- Intracranial Aneurysms: Treatment and Complications
- Acute Ischemic Stroke Management
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebrovascular and Carotid Artery Diseases
- Vascular Procedures and Complications
- Stroke Rehabilitation and Recovery
- Vascular Malformations Diagnosis and Treatment
- Central Venous Catheters and Hemodialysis
- Aortic aneurysm repair treatments
- Venous Thromboembolism Diagnosis and Management
- Spine and Intervertebral Disc Pathology
- Spinal Fractures and Fixation Techniques
- Cervical and Thoracic Myelopathy
- Meningioma and schwannoma management
- Neurosurgical Procedures and Complications
- Intracerebral and Subarachnoid Hemorrhage Research
- Peripheral Artery Disease Management
- Cardiac, Anesthesia and Surgical Outcomes
- Aortic Disease and Treatment Approaches
- Cerebrospinal fluid and hydrocephalus
- Head and Neck Surgical Oncology
- Artificial Intelligence in Healthcare and Education
- Neonatal and fetal brain pathology
- Intraoperative Neuromonitoring and Anesthetic Effects
- Global Health and Surgery
Neurological Surgery
2019-2024
Vanderbilt University Medical Center
2022-2024
Thomas Jefferson University Hospital
2019-2023
Thomas Jefferson University
2019-2022
Jefferson Hospital for Neuroscience
2019-2021
Oxford University Press (United Kingdom)
2020
Background and Purpose— Radial artery catheterization is an alternate route of access that has started to gain more widespread use for neuroendovascular procedures, there have been few studies describe its safety efficacy. We present our institution’s experience in performing interventions via a transradial approach, with excellent clinical outcomes patient satisfaction measures. Methods— conducted retrospective analysis identified 223 patients who underwent 233 consecutive radial at...
Ossification of the posterior longitudinal ligament (OPLL) is a rare but potentially devastating cause degenerative cervical myelopathy (DCM). Decompressive surgery standard care for OPLL and can be achieved through anterior, posterior, or combined approaches to spine. Surgical correction via any approach associated with higher rates complications presence considered significant risk factor perioperative in DCM surgeries. Potential include dural tear (DT) subsequent cerebrospinal fluid leak,...
OBJECTIVE The clinical behavior of meningiomas is not entirely captured by its designated WHO grade, therefore other factors must be elucidated that portend increased tumor aggressiveness and associated risk recurrence. In this study, the authors identify multiparametric MRI radiomic signatures using Ki-67 as a prognostic marker outcomes independent grade. METHODS A retrospective analysis was conducted all resected between 2012 2018. Preoperative MR images were used for high-throughput...
INTRODUCTION: Intracranial cerebrovascular injury (iCVI) is a rare but potentially devastating complication of gunshot wounds to the head (GSWH). Despite firearm injuries being leading cause death children in United States, incidence, prognosis, and treatment iCVI pediatric patients has not been clearly described. METHODS: All GSWH from 01/2010 09/2023 at large Level 1 trauma center southeastern US were retrospectively reviewed. Cases intracranial vasculature identified. Demographics,...
In this study, the authors aimed to investigate procedural and clinical outcomes between radial femoral artery access in patients undergoing thrombectomy for acute stroke.
Over the past 2 decades, robots have been increasingly used in surgeries to help overcome human limitations and perform precise accurate tasks. Endovascular were pioneered interventional cardiology, however, CorPath GRX was recently approved by FDA for peripheral vascular extracranial interventions. The authors aimed evaluate operational learning curve robot-assisted carotid artery stenting over a period of 19 months at single institution.A retrospective analysis prospectively maintained...
The aim of this paper is to describe our experience with the transradial approach (TRA) for intracranial aneurysms treatment using Pipeline Embolization device (PED). We also performed a logistic regression comparing outcomes between TR and transfemoral (TFA).The clinical imaging characteristics as well periprocedural patients treated TRA PED were analyzed retrospectively.A total 598 pipeline during period extending from 2010-2019 (N.=580 [97%] TFA vs. N.=18 [3%] TRA). About 84.28% (N.=504)...
Khanna, Omaditya MD; Velagapudi, Lohit; Das, Somnath; Sweid, Ahmad Mouchtouris, Nikolaos Saiegh, Fadi Al Avery, Michael MD, BSc, MSc; Chalouhi, Nohra El Schmidt, Richard F Sajja, Kalyan; Gooch, R; Tjoumakaris, Stavropoula I Rosenwasser, Robert H Jabbour, Pascal MD Author Information
Background: Deep Brain Stimulation (DBS) is an underutilized surgical therapy for Parkinson's Disease (PD). Both physician and patient hesitancies have been described as potential barriers to DBS, but the specifics of perceptions DBS not well-characterized in general PD population. Objective: To characterize understanding impressions patients prior formal evaluation. Methods: A 30-question survey assessing was administered seen at urban movement disorders clinic. Results: One hundred two...
Abstract BACKGROUND The Neuroform Atlas stent™ (by Stryker, Fremont, California) represents the most recent widely available upgrade to intracranial stenting, providing a laser cut open cell stent with diameter of 3.0 4.5 mm that is delivered through an 0.017-inch microcatheter. OBJECTIVE To report our initial multicenter experience safety, efficacy, and feasibility used for treating aneurysms, as well one case stenosis carotid artery dissection other pathologies. METHODS A retrospective...
Abstract BACKGROUND Carotid-cavernous fistulas (CCFs) are acquired pathological shunting lesions between the carotid artery and cavernous sinus leading to elevated intraocular pressure (IOP). CCFs commonly treated via endovascular embolization, which theoretically restores physiological differentials. OBJECTIVE To present our institutional data with CCF embolization discuss routes, recurrence rates, dynamic IOP changes. METHODS Retrospective analysis of 42 patients who underwent Onyx...
OBJECTIVE Posterior cervical decompression and fusion (PCDF) is a commonly performed procedure to address myelopathy. A significant number of these patients require revision surgery for adjacent-segment disease (ASD) or pseudarthrosis. Currently, there no consensus among spine surgeons on the inclusion proximal thoracic instrumentation. This study investigates benefits extension in long-segment fusions potential drawbacks. The authors compare outcomes subaxial degenerative myelopathy with...