A5048278790- Cardiac Valve Diseases and Treatments
- Spine and Intervertebral Disc Pathology
- Cardiac Structural Anomalies and Repair
- Spinal Fractures and Fixation Techniques
- Congenital Heart Disease Studies
- Infective Endocarditis Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Traumatic Brain Injury and Neurovascular Disturbances
- Cardiac and Coronary Surgery Techniques
- Mechanical Circulatory Support Devices
- Musculoskeletal pain and rehabilitation
- Cervical and Thoracic Myelopathy
- Cardiac, Anesthesia and Surgical Outcomes
- Cerebrospinal fluid and hydrocephalus
- Intracranial Aneurysms: Treatment and Complications
- Cardiac Arrhythmias and Treatments
- Cardiac Ischemia and Reperfusion
- Blood transfusion and management
- Cardiac Arrest and Resuscitation
- Acute Ischemic Stroke Management
- Scoliosis diagnosis and treatment
- Cardiac pacing and defibrillation studies
- Pulmonary Hypertension Research and Treatments
- Medical Imaging and Analysis
- Glaucoma and retinal disorders
New York Hospital Queens
2021-2025
Neurological Surgery
2016-2025
Cornell University
2021-2025
Weill Cornell Medicine
2021-2025
NewYork–Presbyterian Hospital
2021-2025
University of Washington
2016-2024
Presbyterian Hospital
2022-2024
Northern Light Mercy Hospital
2024
Santa Clara University
2024
North American Spine Society
2022
Minimally invasive lumbar unilateral tubular laminotomy for bilateral decompression has gradually gained acceptance as a less destabilizing but efficacious and safe alternative to traditional open techniques. The authors have further advanced the principles of minimally surgery (MIS) by utilizing working-channel endoscope-based Full-endoscopic technique allows high-resolution off-axis visualization neural structures within lateral recess, thereby minimizing need facet joint resection....
OBJECTIVE The management of lumbar spinal stenosis (LSS) with concurrent scoliosis and/or spondylolisthesis remains controversial. Full-endoscopic unilateral laminotomy for bilateral decompression (ULBD) facilitates neural while preserving stabilizing osseoligamentous structures and may be uniquely suited the treatment LSS mild to moderate degenerative deformity. safety efficacy full-endoscopic versus minimally invasive surgery (MIS) ULBD in this patient population is studied here first...
Before a person suffering from traumatic brain injury reaches medical facility, measuring their pupillary light reflex (PLR) is one of the few quantitative measures clinician can use to predict outcome. We propose PupilScreen, smartphone app and accompanying 3D-printed box that combines repeatability, accuracy, precision clinical device with ubiquity convenience penlight test clinicians regularly in emergency situations. The PupilScreen stimulates patient's eyes using smartphone's flash...
<h3>ABSTRACT</h3> The human intervertebral disc (IVD) is a complex organ composed of fibrous and cartilaginous connective tissues, it serves as boundary between 2 adjacent vertebrae. It provides limited range motion in the torso well stability during axial compression, rotation, bending. Adult IVDs have poor innate healing potential due to low vascularity cellularity. Degenerative disease (DDD) generally arises from disruption homeostasis maintained by structures IVD, genetic environmental...
The pupillary light reflex (PLR) is an important biomarker for the detection and management of traumatic brain injury (TBI). We investigated performance PupilScreen, a smartphone-based pupillometry app, in classifying healthy control subjects with severe TBI comparison to current gold standard NeurOptics pupillometer (NPi-200 model proprietary Neurological Pupil Index [NPi] severity score). A total 230 PLR video recordings taken using both PupilScreen smartphone handheld device (NPi-200)...
Background: Mechanomyography (MMG) is a neurodiagnostic technique with documented ability to evaluate the compression of nerve roots. Its utility in degenerative spine surgery unknown. Objective: To assess intraoperative MMG during cervical posterior foraminotomy, minimally invasive transforaminal interbody fusion (MIS-TLIF), and tubular lumbar far lateral discectomy. Methods: A prospective feasibility study was conducted which applied three procedures. Adhesive accelerometers were placed on...
Image-guided spinal surgery (IGSS) underwent rapid development over the past decades. The goal of IGSS is to increase patient safety and improve workflow. We present an overview history IGSS, illustrate its current state, highlight future developments. Currently, requires image set, a tracking system, calibration method.Two-dimensional images have many disadvantages as source for navigation. most common navigation technique three-dimensional (3D) based on cross-sectional imaging techniques...
To evaluate the effect of prophylactic procainamide on frequency postoperative atrial fibrillation in patients undergoing myocardial revascularization.Prospective, randomized, double-blind, placebo-controlled pilot study.Surgical intensive care unit and wards at a university hospital affiliate.A total 46 revascularization.Twenty-two received (procainamide group) 24 placebo (control group). Procainamide was administered to group within 1 hr patient's arrival consisted an intravenous loading...
Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) is a highly reproducible procedure for the of spinal segments. We recently introduced concept "total navigation" to improve workflow and eliminate fluoroscopy. Imageguided surgery incorporating augmented reality (AR) may further facilitate workflow. In this study, we developed evaluated protocol integrate AR into MISTLIF.A case series 10 patients was basis evaluation tubular MIS-TLIF by application AR. Surgical TLIF...
Objective The pupillary light reflex (PLR) and the diameter over time (the PLR curve) is an important biomarker of neurological disease, especially in diagnosis traumatic brain injury (TBI). We investigated whether curves generated by a novel smartphone pupillometer application could be easily accurately interpreted to aid TBI. Methods A total 120 from 42 healthy subjects six patients with TBI were PupilScreen. Eleven clinician raters, including one group physicians neurocritical care...
Surgical resection of benign intradural extramedullary tumors (BIETs) is effective for appropriately selected patients. Minimally invasive surgical (MIS) techniques have been described successful BIET while minimizing soft tissue injury. Augmented reality (AR) a promising new technology that can accurately allow intraoperative localization from skin through the compartment. We present case series evaluating timing, steps, and accuracy at which this able to enhance resection.A protocol MIS...
OBJECTIVE Asymmetrical degeneration of the disc is one most common causes primary degenerative scoliosis in adults. Coronal deformity usually less symptomatic than a sagittal because there expenditure energy and hence effort to maintain upright posture. However, nerve root compression at fractional curve or concave side main can give rise debilitating radiculopathy. METHODS This study was retrospective analysis 16 patients with coronal between 10° 20°. All underwent endoscopic foraminal...