A5028062880- Intracranial Aneurysms: Treatment and Complications
- Cerebrovascular and Carotid Artery Diseases
- Vascular Malformations Diagnosis and Treatment
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Intracerebral and Subarachnoid Hemorrhage Research
- Neurosurgical Procedures and Complications
- Antiplatelet Therapy and Cardiovascular Diseases
- Venous Thromboembolism Diagnosis and Management
- Healthcare cost, quality, practices
- Health Systems, Economic Evaluations, Quality of Life
- Cerebral Venous Sinus Thrombosis
- Moyamoya disease diagnosis and treatment
- Coronary Artery Anomalies
- Atrial Fibrillation Management and Outcomes
- Diagnosis and Treatment of Venous Diseases
- Cardiac tumors and thrombi
- Radiomics and Machine Learning in Medical Imaging
- Aortic aneurysm repair treatments
- Stroke Rehabilitation and Recovery
- Spine and Intervertebral Disc Pathology
- Artificial Intelligence in Healthcare and Education
- Trauma and Emergency Care Studies
- Diversity and Career in Medicine
- Cerebrospinal fluid and hydrocephalus
Albany Medical Center Hospital
2016-2025
Icahn School of Medicine at Mount Sinai
2024
Neurological Surgery
2023-2024
New York Hospital Queens
2024
North Shore University Hospital
2024
Northwell Health
2024
Cornell University
2024
University of Pennsylvania
2022-2024
NewYork–Presbyterian Hospital
2024
Duke University
2017-2022
Outcome studies for spine surgery rely on patient-reported outcomes (PROs) to assess treatment effects. Commonly used health-related quality-of-life questionnaires include the following scales: back pain and leg visual analog scale (BP-VAS LP-VAS); Oswestry Disability Index (ODI); EuroQol-5D health survey (EQ-5D). A shortcoming of these is that their numerical scores lack a direct meaning or clinical significance. Because this, concept minimum clinically important difference (MCID) has been...
Subacute and chronic subdural hematomas are common frequently recur after surgical evacuation. The effect of adjunctive middle meningeal artery embolization on the risk reoperation remains unclear. In a prospective, multicenter, interventional, adaptive-design trial, we randomly assigned patients with symptomatic subacute or hematoma an indication for evacuation to undergo plus surgery (treatment group) alone (control group). primary end point was recurrence progression that led repeat...
Background and purpose BRANCH (wide-neck bifurcation aneurysms of the middle cerebral artery basilar apex treated by endovascular techniques) is a multicentre, retrospective study comparing core lab evaluation angiographic outcomes with self-reported outcomes. Materials methods Consecutive patients were enrolled from 10 US centres, aged between 18 85 unruptured wide-neck (MCA) or endovascularly. Patient demographics, aneurysm morphology, procedural information, mortality morbidity data...
Background and objective Flow diverters are an exciting new class of endovascular devices that treat aneurysms by curative reconstruction the parent artery. The Pipeline embolization device (PED) is first FDA-approved intracranial flow diverting available in USA. This paper presents periprocedural results with a series 35 consecutive cases. Methods All patients who underwent PED treatment aneurysm at our institution following FDA approval April 2011 were included series. Patient...
Introduction Aneurysm recurrence is a principle limitation of endovascular coiling procedures, with rates reported >30%. The adjunct use self-expandable stents has revolutionized the treatment intracranial aneurysms, especially for complex morphologies, wide necks or unfavorable dome to neck ratios. However, further investigation into durability and outcomes stent assisted procedures required. Methods records prospective single center aneurysm database were retrospectively reviewed, 90...
The Pipeline embolization device (PED) is a new endovascular option for wide-necked or fusiform anterior circulation aneurysms that were classically treated by coil with adjunctive use of stent. However, stent-coiling incurs significant equipment and implant costs.To determine whether PED more economical than stent-assisted coiling.Sixty consecutive patients who underwent treatment the (30 patients) single-stage coiling identified from prospective single-center aneurysm database. hospital...
Introduction The Flow Re-direction Endoluminal Device (FRED) is a novel flow diverter with unique double stent design, an inner composed of 48 nitinol wires, and outer 16 wires. It designed for endovascular cerebral aneurysm treatment, although, limited data exist regarding in-stent stenosis (ISS) rates associated FRED devices. Methods A registry encompassing two North American comprehensive stroke centers was the base this study. We longitudinally assessed patients implanted devices,...
BACKGROUND AND OBJECTIVES: X (formerly known as Twitter) is a social media platform gaining popularity in neurosurgery. Other disciplines have demonstrated positive correlation between Twitter activity and traditional citation metrics. This study aims to determine if greater predictor of rates than journal's 5-year impact factor (IF) among major neurosurgical journals. METHODS: Using mixed linear model, we compared the predictive value alternative metrics (such mentions on Altmetric...
Background The contact aspiration (CA) technique is often used to perform endovascular thrombectomy (EVT) for acute ischemic stroke (AIS); however, rescue strategies are necessary if CA fails achieve recanalization. This study investigates the outcomes of incorporating stent retriever (SR) in strategy following failed CA. Methods EVT patients with attempts were identified from a large multicenter registry and stratified by technique: alone or SR strategy. Outcomes included successful...
Introduction: Delays in endovascular therapy for acute large vessel occlusion (LVO) stroke can contribute significantly to disability following successful recanalization. The implementation of an automated intelligence LVO detection and interdisciplinary communication platform shorten times treatment. Methods: We conducted a multicenter retrospective observational cohort study consecutive adults with the internal carotid, proximal middle cerebral, or basilar artery. Hub-and-spoke networks...
OBJECTIVE The Flow-Redirection Endoluminal Device X (FRED X) is a newer generation flow diverter with surface modifications aimed at minimizing thrombogenicity. At present, data on its long-term efficacy are limited. This multicenter study presents the largest series within United States describing device’s efficacy, safety, and outcomes in treating cerebral aneurysms of varying morphology. METHODS Patients treated FRED for aneurysm between February 2022 2024 6 high-volume centers across...
INTRODUCTION: Stent development has focused recently on low-profile, self-expandable stents compatible with 0.0165-inch microcatheters. The LVIS EVO is the second generation version of Low-Profile Visualized Intraluminal Support (LVIS) improved visibility as a result drawn filled tube (DFT) wires consisting an inner platinum wire and outer nitinol wire. underwent limited premarket release (PMR) in December 2023. METHODS: This multicenter retrospective observational study evaluating patients...
Background Preoperative embolization has been used for intracranial meningiomas nearly 40 years with varying preferences embolic materials and limited comparative data on their efficacy. Methods Consecutively treated patients from 2013 until 2023 who underwent preoperative meningioma 12 centers across North America Europe were included classified by material: (1) particles, (2) Onyx, (3) coils. Primary outcomes estimated blood loss (EBL), procedural complications, surgery duration, gross...
Socioeconomic status influences health outcomes, including cerebrovascular diseases. Patients from socioeconomically deprived areas may present with more severe conditions due to delayed access care. This study evaluates the association between neighborhood-level deprivation, measured by Area Deprivation Index (ADI), and treatment of ruptured intracranial aneurysms (RIAs) compared unruptured (UIAs) across multiple centers. retrospective cohort analyzed data 4517 patients treated for cerebral...
Spirituality and religiosity (S/R) play a significant role in the cancer journey, influencing patients’ quality of life, mental resilience, even physiological health. This review explores intersection S/R with treatment recovery, utilizing insights from diverse body scientific literature. Studies indicate that can act as source comfort, community support, psychological well-being among patients. Some results demonstrate is associated improved immune function, decreased fatigue, better...
The concept of minimum clinically important difference (MCID) has been shown to be effective in spine surgery differentiate between insignificant and significant improvements as determined by the patient.The MCID for spinal cord stimulation (SCS) date not established. We sought determine SCS therapy failed laminectomy syndromes.Preoperative 6-mo outcomes were assessed prospectively, including Oswestry Disability Index (ODI), Beck Depression Inventory (BDI), McGill Visual Analog Survey...
Background Optimal antiplatelet inhibition is vital during cerebrovascular stenting procedures, yet no standardized recommendation exists for antithrombotic therapy in these scenarios. Cangrelor an intravenous P2Y12 inhibitor with a favorable pharmacokinetic profile use neuroendovascular stenting. Methods A retrospective review of all patients who underwent between 1 January 2019 and 22 March 2020 were treated cangrelor was conducted. Thirty-seven met inclusion criteria. Results All...
Abstract Purpose Heterotopic ossification (HO) is a process by which bone forms abnormally in soft tissues. Known risk factors for developing HO include male sex, spinal cord injury, trauma, and surgery. We investigated additional the development of after hip arthroplasty. Methods performed retrospective review electronic medical records 4070 individuals who underwent arthroplasty from September 2010 to October 2019 at University California, San Francisco Hospital. Demographics,...
Rapid initiation of mechanical thrombectomy (MT) for the treatment large-vessel occlusion (LVO) critically improves patient outcomes. Artificial intelligence algorithms aid in identification LVOs and improve door to puncture times as well transfer times.We aimed determine whether implementation an LVO detection algorithm that provides immediate active notification team provider's cell phone would ischemic stroke workflow at our institution from outlying hospitals when compared prior system...
BACKGROUND Bacterial meningitis–induced ischemic stroke continues to cause significant long-term complications in pediatric patients. The authors present a case of severe right internal carotid artery terminus and M1 segment vasospasm 9-year-old with an infected cholesteatoma, which was refractory multiple intraarterial treatments verapamil milrinone. This is the first report continuous antispasmodic treatment patient as well awake extubated patient. OBSERVATIONS Arterial narrowing...
ABSTRACT Introduction Artificial intelligence (AI) has significant potential in medicine, especially diagnostics and education. ChatGPT achieved levels comparable to medical students on text-based USMLE questions, yet there’s a gap its evaluation image-based questions. Methods This study evaluated ChatGPT-4’s performance questions from Step 1, 2, 3. A total of 376 including 54 image-based, were tested using an image-captioning system generate descriptions for the images. Results The overall...
Background Recent literature highlights the adverse effects of recreational marijuana on cerebrovascular pathologies and outcomes. However, its impact arteriovenous malformation (AVM) outcomes is unknown. Objective To investigate differences in AVM between users non-users, focusing primarily likelihood presenting with rupture secondly, other drugs in-hospital mortality complications. Methods Adult patients diagnosed cerebral AVMs from National Inpatient Sample were included. Use drugs,...