- Intracranial Aneurysms: Treatment and Complications
- Cerebrovascular and Carotid Artery Diseases
- Vascular Malformations Diagnosis and Treatment
- Venous Thromboembolism Diagnosis and Management
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Moyamoya disease diagnosis and treatment
- Stroke Rehabilitation and Recovery
- Spinal Fractures and Fixation Techniques
- Meningioma and schwannoma management
- Cardiovascular Health and Disease Prevention
- Peripheral Artery Disease Management
- Aortic Disease and Treatment Approaches
- Cardiovascular and Diving-Related Complications
- Renal and Vascular Pathologies
- Vascular Anomalies and Treatments
Jacksonville University
2024-2025
Baptist Medical Center Jacksonville
2024-2025
The Neurological Institute
2024
Bicêtre Hospital
2024
Dr. Jose N. Rodriguez Memorial Hospital
2021
Limited data are available about the outcomes of mechanical thrombectomy (MT) for real-world patients with stroke presenting a large core infarct.To investigate safety and effectiveness MT vessel occlusion an Alberta Stroke Program Early Computed Tomography Score (ASPECTS) 2 to 5.This retrospective cohort study used from Thrombectomy Aneurysm Registry (STAR), which combines prospectively maintained databases 28 thrombectomy-capable centers in US, Europe, Asia. The included 2345 internal...
Background Some emergent large vessel occlusions (ELVOs) are refractory to reperfusion because of underlying intracranial atherosclerosis (ICAS), often requiring rescue therapy (RT) with balloon angioplasty, stenting, or both. In this study, we investigate the safety, efficacy, and long-term outcomes RT in setting mechanical thrombectomy for ICAS-related ELVO. Methods Results We queried databases 10 thrombectomy-capable centers North America Europe included STAR (Stroke Thrombectomy Aneurysm...
The Artisse intrasaccular device (Medtronic) offers a novel treatment option for unruptured and ruptured wide-neck bifurcating intracranial aneurysms.1 2 features enhancements including distal tip dome protection, platinum band markers improved visibility, bilayer high-density core nitinol mesh basket enhanced flexibility visibility when compared with previous devices.2–7 Data from case series demonstrate the procedural safety efficacy of device.1 This versatile flared-shape can be used...
Although flow diverters (FDs) have benefited from several technical improvements, recently concerns arisen regarding the braid stability after implantation. Thus, we investigated frequency, predictive factors, and clinical impact of phenomenon FD deformation (FDBD).
Sealing of the aneurysm neck with a Woven EndoBridge (WEB) device is recommended for disrupting blood flow inside aneurysm. This study investigates relationship between WEB apposition and occlusion rates.
Background The pipeline embolization device (PED) has been increasingly used to treat brain aneurysms; however, concerns have raised about braid stability with newer drawn filled tubing technology devices. Objective To evaluate of PED early generations using data from the PREMIER trial. Methods All consecutive intracranial aneurysms treated (Classic and Flex) within trial were reviewed for (fish mouthing, foreshortening, bump, collapsing). Immediate postprocedure cone-beam CT angiography...
BACKGROUND and OBJECTIVES: The Woven EndoBridge (WEB) device has been increasingly used to treat wide-neck aneurysms showing a safe effective profile, but relatively high number of thromboembolic events (TEEs) have reported with such treatment. We aimed evaluate the incidence management TEEs possible predictive factors related WEB embolization ruptured unruptured intracranial aneurysms. METHODS: A single-center database consecutive treated between July 2012 May 2022 was reviewed for...
Epidemiological studies have shown racial and ethnic minorities to higher stroke risk worse outcomes than non-Hispanic Whites. In this cohort study, we analyzed the STAR (Stroke Thrombectomy Aneurysm Registry) database, a multi-institutional database of patients who underwent mechanical thrombectomy for acute large vessel occlusion determine relationship between race.Patients January 2017 May 2020 were analyzed. Data included baseline characteristics, vascular factors, complications,...
Heavily calcified carotid stenosis (HCCS) is considered an exclusion for angioplasty and/or stenting (CAS), amenable only to endarterectomy. This study presents preliminary retrospective dual-center experience utilizing the Shockwave S