Devan Patel

Neurosurgery Resident @UB_Neurosurgery

[Adnan H. Siddiqui, MD @_AdnanSiddiqui]

NEW CASE ➡️ Transvenous embolization of cervical Glomus type #AVM using balloons and transvenous cardiac pacing.

@jaims_lim @gustavomcortez @DevanPatelMD

[Elad Levy @EladLevyMD]

Transvenous embolization of anterior falcine #dAVF fed from the OA and ethmoïdal vessels.

While craniotomy is reasonable, the patient is elderly with multiple medical issues.

@Stryker_NV coils and access @terumoneuro @jaims_lim @gustavomcortez @DevanPatelMD

[Elad Levy @EladLevyMD]

Acute #carotid occlusion is a chalenge. We show our technique with #Walrus BGC & CGuard stent. Route92 FreeClimb system for reperfusion in acute tandem strokes. Long #clots removed!
Media cred: @DevanPatelMD
@q_apel
@InspireMD
@Route92med
@SNISinfo
@cvsection
@svinsociety

[Jason Davies, MD,PhD @JMDaviesMDPhD]

Embo for sdh works, but questions remain. Grateful to #OCIN2025 @PengfeiYang @左乔 for invitation to discuss. Large-scale multinational collaborations will always get us to the right answers faster than keeping to ourselves. @UB_Neurosurgery @_AdnanSiddiqui @JacobsInstitute

[Adnan H. Siddiqui, MD @_AdnanSiddiqui]

Honored and privileged to accept along with @EladLevyMD the Cushing Award for Technical Excellence and Innovation in #Neurosurgery awarded to our dearest mentor and neurosurgical legend Nick Hopkins, posthumously.

#2025AANS 
@AANSNeuro

[Elad Levy @EladLevyMD]

Preoperative tumor embolization is our standard @UB_Neurosurgery

Minimal blood loss ✅
Minimal OR time ✅
Ease of removal ✅

Here we share an exemplary case below.

[Hanna Algattas, MD @HannaAlgattasMD]

Interesting meningioma, like three-in-one, spanning the tuberculum to planum - each knuckle of tumor with a different consistency.

@UB_Neurosurgery @ubnsvascular
#buffaloskullbase
#meningioma
#skullbase
#endoscopicendonasal

[Adnan H. Siddiqui, MD @_AdnanSiddiqui]

NEW CASE 🚀

In a severely angulated and calcified anatomy open cell stent assisted by intravascular lithotripsy makes transfemoral CAS an excellent choice.

@DevanPatelMD @jaims_lim #neurosurgery #neurosurgeon #endovascular #neurovascular

[Elad Levy @EladLevyMD]

Packing and corking flow diverters during aneurysm treatment yields good wall apposition and compaction of stent across the #aneurysm.

This is the #art of modulating stent packing.

@CNS_Update @AANSNeuro @cvsection @svinsociety @BAFOUND @jaims_lim @DevanPatelMD

[Adnan H. Siddiqui, MD @_AdnanSiddiqui]

New Case ➡️ Transvenous Embolization with Transvenous Pacing of Right Optic Apparatus AVM.

#AVM #neurosurgery #neurosurgeon @jaims_lim @CollinLiu_MD @DevanPatelMD

[Elad Levy @EladLevyMD]

Complex aortic anatomy creates access challenges. Here we pivot to a balloon guide to achieve stiff support and rapid first pass #TICI3. Thanks to our fellow @HamidSKhan5 for creating the video.

@q_apel @cvsection @UB_Neurosurgery @CNS_Update @svinsociety @SNS_Neurosurg

[Jaims Lim @jaims_lim]

Insightful case that highlights troubleshooting when the FD deployment is difficult. @CollinLiu_MD @HamidSKhan5 @DevanPatelMD @ubnsvascular

[Jason Davies, MD,PhD @JMDaviesMDPhD]

Young woman, followed for years with steadily progressive midbrain cavmal enlargement. Now reaches pial surface anteriorly. Quicktome to visualize tracts for safe entry between motor fibers and 3rd nerve nucleus. @UB_Neurosurgery @ubnsvascular @JacobsInstitute

[Women In Neurosurgery (WINS) @WomenInNSGY]

Please join us in celebrating Dr. Renee Reynolds of University of Buffalo as our Woman of the Month feature. She stands as the Program Director of the neurosurgery residency Program and Medical Director of Pediatric Neurosurgical Outreach. Thank you, Dr. Reynolds!

[Jason Davies, MD,PhD @JMDaviesMDPhD]

Complex reconstruction of R carotid occlusion. Utilizing all to tools in the toolbox - symptomatic R carotid occlusion, failed traditional endo recanalization, failed CTO repair, failed carotid endarterectomy - enter the dual trained vascular neurosurgeon for hybrid endopass

[Elad Levy @EladLevyMD]

TICI 3 in under 5 minutes using the the walrus—>hippo—>cheetah system. Short trip to the #zoo! ⁦@UB_Neurosurgery⁩ @svinsociety @CNS_Update, @AANSNeuro, @cvsection, ⁦@q_apel⁩ @jaims_lim. @DevanPatelMD @CollinLiu_MD

[Elad Levy @EladLevyMD]

Example of “size ratio” as an indication for coiling of an A2 #aneurysm.
We demonstrate the importance of choosing the right #frame and type of coils.
@KanekaNV_USA @q_apel @CNS_Update @AANSNeuro @cvsection @ubnsvascular

[Elad Levy @EladLevyMD]

Excellent stability of @KanekaNV_USA coils for recurrent prior ruptured treated PCoA #Aneurysm.
Treating #recurrence is an important technique..
@KanekaNV_USA iED coils @cvsection @CNS_Update @AANSNeuro @svinsociety @UB_Neurosurgery @ubnsvascular @jaims_lim @HamidSKhan5

[Elad Levy @EladLevyMD]

Who says #AVMs can't be cured endovascularly? 
Right Parietal #AVM Embolization using the #Buffalo Score
@CNS_Update @cvsection @svinsociety @SNISinfo @AANSNeuro @q_apel @mdtneurosurgery @ubnsvascular @UB_Neurosurgery @jaims_lim  @HamidSKhan5 @DevanPatelMD

[Jason Davies, MD,PhD @JMDaviesMDPhD]

EMBOLISE showed significantly reduction in re-operation amongst patients undergoing adjunctive MMAe in addition to surgery compared to surgery alone. NNT ~12. @_AdnanSiddiqui @UB_Neurosurgery @Medtronic_NV