A5009247637- 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
- Moyamoya disease diagnosis and treatment
- Cerebral Venous Sinus Thrombosis
- Neurosurgical Procedures and Complications
- Meningioma and schwannoma management
- Aortic Disease and Treatment Approaches
- Stroke Rehabilitation and Recovery
- Venous Thromboembolism Diagnosis and Management
- Spinal Hematomas and Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Spinal Fractures and Fixation Techniques
- Renal and Vascular Pathologies
- Long-Term Effects of COVID-19
- Aortic aneurysm repair treatments
- COVID-19 Clinical Research Studies
- Cerebrospinal fluid and hydrocephalus
- Vascular Procedures and Complications
- Head and Neck Surgical Oncology
- Salivary Gland Tumors Diagnosis and Treatment
- Congenital Heart Disease Studies
- COVID-19 and healthcare impacts
New York University
2015-2025
NYU Langone Health
2015-2024
Bellevue Hospital Center
2021-2024
The University of Texas Health Science Center at Houston
2024
Tisch Hospital
2011-2022
Neurological Surgery
2015-2021
Boston Medical Center
2021
Boston University
2021
Baylor College of Medicine
2021
Hinge Health
2020
Abstract BACKGROUND: Early and mid-term safety efficacy of aneurysm treatment with the Pipeline Embolization Device (PED) has been well demonstrated in prior studies. OBJECTIVE: To present 5-yr follow-up for patients treated Uncoilable or Failed Aneurysms clinical trial. METHODS: In our prospective, multicenter trial, 109 complex internal carotid artery (ICA) aneurysms 107 subjects were PED. Patients followed per a standardized protocol at 180 d 1, 3, 5 yr. Aneurysm occlusion, in-stent...
Despite the severity of coronavirus disease 2019 (COVID-19) being more frequently related to acute respiratory distress syndrome and cardiac renal injuries, thromboembolic events have been increasingly reported. We report a unique series young patients with COVID-19 presenting cerebral venous system thrombosis. Three younger than 41 years age confirmed Severe Acute Respiratory Syndrome 2 (SARS-Cov-2) infection had neurologic findings They were admitted during short period 10 days between...
OBJECTIVE The long-term effectiveness of endovascular treatment large and giant wide-neck aneurysms using traditional techniques has been disappointing, with high recanalization re-treatment rates. Flow diversion the Pipeline Embolization Device (PED) recently used as a stand-alone therapy for complex aneurysms, showing significant improvement in while demonstrating similar safety profile to stent-supported coil treatment. However, relatively little is known about its effectiveness. Here...
Clinical evidence of the potential treatment benefit mechanical thrombectomy for posterior circulation distal, medium vessel occlusion (DMVO) is sparse.To investigate frequency as well clinical and safety outcomes isolated DMVO stroke to compare them with standard medical or without intravenous thrombolysis (IVT) in daily practice.This multicenter case-control study analyzed patients who were treated primary distal cerebral artery (PCA) P2 P3 segment. These received (with IVT) at 1 23...
The magnetic resonance (MR) and computed tomographic (CT) images of 53 patients with sinonasal tumors were analyzed compared for accuracy in tumor mapping. the findings confirmed by means either surgery or biopsy. MR 60 inflammatory disease also studied, at surgery. Forty-seven additional examined showing histologic characteristics similar to those found group but occurring elsewhere head neck, excluding orbit. This study concludes that nearly 95% have an intermediate T2 signal, while only...
Low-porosity endoluminal devices for the treatment of intracranial aneurysms, also known as flow diverters, have been in experimental and clinical use close to 10 years. Despite rigorous evidence their safety efficacy well-controlled trials, a number key factors concerning remain poorly defined. Among these, none has received more attention date than debate on how many are optimally required achieve safe, effective, economical outcome. Additional, related questions concern device sizing...
While the thrombotic complications of COVID-19 have been well described, there are limited data on clinically significant bleeding including hemorrhagic stroke. The clinical characteristics, underlying stroke mechanism, and outcomes in this particular subset patients especially salient as therapeutic anticoagulation becomes increasingly common treatment prevention COVID-19. We conducted a retrospective cohort study with (both non-traumatic intracerebral hemorrhage spontaneous non-aneurysmal...
Background Evidence supporting a potential benefit of thrombectomy for distal medium vessel occlusions (DMVOs) the anterior cerebral artery (ACA) is, to knowledge authors, unknown. Purpose To compare clinical and safety outcomes between mechanical (MT) best medical treatment (BMT) with or without intravenous thrombolysis primary isolated ACA DMVOs. Materials Methods Treatment Primary Medium Vessel Occlusion Stroke, TOPMOST, is an international, retrospective, multicenter, observational...
Magnetic resonance (MR) imaging characteristics of 40 tumors involving the parapharyngeal space and upper part neck were reviewed. These lesions could be classified as being either hypervascular (glomus or metastatic kidney, thyroid, venous hemangiomas) hypovascular (salivary gland tumors, neurogenic lymphomas, sarcomas). Detailed analysis contour neoplasm combined with clinical findings allowed further refinement differential diagnosis in each category. Most had an intermediate signal...
OBJECTIVE A detailed analysis was performed of anterior circulation aneurysms treated with a Pipeline Embolization Device (PED) that did not progress to complete occlusion by 1-year follow-up. Angiography the purpose identifying specific factors potentially responsible for these failed outcomes. METHODS From among first 100 patients aneurysms, 92 underwent follow-up angiography and were individually studied through review their pre- postembolization studies. RESULTS Nineteen (21%) remained...
<h3>SUMMARY:</h3> Foreign material emboli following cerebral, cardiac, and peripheral catheterizations have been reported since the mid-1990s. Catheter coatings frequently implicated. The most recent surge of interest in this phenomenon within neurointerventional community is associated with procedures using flow-diversion devices for treatment cerebral aneurysms. Following coil-supported Pipeline embolization 4 cases stent-supported coiling 1, 5 patients developed multiple subcentimeter...
Background and PurposeThe coronavirus disease-2019 (COVID-19) pandemic caused unprecedented demand burden on emergency health care services in New York City. We aim to describe our experience providing acute stroke at a comprehensive center (CSC) the impact of quality for patients presenting with ischemic (AIS).MethodsWe retrospectively analyzed data from improvement registry consecutive AIS University Langone Health's CSC between 06/01/2019-05/15/2020. During early stages pandemic, process...
During the coronavirus disease 2019 (COVID-19) pandemic, World Health Organization recommended measures to mitigate outbreak such as social distancing and confinement. Since these have been put in place, anecdotal reports describe a decrease number of endovascular therapy (EVT) treatments for acute ischemic stroke due large vessel occlusion. The purpose our study was determine effect on EVT patients with during COVID-19 In this retrospective, observational study, data were collected from...
The mechanisms and outcomes in coronavirus disease (COVID-19)-associated stroke are unique from those of non-COVID-19 stroke.To describe the efficacy acute revascularization large vessel occlusion (LVO) setting COVID-19 an international cohort.We conducted multicenter retrospective study consecutively admitted patients with concomitant LVO across 50 comprehensive centers. Our control group constituted historical controls presenting receiving a mechanical thrombectomy between January 2018...
<h3>BACKGROUND AND PURPOSE:</h3> Endoluminal reconstruction with the Pipeline Embolization Device is an effective treatment option for select intracranial aneurysms. However, concerns patency of eloquent branch arteries covered by have been raised. We aimed to examine anterior choroidal artery and clinical sequelae after ICA aneurysm treatment. <h3>MATERIALS METHODS:</h3> prospectively analyzed all patients among our first 157 aneurysms treated who required placement at least 1 device across...
The advent of low-porosity endoluminal devices, also known as flow diverters, exemplified by the Pipeline in United States, produced greatest paradigm shift cerebral aneurysm treatment since introduction detachable coils. Despite robust evidence efficacy and safety, key questions regarding manner their use remain unanswered. Recent studies demonstrated that device geometry can dramatically affect its metal coverage, emphasizing negative effects oversizing relative to target vessels. This...