- Acute Ischemic Stroke Management
- Cerebrovascular and Carotid Artery Diseases
- Neurological Complications and Syndromes
- Moyamoya disease diagnosis and treatment
- Intracranial Aneurysms: Treatment and Complications
- Stroke Rehabilitation and Recovery
- Dementia and Cognitive Impairment Research
- Pregnancy and preeclampsia studies
- Venous Thromboembolism Diagnosis and Management
- Endometriosis Research and Treatment
- Cerebrovascular and genetic disorders
- Menopause: Health Impacts and Treatments
- Cerebral Venous Sinus Thrombosis
- COVID-19 and healthcare impacts
- Long-Term Effects of COVID-19
- Cardiovascular Health and Disease Prevention
- Intensive Care Unit Cognitive Disorders
- Peripheral Artery Disease Management
- Pharmacological Effects and Toxicity Studies
- Pharmaceutical industry and healthcare
- Atrial Fibrillation Management and Outcomes
- Migraine and Headache Studies
University of Iowa Hospitals and Clinics
2022-2025
University of Iowa
2021-2024
TESLA (Czechia)
2024
Texas Health Dallas
2020
Columbia University Irving Medical Center
2020
Columbia University
2020
Although previous trials have established the efficacy and safety of endovascular thrombectomy (EVT) in large ischemic core strokes, most them excluded patients with extracranial internal carotid artery (e-ICA) occlusion. We aimed to compare outcomes e-ICA occlusion infarcts treated EVT vs medical management (MM). This was a secondary analysis SELECT2 trial, randomized controlled trial conducted at 31 international sites. Adult proximal intracranial anterior circulation defined as Alberta...
Objective: Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) primarily causes illness. However, neurological sequelae from novel disease 2019 (COVID-19) can occur. Patients with conditions may be at higher risk of developing worsening their underlying problem. Here we document our initial experiences as neurologic consultants a single center quaternary hospital the epicenter COVID-19 pandemic. Methods: This was retrospective case series adult patients diagnosed SARS-CoV-2 who...
Selection of appropriate surgical strategy for the treatment intracranial aneurysms (IA) during pregnancy requires careful consideration potential risks to mother and fetus. However, limited data guide decisions in these patients. We compared safety profiles endovascular coiling (EC) neurosurgical clipping (NC) performed ruptured unruptured IA postpartum period.Pregnancy-related or hospitalizations undergoing intervention were identified from Nationwide Readmissions Database 2016-2018....
There are limited data regarding the best management and outcomes of acute stroke during pregnancy puerperium.Pregnancy-related hospitalizations with age > 18 years were identified from Nationwide Readmissions Database 2016-2018. The study cohort consisted all patients a 5% random sample remaining non-stroke hospitalizations. Logistic regression survival analyses used to compare in-hospital readmissions in without stroke.There 11,829,044 pregnancy-related hospitalizations, which 4057 had...
To evaluate the frequency, etiologies, and risk factors for 90-day readmissions after hospitalization posterior reversible encephalopathy syndrome (PRES).Data were obtained from Nationwide Readmissions Database 2016-2018. Patients with a primary diagnosis of PRES, survival to discharge, known discharge disposition included. The outcome was nonelective readmission within 90 days discharge. Survival analysis performed, independent predictors analyzed using multivariable Cox proportional...
Introduction: Trials evaluating thrombectomy (EVT) efficacy and safety in large vessel occlusion (LVO) excluded patients with cervical tandem lesions (TL). We aimed to evaluate EVT stroke TL from the SELECT2 trial. Methods: was a randomized controlled trial vs. medical management (MM) LVO ischemic strokes (ASPECTS 3-5 on computed tomography (CT) or core ≥50 ml CT Perfusion/MR diffusion-perfusion). were defined as internal carotid artery concomitant determined by lab. Functional, safety,...
Background: Direct oral anticoagulants (DOACs) are superior to warfarin in preventing ischemic stroke from nonvalvular atrial fibrillation (AF). Transitioning a DOAC is rarely medically indicated. The frequency and determinants of switching warfarin, including the potential influence cost, not known. Objective: Examine impact financial assistance available through Medicaid prescription coverage or low-income subsidy programs on likelihood after initiating DOAC. Methods: We identified...
Background: There is limited data regarding the clinical course of acute stroke during pregnancy. Methods: Pregnancy-related hospitalizations with age>18 years were identified from Nationwide Readmissions Database 2016-2018. Logistic regression and survival analyses used to compare risk factors, outcomes, readmissions in patients without strokes. Results: 11829044 pregnancy-related hospitalizations, which 3498 had a 5% random sample remaining non-stroke (N=628106) included as controls...