Triple-Board Certified Interventional and Stroke Neurologist
Medical Director of Neurosciences at Los Robles Regional Medical Center & at West Hills Hospital
Complications in neuroendovascular correlate w/ how long you stay inside the vessels. Flow diverters are a game-changer for #brain#aneurysms. Left ICA aneurysm treated with pipeline flex, fluoro time 6.5min. On average these cases take <30mins - groin access to closure. #Neuro
51F presenting with a saccular 4.5mm x 3.5mm middle cerebral artery aneurysm treated via coil embolization w/ a #comaneci assist. Another nice tool in the bucket, perfectly holds coils in place. #MedTwitter#MedEd#NeuroTwitter#neuroscience
64M w/ presents to ED w/ sudden onset left upper extremity weakness and mild facial palsy. NIHSS 4 & mRS 0. Determined to have experienced RT hemispheric stroke with RT ICA dissection with large pseudoaneurysm. #MedTwitter#neuroscience#NeuroTwitter#neurology
78M presents with LT hemispheric stroke w/ flow-limiting, pressure dependent left M1 and M2 stenosis treated with Wingspan & Gateways. Patient with no deficits post op. #NeuroIR#MedEd#neuroscience#neurology
63F found w/ a nontraumatic intracranial hemorrhage required coil embolization of right posterior communicating artery aneurysm. Aneurysm measured 9mm x 5mm w/ 5mm neck. #neuroscience#neurology#neurotwitter#brain
81F, found with an unruptured left MCA aneurysm, aneurysm shape appeared to be a blowout rather than a saccular aneurysm with no true neck. Measured 7.1 x 5.4 mm. Treated with a pipeline device. Looking forward to follow-up imaging. #loveneuro#neuroscience#neurology
23M presented to ED after having intermittent seizures, headache, numbness, and tingling in LT upper & left lower extremities. Nidus measured 6.5cm x 5.5cm. 7cc Onyx, used to embolize. Retreated 3 months later with another 8cc Onyx. 1mm x 1mm residual. #neuroscience#neurology
64M, LWK 30 min prior to ED admission, presenting NIHSS 18, CT confirmation of RT hyperdense MCA clot. TPA started in CT. Mechanical thrombectomy performed, TICI 0 to 3, with a single pass. #timeisbrain#stroke#neurology
70F with a chief complaint of a headache. Found with left cerebellar AVM supplied by left SCA in left AICA/PICA w/ intranidal & extranidal aneurysms, treated successfully with Onyx18 embolization without any deficits. #transradial#neurotwitter#neuroscience
67F: Retreatment of previously ruptured aneurysm. Initially Sychro wire attempted to catheterize Rt A2 but was unsuccessful due to acute angle of origin of A2. Hybrid Soft Wire used to bounce it off coils to access A2. 2 stents placed in Y configuration.
Another excellent example of Dr. Taqi, MD @VascNeuro utilizing #Comaneci in a ruptured PCOM aneurysm. Successful embolization with 5 @balt_usa Optima coils. Comaneci did a phenomenal job supporting the coil mass and stabilizing microcatheter during coiling. #LeaveNothingBehind
@CharosT_va@Medtronic@CharosT_va The RIST is a guide, not a selective catheter so it's difficult to compare the two. The general advantage of the RIST is the transition zones tailored toward the anatomy for radial approach.
43M with complex symptomatic AVM embolized with complete obliteration and no clinical deficits. #Radial access gained using the RIST catheter for the first time in the US. #neurotwitter#neurology@Medtronic
86F presented with loss of consciousness due to large subarachnoid hemorrhage and found to have left saccular ICA/PCOM #aneurysm measuring max height 9.24mm, max width 4.36mm, and 3.2mm neck. Three coils successfully deployed w/ a #Comaneci 17 assist. #neuroscience#Neurology
66M presents with previously treated dural fistula now indicated for embolization through the left middle meningeal and right occipital artery with @medtronic Onyx 18 until complete obliteration of both branches occurred. #neurology#neurotwitter
60F presented with an incidental complex right MCA #aneurysm measuring 6.75mm x 5.05mm x 3.84mm with 5.05mm neck treated with wide stent coil embolization. #neuroscience#NeuroTwitterNetwork
61M demonstrated near occlusion of right ICA in the mid-cervical segment at the area of dissection w/ severe limation of flow to right anterior circulation. Treated w/ 10 mm x 36 mm Wallstent. #NeuroTwitter#neurology