A5068140688- Intracranial Aneurysms: Treatment and Complications
- Vascular Malformations Diagnosis and Treatment
- Neurological disorders and treatments
- Vascular Malformations and Hemangiomas
- Genetic Neurodegenerative Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Parkinson's Disease Mechanisms and Treatments
- Cerebrovascular and Carotid Artery Diseases
- Botulinum Toxin and Related Neurological Disorders
- Traumatic Brain Injury and Neurovascular Disturbances
- Cerebrospinal fluid and hydrocephalus
- Glioma Diagnosis and Treatment
- Bone Tumor Diagnosis and Treatments
- Abdominal Surgery and Complications
- Tumors and Oncological Cases
- Brain Metastases and Treatment
- Nanoparticle-Based Drug Delivery
- COVID-19 and healthcare impacts
- Cerebral Venous Sinus Thrombosis
- Hepatocellular Carcinoma Treatment and Prognosis
- Periodontal Regeneration and Treatments
- Clinical practice guidelines implementation
- Sarcoma Diagnosis and Treatment
- Moyamoya disease diagnosis and treatment
- Cellular Mechanics and Interactions
University of Oklahoma
2022-2024
University of Oklahoma Health Sciences Center
2022-2024
Children's Hospital of Oklahoma
2022-2023
Oklahoma City University
2023
Society of Interventional Radiology
2023
OBJECTIVE The aim of this study was to report the authors’ experience developing a Lean Six Sigma clinical care pathway (CCP) for endoscopic endonasal transsphenoidal operations. METHODS Using quality improvement principles—including define, measure, analyze, improve, and control framework—the authors developed CCP operations, incorporating preoperative, intraoperative, inpatient outpatient postoperative phases care. Efficacy metrics were defined as length stay (LOS), presentation emergency...
Objective: To report our experience developing the Lean Six Sigma Clinical Care Pathway (CCP) for endoscopic endonasal transsphenoidal operations.
BACKGROUND Treatment options for Parkinson’s disease (PD) include both medical and surgical approaches. Deep brain stimulation (DBS) is a procedure that aims to improve motor symptomatology. OBSERVATIONS A 66-year-old White male with 9-year history of PD presented the neurosurgery clinic DBS consideration. On morning scheduled surgery, preoperative laboratory test results revealed prolonged prothrombin time 50 seconds. Surgery was postponed, further work-up patient had positive result lupus...
BACKGROUND AND IMPORTANCE: The second stage of deep brain stimulation requires the placement an implantable pulse generator (IPG). Although current technique achieves acceptable outcomes, device erosion has been reported. We describe a simple surgical option aimed at increasing longevity by placing hardware under superficial pectoralis fascia. CLINICAL PRESENTATION: and illustrate IPG in subfascial space patient undergoing stimulation. In addition, we provide pearls pitfalls to be mindful...
Introduction Anterior choroidal artery (AChA) aneurysms account for 3–5% of intracranial aneurysms, and are often saccular, arising at or near the origin AChA, with distal lesions being exceedingly rare. Contrary to saccular fusiform associated a higher risk rebleeding mortality due their formidable anatomy requiring advanced techniques including bypass, stent‐assisted coiling, and, more recently, flow diversion. While diverters becoming popular, they currently only approved forinternal...
BACKGROUND This report presents a case of medically refractory dystonia in pediatric patient successfully treated with bilateral subthalamic nucleus (STN) deep brain stimulation (DBS) while under general anesthesia by using microelectrode recordings (MERs) intraoperative computed tomography (CT). OBSERVATIONS The was an 18-year-old female primary secondary to mitochondrial Leigh syndrome. Her past medical history significant for complex partial epilepsy and hearing loss cochlear implants....
Anterior choroidal artery (AChA) fusiform aneurysms are exceedingly rare and associated with high rebleeding mortality rates. Their difficult anatomy comes a broad range of treatment options, including bypass, stent-assisted coiling, flow diversion. Currently, diverters approved for large-caliber internal carotid segment aneurysms. However, many institutions have expanded their use to distal small-caliber vessels, which raises questions regarding device sizing long-term patency. The authors...