Sundeep Mangla

Neurointerventional Radiologist and Healthcare Innovator in Stroke, Imaging, AI, Medical Devices and Nanotechnology. Avid Cyclist and Aspiring Pianist

[Sundeep Mangla @SundeepManglaMD]

43 yo W acute onset of right CN III palsy.
First symptoms 7d PTA
Felt like something burst behind her right eye 2 days ago. Near complete right 3rd (not down and out, but complete ptosis and only lateral movement).

Negative SAH (on CT). HA not "WHOL".
So many questions?

[Sundeep Mangla @SundeepManglaMD]

@stephanamayer I think puncture to recanalization time is a surrogate measure of disease severity, procedure complexity, and futility. More passes and difficult to revascularize. An expected lead indicator for re-occlusion. Complete revascularization more important than time.
Cakes are baked

[Stephan A Mayer @stephanamayer]

Thrombectomy is effective — and cost effective — among octogenarians. Don’t be an agist!

#NoLVOLeftBehind

https://t.co/PiA2B1ZTAw

[Sundeep Mangla @SundeepManglaMD]

#NoKings #democracy
This is what democracy looks like!
This is what democracy looks like!

[Sundeep Mangla @SundeepManglaMD]

#nokings #democracy

[Sundeep Mangla @SundeepManglaMD]

@jaketapper CNN called
Out on their disproportionate coverage of car fires rather than peaceful protests. Come on Jake, tell the Real Story and not be a Tool for Trump Propaganda

[Sundeep Mangla @SundeepManglaMD]

⁦⁦⁦@RepDanGoldman⁩

[Sundeep Mangla @SundeepManglaMD]

@eytanraz Seizures, hyper-perfusion, tumors, infection

[Sundeep Mangla @SundeepManglaMD]

Excited to Share Experiences and Future Directions of Stroke Care on the Brain Buzz Podcast with Dr. Kimon Bekelis and Jason Wallen of @strokecareli1 !

Brain Buzz - Soaring to New Heights: Featuring Dr. Sundeep Mangla (Epis... https://t.co/wVoivViuRT via @YouTube

[Sundeep Mangla @SundeepManglaMD]

Randomized Control Trial demonstratesbenefits for submaximal angioplasty over aggressive medical therapy for symptomatic intracranial stenosis 70–99%
Exciting results!

#NeuroIntervention #Neurosurgery #Neuroradiology #Neurology #Stroke #ICAD #angioplasty https://t.co/RDf2U8GTKC

[Sundeep Mangla @SundeepManglaMD]

@almuftifawaz @johannatfifi @NYNeuroendovasc @MountSinaiNeuro @MSHSNeurology @MountSinaiCVC @nymcbrainspine @NeurologyNymc @nymedcollege @WestchesterMed @stephanamayer @Tracey1milligan @ChaiLatteMD Fantastic Symposium with thought provoking discussions of many diverse topics by world renowned experts and scientists! Congratulations @almuftifawaz, and the @WestchesterMed team for their tremendous efforts. Honored to contribute

[Fawaz Al-Mufti, MD, FSVIN @almuftifawaz]

Expanding the Frontiers of Neonatal and Pediatric
Neurointerventions by
@johannatfifi

Moderated by pioneers @SundeepManglaMD & #johnpilespellman @NYNeuroendovasc #NYSIN24

[George Conway ⚖️🇺🇸 @gtconway3d]

Love this. I hope the @BidenHQ campaign rips this gag video off for an ad. Maybe have @JimmyKimmelLive or @Rob_D_Niro or some other celebrity perform it. Please watch.

[Stephan A Mayer @stephanamayer]

Even more evidence that door-to-needle time for BP control in acute #ICH matters.

In this pooled analysis of RCT data (>5000 pts) earlier and sustained SBP control <140 was associated w/ better outcome

https://t.co/yWtTwoS24w

[Andrew Micieli @MicieliA_MD]

No benefit of TNk compared to standard of care for mild (non disabling) stroke presentations with intracranial occlusion/CTP deficit. Definitive answer to this patient population.

@TheLancetNeuro #stroke #neurology https://t.co/SdXcSVyeQL

[Sundeep Mangla @SundeepManglaMD]

60ish male with 3 day hx CRAO, Lt embolic strokes, and >50% stenosis (post bulbar, RadX for CA). Early CAS, discharged Home next Day, mild improvement in L Eye Vision (recognize fingers, no Acuity), otherwise Neurologically Intact. Early revascularization best. BEFAST
#stroke

[Sundeep Mangla @SundeepManglaMD]

@TudorGJovin @AdamArthurMD @AdamArthur Also MR Diffusion is not binary and has a gray scale that may be reversible. Nevertheless, exciting work demonstrating an opportunity space for future improvements, perhaps with novel neuro protective or resuscitation strategies? I still believe patient by patient judgment needed

[Sundeep Mangla @SundeepManglaMD]

@TudorGJovin @AdamArthurMD @AdamArthur From the mRS shifts, looks like 6 to 3-5 (not 0-2, which are equal in all groups). I question the definition of infarcts in these trials with CT ASPECTS highly inter-observer variable, often mild edema gets the same point by off as profound hypodensity.

[Sundeep Mangla @SundeepManglaMD]

Multiple Aneurysms are often observed in SAH patients. Often, it is difficult to determine which aneurysm has ruptured and is most Urgent to Treat. In these Cases, treatment of Multiple Brain Aneurysms at 1 time is occasionally required, and should be strongly considered!

[Sundeep Mangla @SundeepManglaMD]

Symptomatic ISR of Carotid Stents remains uncommon: Drug Eluting Balloons have demonstrated improved Long-Term Patency in the Peripheral Vasculature as well as smaller Coronary Arteries, an exciting option for unusual high risk situations in the Cerebral Vasculature. (2 year FU)