerwind, P. W., Roekaerts, P. M. H. J., Maessen, J. G., & van de Poll, M. C. G. (2020). National and reporting differences of pre-hospital factors in extracorporeal cardiopulmonary resuscitation studies. Netherlands Journal of Critical Care, 28(4), 154-161. https://njcc.nl/artikel/3404
    • Matteucci, F., Maesen, B., Vernooy, K., De Asmundis, C., Maessen, J. G., La Meir, M., & Gelsomino, S. (2020). One-Stage Versus Sequential Hybrid Radiofrequency Ablation: An In Vitro Evaluation. Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery, 15(4), 338-345. https://doi.org/10.1177/1556984520930070
    • Maesen, B., & La Meir, M. (2020). Unilateral Left-sided Thoracoscopic Ablation of Atrial Fibrillation. Annals of Thoracic Surgery, 110(1), E63-E66. https://doi.org/10.1016/j.athoracsur.2020.01.057
    • Shekar, K., Badulak, J., Peek, G., Boeken, U., Dalton, H. J., Arora, L., Zakhary, B., Ramanathan, K., Starr, J., Akkanti, B., Antonini, M. V., Ogino, M. T., Raman, L., Barret, N., Brodie, D., Combes, A., Lorusso, R., MacLaren, G., Müller, T., ... ELSO Guideline Working Group (2020). Extracorporeal Life Support Organization Coronavirus Disease 2019 Interim Guidelines: A Consensus Document from an International Group of Interdisciplinary Extracorporeal Membrane Oxygenation Providers. Asaio Journal, 66(7), 707-721. https://doi.org/10.1097/MAT.0000000000001193
    • Lorusso, R., Di Mauro, M., Foschi, M., & Calafiore, A. M. (2020). Commentary: Mater artium necessitas (necessity is the mother of invention) Comment. JTCVS Techniques, 2, 86-87. https://doi.org/10.1016/j.xjtc.2020.03.018
    • Mariani, S., Napp, L. C., Lo Coco, V., Delnoij, T. S. R., Luermans, J. G. L. M., ter Bekke, R. M. A., Timmermans, C., Li, T., Dogan, G., Schmitto, J. D., Maessen, J., Maesen, B., & Lorusso, R. (2020). Mechanical circulatory support for life -threatening arrhythmia: A systematic review. International Journal of Cardiology, 308, 42-49. https://doi.org/10.1016/j.ijcard.2020.03.045
    • Dai, L., Meijers, B. K., Bammens, B., de Loor, H., Schurgers, L. J., Qureshi, A. R., Stenvinkel, P., & Evenepoel, P. (2020). Sevelamer Use in End-Stage Kidney Disease (ESKD) Patients Associates with Poor Vitamin K Status and High Levels of Gut-Derived Uremic Toxins: A Drug-Bug Interaction?Toxins, 12(6), Article 351. https://doi.org/10.3390/toxins12060351
    • Heuts, S., Adriaans, B. P., Rylski, B., Mihl, C., Bekkers, S. C. A. M., Olsthoorn, J. R., Natour, E., Bouman, H., Berezowski, M., Kosiorowska, K., Crijns, H. J. G. M., Maessen, J. G., Wildberger, J., Schalla, S., & Sardari Nia, P. (2020). Evaluating the diagnostic accuracy of maximal aortic diameter, length and volume for prediction of aortic dissection. Heart, 106(12), 892-897. https://doi.org/10.1136/heartjnl-2019-316251
    • Konstantinides, S., Meyer, G., Becattini, C., Bueno, H., Geersing, G.-J., Harjola, V.-P., Huisman, M., Humbert, M., Jennings, C. S., Jimenez, D., Kucher, N., Lang, I. M., Lankeit, M., Lorusso, R., Mazzolai, L., Meneveau, N., Ainle, F. N., Prandoni, P., Pruszczyk, P., ... ESC Scientific Document Group (2020). Guía ESC 2019 para el diagnóstico y tratamiento de la embolia pulmonar aguda. Revista Espanola de Cardiologia, 73(6), 497.e1-497.e58. https://doi.org/10.1016/j.recesp.2019.12.030
    • Lorusso, R., Miceli, A., Gelsomino, S., Lio, A., Parise, O., Montisci, A., Vizzardi, E., Pacini, D., Di Bartolomeo, R., Renzulli, A., Serraino, F. G., Comoglio, C., Liberi, R., Martinelli, G., Sciangula, A., Mazzola, A., Faragalli, F., De Bonis, M., Taramasso, M., ... Glauber, M. (2020). Mitral Valve Replacement with a Third Generation Porcine Valve: an Italian Multicentered Study. Annals of Thoracic Surgery, 109(6), 1865-1872. https://doi.org/10.1016/j.athoracsur.2019.08.111
    • Jiritano, F., Serraino, G. F., ten Cate, H., Fina, D., Matteucci, M., Mastroroberto, P., & Lorusso, R. (2020). Platelets and extra-corporeal membrane oxygenation in adult patients: a systematic review and meta-analysis. Intensive Care Medicine, 46(6), 1154-1169. https://doi.org/10.1007/s00134-020-06031-4
    • Lemmens, C. C., Mees, B. M. E., de Haan, M. W., & Schurink, G. W. H. (2020). Stabilization of a steerable sheath during retrograde access to antegrade-oriented branches in complex endovascular aortic aneurysm repair. Journal of Vascular Surgery Cases and Innovative Techniques, 6(2), 288-291. https://doi.org/10.1016/j.jvscit.2020.03.014
    • Akbulut, A. C., Pavlic, A., Petsophonsakul, P., Halder, M., Maresz, K., Kramann, R., & Schurgers, L. (2020). Vitamin K2 Needs an RDI Separate from Vitamin K1. Nutrients, 12(6), Article 1852. https://doi.org/10.3390/nu12061852
    • Kowalewski, M., Fina, D., Stomka, A., Raffa, G. M., Martucci, G., Lo Coco, V., De Piero, M. E., Ranucci, M., Suwalski, P., & Lorusso, R. (2020). COVID-19 and ECMO: the interplay between coagulation and inflammation-a narrative review. Critical Care, 24(1), Article 205. https://doi.org/10.1186/s13054-020-02925-3
    • Slomka, A., Kowalewski, M., Zekanowska, E., Suwalski, P., Lorusso, R., & Eikelboom, J. W. (2020). Plasma Levels of Protein Z in Ischemic Stroke: A Systematic Review and Meta-Analysis. Thrombosis and Haemostasis, 120(5), 815-822. https://doi.org/10.1055/s-0040-1708878
    • Swol, J., Lorusso, R., Di Nardo, M., Vercaemst, L., Finney, S. J., Jones, T. J., Barrett, N. A., & Belohlavek, J. (2020). ECLS Training and Simulation - Evaluation of the 8th Educational Corner of the EuroELSO Congress 2019 Held in Barcelona. Perfusion, 35, 86-92. https://doi.org/10.1177/0267659120909001
    • Matteucci, M., Kowalewski, M., Fina, D., Jiritano, F., Meani, P., Raffa, G. M., Aldobayyan, I., Beghi, C., Maessen, J., & Lorusso, R. (2020). Extracorporeal life support for phaeochromocytoma-induced cardiogenic shock: a systematic review. Perfusion, 35(1_suppl), 20-28. https://doi.org/10.1177/0267659120908413
    • Ramanathan, K., Tan Chuen Seng, Rycus, P., Anders, M., Lorusso, R., Zhang, J. J. Y., & MacLaren, G. (2020). Extracorporeal Membrane Oxygenation in Pregnancy: An Analysis of the Extracorporeal Life Support Organization Registry. Critical Care Medicine, 48(5), 696-703. https://doi.org/10.1097/CCM.0000000000004269
    • Fina, D., Matteucci, M., Jiritano, F., Meani, P., Kowalewski, M., Ballotta, A., Ranucci, M., & Lorusso, R. (2020). Extracorporeal membrane oxygenation without systemic anticoagulation: a case-series in challenging conditions. Journal of Thoracic Disease, 12(5), 2113-2119. https://doi.org/10.21037/jtd.2020.04.54
    • Malfertheiner, M. V., Broman, L. M., Vercaemst, L., Belliato, M., Aliberti, A., Di Nardo, M., Swol, J., Barrett, N., Pappalardo, F., Belohlavek, J., Taccone, F. S., Millar, J. E., Crawford, L., Lorusso, R., Suen, J. Y., & Fraser, J. F. (2020). Ex vivo models for research in extracorporeal membrane oxygenation: a systematic review of the literature. Perfusion, 35, 38-49. https://doi.org/10.1177/0267659120907439
    • Bartlett, R. H., Ogino, M. T., Brodie, D., McMullan, D. M., Lorusso, R., MacLaren, G., Stead, C. M., Rycus, P., Fraser, J. F., Belohlavek, J., Salazar, L., Mehta, Y., Raman, L., & Paden, M. L. (2020). Initial ELSO Guidance Document: ECMO for COVID-19 Patients with Severe Cardiopulmonary Failure. Asaio Journal, 66(5), 472-474. https://doi.org/10.1097/MAT.0000000000001173
    • Lepper, P. M., Barrett, N. A., Swol, J., Lorusso, R., Di Nardo, M., Belliato, M., Belohlavek, J., & Broman, L. M. (2020). Perception of prolonged extracorporeal membrane oxygenation in Europe: an EuroELSO survey. Perfusion, 35(1SI), 81-85. https://doi.org/10.1177/0267659120909740
    • Lorusso, R., & Belohlavek, J. (2020). Supporting the circulation, but injuring the brain: the (still unsolved) threat and paradox of extracorporeal life support. Perfusion, 35(1_suppl), 5-7. https://doi.org/10.1177/0267659120909080
    • Sardari Nia, P., Heuts, S., Daemen, J. H. T., Olsthoorn, J. R., Chitwood, W. R., & Maessen, J. G. (2020). The EACTS simulation-based training course for endoscopic mitral valve repair: an air-pilot training concept in action. Interactive Cardiovascular and Thoracic Surgery, 30(5), 691-698. https://doi.org/10.1093/icvts/ivz323
    • Jaminon, A. M. G., Dai, L., Qureshi, A. R., Evenepoel, P., Ripsweden, J., Soderberg, M., Witasp, A., Olauson, H., Schurgers, L. J., & Stenvinkel, P. (2020). Matrix Gla protein is an independent predictor of both intimal and medial vascular calcification in chronic kidney disease. Scientific Reports, 10(1), Article 6586. https://doi.org/10.1038/s41598-020-63013-8
    • Zakhary, B., Vercaemst, L., Mason, P., Lorusso, R., & Brodie, D. (2020). How I manage drainage insufficiency on extracorporeal membrane oxygenation. Critical Care, 24(1), Article 151. https://doi.org/10.1186/s13054-020-02870-1
    • d'Alessandro, E., Becker, C., Bergmeier, W., Bode, C., Bourne, J. H., Brown, H., Buller, H. R., ten Cate-Hoek, A. J., ten Cate, V., van Cauteren, Y. J. M., Cheung, Y. F. H., Cleuren, A., Coenen, D., Crijns, H. J. G. M., de Simone, I., Dolleman, S. C., Klein, C. E., Fernandez, D. I., Granneman, L., ... Scientific Reviewer Committee (2020). Thrombo-Inflammation in Cardiovascular Disease: An Expert Consensus Document from the Third Maastricht Consensus Conference on Thrombosis. Thrombosis and Haemostasis, 120(4), 538-564. https://doi.org/10.1055/s-0040-1708035
    • Maesen, B., La Meir, M., Luermans, J., & Segers, P. (2020). A minimally invasive all-in-one approach for patients with left anterior descending artery disease and atrial fibrillation. European Journal of Cardio-Thoracic Surgery, 57(4), 803-805. https://doi.org/10.1093/ejcts/ezz257
    • Wubbeke, L. F., Telgenkamp, B., van Boxtel, T., Bolt, L. J. J., Houthoofd, S., Vriens, P. W. H. E., Bouwman, L. H., Mees, B. M. E., & Daemen, J. W. H. C. (2020). Gentamicin Containing Collagen Implants and Groin Wound Infections in Vascular Surgery: A Prospective Randomised Controlled Multicentre Trial. European Journal of Vascular and Endovascular Surgery, 59(4), 635-641. https://doi.org/10.1016/j.ejvs.2020.01.010
    • Snoeijs, M. G. (2020). Summarising Small Studies on Big Fistulas. European Journal of Vascular and Endovascular Surgery, 59(4), 624-624. https://doi.org/10.1016/j.ejvs.2019.07.040
    • Kowalewski, M., Raffa, G., Zielinski, K., Meani, P., Alanazi, M., Gilbers, M., Heuts, S., Natour, E., Bidar, E., Schreurs, R., Delnoij, T., Driessen, R., Sels, J. W., van de Poll, M., Roekaerts, P., Maessen, J., Suwalski, P., & Lorusso, R. (2020). Baseline surgical status and short-term mortality after extracorporeal membrane oxygenation for post-cardiotomy shock: a meta-analysis. Perfusion, 35(3), 246-254. Article 0267659119865122. https://doi.org/10.1177/0267659119865122
    • Quicken, S., de Bruin, Y., Mees, B., Tordoir, J., Delhaas, T., & Huberts, W. (2020). Computational study on the haemodynamic and mechanical performance of electrospun polyurethane dialysis grafts. Biomechanics and modeling in mechanobiology, 19(2), 713-722. https://doi.org/10.1007/s10237-019-01242-1