- Intracranial Aneurysms: Treatment and Complications
- Traumatic Brain Injury and Neurovascular Disturbances
- Neurosurgical Procedures and Complications
- Cerebrovascular and Carotid Artery Diseases
- Vascular Malformations Diagnosis and Treatment
- Meningioma and schwannoma management
- Glioma Diagnosis and Treatment
- Intracerebral and Subarachnoid Hemorrhage Research
- Cerebrospinal fluid and hydrocephalus
- Spinal Fractures and Fixation Techniques
- Acute Ischemic Stroke Management
- Spine and Intervertebral Disc Pathology
- Brain Metastases and Treatment
- Pituitary Gland Disorders and Treatments
- Scoliosis diagnosis and treatment
- Adrenal and Paraganglionic Tumors
- Medical Imaging and Analysis
- COVID-19 and healthcare impacts
- Trauma and Emergency Care Studies
- Moyamoya disease diagnosis and treatment
- Neurological Complications and Syndromes
- Venous Thromboembolism Diagnosis and Management
- Head and Neck Surgical Oncology
- CNS Lymphoma Diagnosis and Treatment
- Radiomics and Machine Learning in Medical Imaging
University of Virginia
2022-2025
University of Virginia Health System
2023
Neurological Surgery
2019-2023
Mount Sinai Health System
2020-2023
Mount Sinai Hospital
2019-2022
Icahn School of Medicine at Mount Sinai
2019-2022
American College of Surgeons
2022
American College of Financial Services
2022
Beth Israel Deaconess Medical Center
2017-2021
Harvard University
2017-2021
Middle meningeal artery (MMA) embolization has emerged as a promising treatment for chronic subdural hematoma (cSDH).To determine the safety and efficacy of MMA embolization.Consecutive patients who underwent cSDH (primary or recurrence after conventional surgery) at 15 centers were included. Clinical details follow-up collected prospectively. Primary clinical radiographic outcomes proportion requiring additional surgical within 90 d index with > 50% thickness reduction on computed...
Background The ISAT (International Subarachnoid Aneurysm Trial) has generated a paradigm shift towards endovascular treatment for intracranial aneurysms but remains unclear if this led to true reduction in the risk aneurysmal subarachnoid hemorrhage (aSAH). We sought study association between burden of unruptured and ruptured post-ISAT era. Methods Results Admissions data from National Inpatient Sample (2004-2014) were extracted, including patients with primary diagnosis aSAH or treated by...
OBJECTIVE The Pipeline embolization device (PED) is a routine choice for the endovascular treatment of select intracranial aneurysms. Its success based on high rates aneurysm occlusion, followed by near-zero recanalization probability once occlusion has occurred. Therefore, identification patient factors predictive incomplete last angiographic follow-up critical to its success. METHODS A multicenter retrospective cohort analysis was conducted consecutive patients treated with PED unruptured...
Background: Fluorescence-guided surgery (FGS) using 5-aminolevulic acid (5-ALA) is a widely used strategy for delineating tumor tissue from surrounding brain intraoperatively during high-grade glioma (HGG) resection. 5-ALA reaches peak plasma levels ~4 h after oral administration and currently approved by the FDA use 2–4 prior to induction anesthesia. Objective: To demonstrate that there adequate intraoperative fluorescence in cases undergoing more than 4 compare survival radiological...
Adjacent segment disease (ASD) is an important consideration during decision making for lumbar spinal fusion.To identify risk factors development of ASD after L4-L5 fusion and differences in incidence between rostral caudal ASD.We retrospectively reviewed all consecutive patients at a single institution who underwent first-time the level degenerative over 10-yr period, using posterolateral pedicular screw fixation with or without posterior interbody fusion. was defined as clinical...
The association of blood pressure variation with poor outcomes in aneurysmal subarachnoid hemorrhage (aSAH) is unknown.To evaluate the systolic (SBP) and clinical aSAH.We conducted a retrospective chart review all aSAH patients treated at an academic institution between 2007 2016. Patient demographics, characteristics, observations for first 24 h admission 4-h intervals were obtained. SBP variability metrics assessed mean, standard deviation, maximum, minimum, peak, trough, coefficient...
There is currently no standardized follow-up imaging strategy for intracranial aneurysms treated with the Pipeline embolization device (PED). Here, authors use data PED to propose a standardizable strategy.
The Neuroform Atlas is a new microstent to assist coil embolization of intracranial aneurysms that recently gained FDA approval. We present postmarket multicenter analysis the stent.On basis retrospective chart review from 11 academic centers, we analyzed patients treated with after exemption January 2018 June 2019. Clinical and radiologic parameters included patient demographics, aneurysm characteristics, stent parameters, complications, outcomes at discharge last follow-up.Overall, 128 in...
Magnetic resonance-guided focused ultrasound (MRgFUS) has emerged as a precise, incisionless approach to cerebral lesioning and an alternative neuromodulation in movement disorders. Despite rigorous clinical trials, long-term patient-centered outcome data after MRgFUS for tremor-predominant Parkinson's Disease (TPPD) are relatively lacking.To report on patient satisfaction quality of life thalamotomy TPPD.In retrospective study patients who underwent TPPD at our institution between 2015...