- Intracranial Aneurysms: Treatment and Complications
- Acute Ischemic Stroke Management
- Vascular Malformations Diagnosis and Treatment
- Cerebrovascular and Carotid Artery Diseases
- Intracerebral and Subarachnoid Hemorrhage Research
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurosurgical Procedures and Complications
- Head and Neck Surgical Oncology
- Cerebral Venous Sinus Thrombosis
- Vascular Malformations and Hemangiomas
- Cerebrospinal fluid and hydrocephalus
- Moyamoya disease diagnosis and treatment
- Meningioma and schwannoma management
- Venous Thromboembolism Diagnosis and Management
- Aortic Disease and Treatment Approaches
- Spine and Intervertebral Disc Pathology
- Ultrasound and Hyperthermia Applications
- Peripheral Artery Disease Management
- MRI in cancer diagnosis
- Oral and Maxillofacial Pathology
- Spinal Fractures and Fixation Techniques
- Stroke Rehabilitation and Recovery
- Aortic aneurysm repair treatments
- Renal and Vascular Pathologies
- Radiation Dose and Imaging
Michigan Medicine
2016-2025
Lady Hardinge Medical College
2024-2025
University of Michigan
2015-2024
Central Institute of Medicinal and Aromatic Plants
2023
National Institute of Technology Jamshedpur
2021
University Health System
2013-2021
Deleted Institution
2021
Oxford University Press (United Kingdom)
2018-2020
Ann Arbor Center for Independent Living
2020
Warde Medical Laboratory
2020
The extent of resection (EOR) is a known prognostic factor in patients with glioblastoma. However, gross-total (GTR) not always achieved. Understanding the factors that prevent GTR helpful surgical planning and when counseling patients. goal this study was to identify demographic, tumor-related, technical influence EOR define relationship between surgeon's impression radiographically determined EOR.The authors performed retrospective review electronic medical records all who underwent...
In Brief Study Design. A randomized, double-blind controlled trial. Objectives. To determine the treatment effect of corticosteroids in periradicular infiltration for chronic radicular pain. We also examined prognostic factors relation to outcome procedure. Summary Background Data. Various studies have therapeutic value using agents consisting local anesthetic and pain, secondary lumbar disc herniation spinal stenosis. There is currently no randomized trial efficacy a single injection...
High-volume centers have better outcomes than low-volume when managing complex conditions including subarachnoid hemorrhage (SAH).To quantify SAH volume-outcome association and determine the extent to which this is influenced by aggressiveness of care.A serial cross-sectional retrospective study using Nationwide Inpatient Sample for 2002 2010 was performed. Included were all adult (older 18 years age) discharged patients with a primary diagnosis admitted from emergency department or...
Histotripsy is an ultrasound-based treatment modality relying on the generation of targeted cavitation bubble clouds, which mechanically fractionate tissue. The purpose current study was to investigate in vivo feasibility, including dosage requirements and safety, generating well-confined destructive lesions within porcine brain utilizing histotripsy technology.
<h3>BACKGROUND AND PURPOSE:</h3> Spinal dural arteriovenous fistulas are a rare entity that, if left untreated, can lead to considerable morbidity with progressive spinal cord symptoms. The aim of this study was evaluate the clinical outcome patients that were primarily treated endovascular embolization. <h3>MATERIALS METHODS:</h3> A retrospective review performed all from 1997–2010 who underwent treatment at 2 academic referral centers for fistula. Follow-up by examination, and functional...
Indira Gandhi Institute of Medical Sciences, Patna, Bihar, India The authors have no conflicts interest to disclose.
This study's purpose was to improve understanding of the forces driving complex mechanical interaction between embolic material and current stroke thrombectomy devices by analyzing histological composition strength emboli retrieved from patients evaluating necessary for retrieval such in a middle cerebral artery (MCA) bifurcation model.
CSP in patients with HNC presenting CBS can provide immediate hemostasis to prevent exsanguination. We evaluated the safety and efficacy of control acute life-threatening hemorrhage CBS.We retrospectively reviewed 10 (7 men, 3 women; mean age, 59 years) from that was treated CSP. studied patient demographics, presentations, procedures, initial delayed complications, technical clinical outcomes on follow-up.All achieved following Periprocedural complications consisted groin hematomas (n=2),...
Background Clopidogrel bisulfate and aspirin are routinely administered as dual antiplatelet agents for many neurointerventional procedures, especially intravascular stent placement. Many patients non-responsive to clopidogrel, either secondary drug interactions or from variations of cytochrome P450 enzymes. Prasugrel (brand name Effient, Eli Lilly Company, Indianapolis, IN, USA) is a new agent that has been utilized extensively in undergoing cardiovascular procedures but its safety efficacy...
Brain iron overload is a key factor causing brain injury after intracerebral hemorrhage (ICH). This study quantified levels ICH with magnetic resonance imaging R2* mapping. The effect of minocycline on and ICH-induced in aged rats was also determined.Aged (18 months old) male Fischer 344 had an injection autologous blood or saline, were measured by Some treated vehicle. euthanized at days 7 28 ICH, brains used for immunohistochemistry Western blot analyses. Magnetic (T2-weighted, T2*...
<h3>BACKGROUND AND PURPOSE:</h3> Few reports have described the embolization of head and neck lesions by using direct percutaneous techniques. We report our preliminary experience in hypervascular tumors Onyx conjunction with standard endovascular describe technical aspects procedure its efficacy reducing intraoperative blood loss. <h3>MATERIALS METHODS:</h3> retrospectively studied 14 patients (3 females 11 males; mean age, 33.4 years; range, 11–56 years) 15 that underwent particulate...
Neurointerventional procedures represent a significant source of ionizing radiation. We sought to assess the effect during neurointerventional varying default rates radiation dose in fluoroscopy (F) and image acquisition (IA) modes, frame cine (CINE) on total X-ray dose, exposures, time, complications.We retrospectively reviewed performed with two CINE settings: factory setting cohort (30 patients, F 45 nGy/pulse, IA 3.6 μGy/pulse, rate) reduced 32 1.2 decreased rate). Total area product,...
Abstract BACKGROUND Intracerebral hemorrhage (ICH) is characterized by a 30-d mortality rate of 40% and significant disability for those who survive. OBJECTIVE To investigate the initial safety concerns histotripsy mediated clot liquefaction aspiration in porcine ICH model. Histotripsy noninvasive, focused ultrasound technique that generates cavitation to mechanically fractionate tissue. has potential liquefy brain facilitate minimally invasive aspiration. METHODS About 1.75-mL clots were...