Raul G. Nogueira, MD, FAHA, FSVIN

Endowed Professor of Neurology and Neurosurgery

Title(s)

  • Division Chief, Cerebrovascular Medicine
  • Director, UPMC Stroke Institute
  • Senior Co-Founder & CMO, HORUS NeuroTechnologies
  • Founding Co-Director & Co-PI, NeuroPrecision Lab

Biographical Sketch

Dr. Raul G. Nogueira completed his neurology residency at the Massachusetts General Hospital/Brigham and Women’s Hospital/Harvard Medical School program in 2002. He subsequently pursued fellowship training in Vascular Neurology, Neurocritical Care, and Neurointerventional Surgery at Massachusetts General Hospital, where he remained on the faculty for five years.

He then moved to Atlanta to lead the Neuroendovascular and Neurocritical Care services at the newly established Marcus Stroke & Neuroscience Center at Grady Memorial Hospital and Emory University School of Medicine. Under his leadership, Grady emerged as one of the nation’s leading comprehensive stroke centers, achieving one of the highest thrombectomy volumes of any single hospital in the United States while becoming a recognized center for pioneering stroke innovations and a leading recruiter in major clinical trials.

In early 2022, after 11.5 years at Emory University, Dr. Nogueira moved to Pittsburgh as the Inaugural Endowed Professor and Division Chief of Cerebrovascular Medicine at the University of Pittsburgh School of Medicine and Director of the UPMC Stroke Institute. Since his arrival, the UPMC Stroke Institute has more than doubled the size of its stroke faculty, substantially expanded its clinical and telestroke coverage capabilities, and strengthened its educational and research programs, further integrating high-quality stroke care across the UPMC system.

Dr. Nogueira is board certified in Neurology, Neurocritical Care, Neurosonology, and Neurointerventional Surgery. He is a founder and Past President of the Society of Vascular and Interventional Neurology (SVIN), designed the SVIN Registry and serves as its Emeritus Chair, and is the former Editor-in-Chief of Interventional Neurology, SVIN’s first scientific journal.

A passionate educator and mentor, Dr. Nogueira has trained and inspired numerous residents and clinical and research fellows who have gone on to become leaders in stroke and neurovascular care. He has lectured in nearly 30 countries and is Co-Director of the iCURE Stroke course, which over the past seven years has become a major international educational platform in stroke and has attracted participants from more than 40 countries. He is also a regular faculty member at many of the leading international stroke and neuroendovascular educational forums, including LINNC, WLNC, ALICE, and SLICE. He has been actively involved in the Stroke Treatment Academic Industry Roundtable (STAIR) initiative and serves as Neurology Co-Director of the Acute Reperfusion Therapies and Imaging in Stroke Evolution (ARISE) initiative, both of which bring together academic leaders and key representatives from the NIH, FDA, and industry to advance stroke research and innovation.

Dr. Nogueira is an internationally recognized clinical investigator with an extensive network of collaborators across North America, Latin America, Europe, Asia, and Australia. He has held leadership roles in many of the pivotal studies that have shaped modern stroke thrombectomy and cerebrovascular care. He has served as Principal Investigator or in other senior leadership roles for numerous trials and registries, including TREVO-2, Penumbra 3D Separator, DAWN, BEST, RESILIENT, ATTENTION, ENDOLOW, PROST, ORIENTAL-MeVO, WE-TRUST, IMPERATIVE, MARRS, Rapid-Pulse, RESILIENT-Extend, DUSK, RESILIENT-DIRECT-TNK, RESILIENT-EXTEND-IV, IAT-TOP, PEARL, ANGEL-COAST, IAT-BOOST, and the EXCELLENT Registry. He has also served on the Steering Committees of pivotal trials including SWIFT, SWIFT PRIME, ARISE-II, DEVT, CLEAR, CHARM, ATTENTION-IA, ATTENTION-IV, ATTENTION-Late, ASSET-IT, BRIDGE-TNK, RESCUE BT, RESCUE BT2, INSTANT, POST-TNK, POST-UK, MARVEL, SUMMIT MAX, and ATHENA; contributed to major multicenter registries including TREVO, ATTENTION, and BASILAR; and played leadership roles in the VERITAS and AURORA international collaborations. He is also one of the Global Multi-Principal Investigators of the NIH STEP Platform Trial.

A pioneer in cerebrovascular medicine and neurotechnology, Dr. Nogueira has helped advance multiple transformative technologies, including stent retrievers for mechanical thrombectomy, artificial intelligence applications in stroke care, neuroendovascular robotic surgery, nanotechnology-based approaches to stroke reperfusion, and neuroendovascular implantation of brain-computer interface devices. Together with Dr. Mohammad Doheim, a former mentee and now collaborator, he founded HORUS NeuroTechnologies and the NeuroPrecision Lab to foster innovation, translational research, and entrepreneurship at the intersection of neuroscience, engineering, and endovascular therapy.

Dr. Nogueira has authored more than 700 peer-reviewed publications, including first- and senior-author articles in The New England Journal of Medicine, The Lancet, JAMA, and other leading scientific journals.

At UPMC, Dr. Nogueira is committed to advancing the Stroke Institute’s mission to serve its communities and lead the transformation of stroke care. His priorities include ensuring rapid access to world-class acute stroke treatment across the UPMC system, advancing innovative neurovascular research and technologies, and educating and mentoring the next generation of leaders in cerebrovascular medicine.

Education & Training

  • Fellow, Harvard Medical School/Massachusetts General Hospital, Interventional Neurology and Endovascular Neurosurgery
  • Fellow, Diagnostic Neuroradiology, Harvard Medical School/Massachusetts General Hospital
  • Fellowship, Harvard Medical School/Massachusetts General Hospital, Vascular and Critical Care Neurology
  • Residency, Harvard Medical School/Massachusetts General Hospital and Brigham and Women's Hospital, Neurology
  • Residency, Internal Medicine, University of Miami
  • Residency, Internal Medicine, Federal University of Ceara, Brazil
  • MD, Federal University of Ceara, Brazil

Specialized Areas of Clinical, Research and/or Educational Interests

  • Research: Innovative strategies for the treatment and prevention of ischemic stroke; endovascular approaches to headache and migraine; and the clinical translation of brain-computer interface technologies.
  • Clinical: Diagnosis and treatment of cerebrovascular disorders, including ischemic and hemorrhagic stroke; carotid, vertebral, and intracranial atherosclerotic disease; cerebral aneurysms; arteriovenous malformations and dural arteriovenous fistulas; and cerebral venous sinus disorders.
  • Education: Inspiring and mentoring the next generation of clinical and academic vascular and interventional neurologists through a broad range of institutional and extra-mural educational programs, courses, conferences, and collaborative forums.

Board Certifications

  • American Board of Psychiatry and Neurology
  • American Society of Neuroimaging, Neurosonology
  • United Council for Neurologic Subspecialties, Neurocritical Care
  • Society of Neurological Surgeons, Neuroendovascular Surgery

Professional Organization Membership

  • American Academy of Neurology
  • American Heart Association
  • Society of Vascular and Interventional Neurology
  • Society of NeuroInterventional Surgery
  • European Stroke Organization
  • World Stroke Organization
  • World Federation of Interventional and Therapeutic Neuroradiology

Honors & Awards

  • 2024 — C. Miller Fisher Professorship, Harvard Medical School
  • 2023 — World Stroke Organization Presidential Award
  • 2021 — Senior Faculty Albert E. Levy Award for Scientific Research, Emory University
  • 2021 — SVIN Pilot Research Grant Senior Investigators Award
  • 2021 — Carlos Chagas Award, Brazilian Society of Cerebrovascular Diseases
  • 2020 — Mentoring Award, Emory School of Medicine
  • 2020 — Lee Raccoon Stroke Annual Lecture Award, University of Washington
  • 2019 — Kaplan Lecture Award, New York University
  • 2019 — Doctors’ Day Recognition, Emory School of Medicine
  • 2018 — Researcher Appreciation Day Recognition, Emory School of Medicine
  • 2018 — Juan Taveras Lectureship Award, Harvard Medical School
  • 2018 — L. Nelson Hopkins Lectureship Award, Congress of Neurological Surgeons
  • 2018 — Ruth Bohan Teaching Professorship Award, University of Kansas
  • 2018 — Innovation Award, Society of Vascular and Interventional Neurology
  • 2018 — Faculty Excellence Award, Emory University
  • 2018 — MilliPub Club Award, Emory University
  • 2018 — Health Care Innovator/Researcher Award, Atlanta Business Chronicle
  • 2017 — Presidential Award, Society of Vascular and Interventional Neurology
  • 2017 — Distinguished Service Award, Society of Vascular and Interventional Neurology
  • 2017 — Dr. Martin Gizzi Award Recipient, JFK Hospital, New Jersey
  • 2015 — Next Generation Healer Award, Grady Health System
  • 2014 — Health Care Heroes Award, Atlanta Business Chronicle
  • 2009 — Robert G. Siekert New Investigator Award, American Heart Association
  • 2006 — Partners in Excellence Award, MGH Stroke Team
  • 2003 — Award for Distinguished Physicians, Radiology Society of the State of Ceará
  • 2001 — Excellence in Teaching Award for Residents and Fellows, Harvard Medical School, Class of 2001
  • 1999 — Excellence Award, Internal Medicine Preliminary Program, Jackson Memorial Hospital, University of Miami School of Medicine

Selected Recent Publications

Nogueira RG, Lutsep HL, Gupta R, Jovin TG, Albers GW, Walker GA, Liebeskind DS, Smith WS, for the TREVO 2 Trialists. Trevo versus Merci retrievers for thrombectomy revascularisation of large vessel occlusions in acute ischaemic stroke (TREVO2): a randomized trial. Lancet. 2012 Oct 6;380(9849):1231-40.

Nogueira RG, Jadhav AP, Haussen DC, Bonafe A, Budzik RF, Bhuva P, Yavagal DR, Ribo M, Cognard C, Hanel RA, Sila CA, Hassan AE, Millan M, Levy EI, Mitchell P, Chen M, English JD, Shah QA, Silver FL, Pereira VM, Mehta BP, Baxter BW, Abraham MG, Cardona P, Veznedaroglu E, Hellinger FR, Feng L, Kirmani JF, Lopes DK, Jankowitz BT, Frankel MR, Costalat V, Vora NA, Yoo AJ, Malik AM, Furlan AJ, Rubiera M, Aghaebrahim A, Olivot JM, Tekle WG, Shields R, Graves T, Lewis RJ, Smith WS, Liebeskind DS, Saver JL, Jovin TG; DAWN Trial Investigators. Thrombectomy 6 to 24 Hours after Stroke with a Mismatch between Deficit and Infarct. N Engl J Med. 2018 Jan 4;378(1):11-21.

Liu X, Dai Q, Ye R, Zi W, Liu Y, Wang H, Zhu W, Ma M, Yin Q, Li M, Fan X, Sun W, Han Y, Lv Q, Liu R, Yang D, Shi Z, Zheng D, Deng X, Wan Y, Wang Z, Geng Y, Chen X, Zhou Z, Liao G, Jin P, Liu Y, Liu X, Zhang M, Zhou F, Shi H, Zhang Y, Guo F, Yin C, Niu G, Zhang M, Cai X, Zhu Q, Chen Z, Liang Y, Li B, Lin M, Wang W, Xu H, Fu X, Liu W, Tian X, Gong Z, Shi H, Wang C, Lv P, Tao Z, Zhu L, Yang S, Hu W, Jiang P, Liebeskind DS, Pereira VM, Leung T, Yan B, Davis S, Xu G, Nogueira RG, BEST Trial Investigators. Endovascular treatment versus standard medical treatment for vertebrobasilar artery occlusion (BEST): an open-label, randomised controlled trial. Lancet Neurol. 2020 Feb;19(2):115-122

Martins SO, Mont'Alverne F, Rebello LC, Abud DG, Silva GS, Lima FO, Parente BSM, Nakiri GS, Faria MB, Frudit ME, de Carvalho JJF, Waihrich E, Fiorot JA Jr, Cardoso FB, Hidalgo RCT, Zétola VF, Carvalho FM, de Souza AC, Dias FA, Bandeira D, Miranda Alves M, Wagner MB, Carbonera LA, Oliveira-Filho J, Bezerra DC, Liebeskind DS, Broderick J, Molina CA, Fogolin Passos JE, Saver JL, Pontes-Neto OM, Nogueira RG; RESILIENT Investigators. Thrombectomy for Stroke in the Public Health Care System of Brazil. N Engl J Med. 2020 Jun 11;382(24):2316-2326.

Saver JL, Goyal M, Bonafe A, Diener HC, Levy EI, Pereira VM, Albers GW, Cognard C, Cohen DJ, Hacke W, Jansen O, Jovin TG, Mattle HP, Nogueira RG, Siddiqui AH, Yavagal DR, Baxter BW, Devlin TG, Lopes DK, Reddy VK, du Mesnil de Rochemont R, Singer OC, Jahan R; SWIFT PRIME Investigators. Stent-retriever thrombectomy after intravenous t-PA vs. t-PA alone in stroke. N Engl J Med. 2015 Jun 11;372(24):2285-2295.

Zi W, Qiu Z, Li F, Sang H, Wu D, Luo W, Liu S, Yuan J, Song J, Shi Z, Huang W, Zhang M, Liu W, Guo Z, Qiu T, Shi Q, Zhou P, Wang L, Fu X, Liu S, Yang S, Zhang S, Zhou Z, Huang X, Wang Y, Luo J, Bai Y, Zhang M, Wu Y, Zeng G, Wan Y, Wen C, Wen H, Ling W, Chen Z, Peng M, Ai Z, Guo F, Li H, Guo J, Guan H, Wang Z, Liu Y, Pu J, Wang Z, Liu H, Chen L, Huang J, Yang G, Gong Z, Shuai J, Nogueira RG, Yang Q; DEVT Trial Investigators. Effect of Endovascular Treatment Alone vs Intravenous Alteplase Plus Endovascular Treatment on Functional Independence in Patients With Acute Ischemic Stroke: The DEVT Randomized Clinical Trial. JAMA. 2021 Jan 19;325(3):234-243

Jovin TG,* Nogueira RG*, Lansberg MG, Demchuk AM, Martins SO, Mocco J, Ribo M, Jadhav AP, Ortega-Gutierrez S, Hill MD, Lima FO, Haussen DC, Brown S, Goyal M, Siddiqui AH, Heit JJ, Menon BK, Kemp S, Budzik R, Urra X, Marks MP, Costalat V, Liebeskind DS, Albers GW. Thrombectomy for anterior circulation stroke beyond 6 h from time last known well (AURORA): a systematic review and individual patient data meta-analysis. Lancet. 2021 Nov 11:S0140-6736(21)01341-6.

Tao C, Nogueira RG, Zhu Y, Sun J, Han H, Yuan G, Wen C, Zhou P, Chen W, Zeng G, Li Y, Ma Z, Yu C, Su J, Zhou Z, Chen Z, Liao G, Sun Y, Ren Y, Zhang H, Chen J, Yue X, Xiao G, Wang L, Liu R, Liu W, Liu Y, Wang L, Zhang C, Liu T, Song J, Li R, Xu P, Yin Y, Wang G, Baxter B, Qureshi AI, Liu X, Hu W; ATTENTION Investigators.  Trial of Endovascular Treatment of Acute Basilar-Artery Occlusion. N Engl J Med. 2022 Oct 13;387(15):1361-1372.

Nogueira RG, Jovin TG, Liu X, Hu W, Langezaal LCM, Li C, Dai Q, Tao C, Mont'Alverne FJA, Ji X, Liu R, Li R, Dippel DWJ, Wu C, Zhu W, Xu P, van Zwam WH, Wu L, Zhang C, Michel P, Chen J, Wang L, Puetz V, Zhao W, Liu T, Audebert HJ, Chen Z, Pontes-Neto OM, Yi T, Moran TP, Doheim MF, Schonewille WJ; ATTENTION, BASICS, BAOCHE, and BEST Investigators. Endovascular therapy for acute vertebrobasilar occlusion (VERITAS): a systematic review and individual patient data meta-analysis.Lancet. 2025 Jan 4;405(10472):61-69. 

Hu W, Jing X, Chen Z, Zheng J, Yi T, Zheng T, Li Z, Liu J, Cui T, Wen J, Feng G, Song C, Yang L, Jiang S, Tong L, Jiang C, Ruan Z, Zhou P, Wang S, Wang T, Zhou Z, Ren Y, Qiu T, Zheng C, Wang H, Liu Y, Luo Y, Wang J, Ma Z, Mei B, Liang Y, Zhu Y, Li R, Sun J, Wang L, Zhang C, Liu T, Song J, Tao C, Wang A, Wang J, Xu P, Guo X, Shu L, Qureshi AI, Nguyen TN, AbdalKader M, Saver JL, Chen W, Nogueira RG. Endovascular Treatment of Medium-Vessel-Occlusion Strokes.N Engl J Med. 2026 May 14;394(19):1894-1904.