Podcasts about neurointerventional surgery

Dr Ferdinand Hui is a rare gem of a surgeon- brilliant in his craft, able to communicate complicated concepts clearly, and caring and compassionate for the reality that disease can impart in the life of a person and their family. Here we get a chance to cruise around the blood vessels of the brain with a neurointerventional surgeon, who's focus is minimally invasive procedures to treat the blood vessels of the brain and spine. Although he thinks of himself as a plumber, rotor-rootering the pipes, these are live pipes and much of our discussion centers on the nature of the arteries and veins. We discuss leaks (hemorrhage) and clogs (ischemic clots) as a starting point, with the associated diseases of stroke, heart attack and aneurysms. Then we get deep with the 'gray zone' of reduced but not necessarily stopped oxygenation which can be a primary driver for brain fog. We discuss anatomical, functional and inflammatory interruptions to oxygenation and vessel flow, even down to the epithelial layer of the arterial vessel walls. Here is where we discuss COVID and the apparent epithelial shedding that the spike protein can instigate, which likely drove much of the cardiovascular events (heart attack, stroke) of the first COVID wave in 2019/ early 2020. About prevention, Dr Hui says, "The American medical system might really reward surgery but what humanity really needs is prevention. Prevention starts at birth." Resources: Society of Neurointerventional Surgery: https://www.snisonline.org/ More about Dr Hui: https://www.queens.org/providers/2225/ferdinand-k-hui/

For years if you had a neurological disease or episode, a neurosurgeon would drill into the skull to work directly in the brain to treat and or locate the occurrence. Neuro-interventional surgery is minimally invasive surgery for neurological diseases and occurrences that reduces recovery times as well as surgery length with incredible results. Learn more as we sit with Dr. Mary Lee Jensen, neuro-interventional radiologist at Centra. For more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter

Communication Tips: Giving and Receiving Feedback featuring Stacey Wolfe, MD, FAANSStacey Quintero Wolfe, MD is a neurosurgeon with Wake Forest Baptist Health in Winston-Salem, North Carolina.She is a board-certified neurosurgeon, specializing in disorders of blood vessels, brain trauma and spine. She completed fellowships in endovascular and cerebrovascular/skull base neurosurgery at the University of Miami.  As a 21-year US Navy veteran, she earned the Meritorious Service Medal and developed the Stroke and Neurotrauma Programs at Tripler Army Medical Center. She joined Wake Forest Baptist Health in 2013 as Director of Neurointerventional Surgery and Residency Program Director. She built a hemorrhagic stroke research program and am co-Principal Investigator of National Institute of Health (NIH) StrokeNet at Wake Forest Baptist Health. She leads multiple NIH and national clinical trials in stroke and brain hemorrhage, and is studying neuroinflammation, genetic risk factors, and genetic mutations in the development of cerebral Arteriovenous malformations (AVMs) in her research lab. She has served on the American Association of Neurological Surgeons Board of Directors, Executive Committee of the Congress of Neurological Surgery and Society of Neurological Surgeons, American Heart Association Mission Stroke Task Force, and as Chair of Women in Neurosurgery. She has published over 100 peer-reviewed articles and review for five journals. She was awarded the national 2021 ACGME Courage to Teach Award for innovation and mentorship in education, and am dedicated to providing cutting edge care for patients with neurologic disease.She lives in Winston-Salem with her husband and two children. In her free time, she volunteers at a local school and in the community.  

In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, speaks with Dr. Amanda Baker(1) and Dr. Sandra Narayanan(2) about their recently published standard "Society of NeuroInterventional Surgery: position statement on pregnancy and parental leave for physicians practicing neurointerventional surgery" - https://jnis.bmj.com/content/15/1/5. Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was edited by Brian O'Toole. (1) Radiology and Biomedical Imaging, UCSF, San Francisco (2) Neurointerventional Program and Comprehensive Stroke Program, Pacific Neuroscience Institute, Santa Monica

The Woven EndoBridge (WEB) device has FDA approval for treatment of wide-necked intracranial bifurcation aneurysms. It has been shown to result in adequate occlusion in bifurcation aneurysms overall, but its usefulness in the individual bifurcation locations has been evaluated separately only in few case series, which were limited by small sample sizes. In this podcast, JNIS Editor-in-Chief, Dr. Felipe C. Albuquerque, interviews Dr. Nimer Adeeb (1)and Dr. Adam Dmytriw (2) on their paper "Comparing treatment outcomes of various intracranial bifurcation aneurysms locations using the Woven EndoBridge (WEB) device". Paper available online: https://jnis.bmj.com/content/early/2022/04/27/neurintsurg-2022-018694 Please subscribe to the JNIS Podcast via all podcast platforms, including Apple Podcasts, Google Podcasts, Stitcher and Spotify, to get the latest episodes. Also, please consider leaving us a review or a comment on the JNIS Podcast iTunes page: https://podcasts.apple.com/gb/podcast/jnis-podcast/id942473767 Thank you for listening! This episode was edited by Brian O'Toole. (1) Departments of Neurosurgery and Neurointerventional Surgery, Louisiana State University Health Sciences Center (2)Neuroendovascular Program, Massachusetts General Hospital, Harvard University

 Did you know? According to a report published by the WHO, adherence rates in developed countries average only about 50%, and there is little data about adherence in countries where access to care is more limited or consistent. Adherence is a key factor associated with the effectiveness of all pharmacological therapies but is particularly critical for medications prescribed for chronic conditions. Of all medication-related hospitalizations that occur in the United States, between one-third and two-thirds are the result of poor medication adherence. Inadequate adherence also is a major player in adverse events to medications. Welcome to this episode of Physician's Weekly Podcast. My name is Dr Rachel Giles, from Medicom Medical Publishers, in collaboration with Physician's Weekly. We have 3 fantastic in-depth interviews for you this week, touching on improved hospital workflow for stroke patients, a presentation on management of gout in dialysis patients, and medication experience. In this 31st episode of the Physician's Weekly Podcast, we speak with Dr Danny Sands, about addressing barriers such as understanding their condition, cultural issues, and denial can help patients avoid adverse effects from poor medication adherence. Dr Sands is a primary care physician at Beth Israel Deaconess Medical Center, and is a founder and co-chair of the board of the Society for Participatory Medicine. In 2009 he was recognized by HealthLeaders Magazine as one of “20 People Who Make Healthcare Better.”Also in this episode, we speak with Dr Anthony Bleyer, Professor of nephrology at the Wake Forest School of Medicine, North Carolina, about his presentation of the results of a cohort study into the prevalence, risk factors and outcomes of gout in dialysis patients at the Kidney Week of the American Society of Nephrology, which was held virtually 4-7 November, 2021 [1].But first, Physician's Weekly speaks with Ferdinand Hui, about workflow optimization and mobile technology. Dr. Hui hails from Johns Hopkins – but is currently working in Hawaii- and we talk about the deluge of communication apps in hospitals and what makes something valuable, versus noise. He recently published a paper in Journal of Neurointerventional Surgery [2] on the impact of mobile apps on treatment times for patients with stroke where time is of the essence. His team showed that that utilization of RapidAI mobile application can significantly reduce treatment times in stroke care by accelerating the process of mobilizing stroke clinicians and interventionalists.Enjoy listening!Further reading:1.      Bleyer AJ, et al. Risk Factors and Outcomes of Gout in Dialysis Patients: A Cohort Study of the United States Renal Data System (USRDS). PO0792, American Society of Nephrology: Kidney Week 2021, 04-07 November.2.      Murray NM, Unberath M, Hager GD, Hui FK. Artificial intelligence to diagnose ischemic stroke and identify large vessel occlusions: a systematic review. J Neurointerv Surg. 2020 Feb;12(2):156-1Let us know what you thought of this week's episode on Twitter: @physicianswkly Want to share your medical expertise, research, or unique experience in medicine on the PW podcast? Email us at editorial@physweekly.com! Thanks for listening!

The RUSH System for Health excels in stroke prevention and care. RUSH University Medical Center is certified as a Comprehensive Stroke Center by the Joint Commission and RUSH has two certified Primary Stroke Centers in Oak Park and Aurora/Fox Valley. Given the time-sensitive nature of stroke care, RUSH seeks to expand current treatment windows and improve technologies used to treat emergency strokes as quickly and effectively as possible to minimize damage to our patients. Michael Chen, MD, a professor of neurology, neurosurgery and radiology at RUSH University Medical Center, discusses the ways RUSH is efficiently diagnosing stroke, how it is differentiating actual cases of large vessel occlusion stroke with false positives and how RUSH handles the benefits and challenges of using thrombectomy. Dr. Chen has authored over 100 peer-reviewed scientific publications and also serves as a senior editor for the Journal of Neurointerventional Surgery. Dr. Chen currently serves as President-Elect for the Society of Neurointerventional Surgery. “There's strong evidence that highly effective therapies exist for stroke and they're also very time sensitive. If you have a large vessel occlusion stroke, 75% of the time patients are not going to do well. Thrombectomy can reduce that chance of a horrible outcome by half. The question is not necessarily whether you can make the diagnosis and what you do, but what work you have done ahead of time to prepare for the event when that patient does come into your emergency room.” CME credit link: https://cmetracker.net/RUSH/Publisher?page=pubOpen#/EventID/483128

The recommendations resulting from the report of the SNIS Standards and Guidelines Committee on transarterial access are discussed in this podcast. JNIS Editor-In-Chief, Felipe C. Albuquerque, interviews Robert Starke (University of Miami MILLER School of Medicine, Miami Beach, Florida, and Westchester Medical Center, Valhalla, New York) and Justin Fraser (University of Kentucky, Lexington), who recently published the paper “Transarterial and transvenous access for neurointerventional surgery: report of the SNIS Standards and Guidelines Committee” on behalf of the Society of NeuroInterventional Surgery. Read the paper on the JNIS website: https://jnis.bmj.com/content/12/8/733

Was ist eigentlich ein diagnostischer Test?Wie erfahre ich, ob ein Test das misst, was er messen soll?Warum man in einem Atemzug über die körperliche Untersuchung und über Antikörpertests im Labor sprechen kann... In dieser Folge erklären Christian Elsenbast und Tobias Sambale anhand einer Studie zum VAN-Score (Vision, Aphasia, Neglect), was es mit Sensitivität, Spezifität und den sogenannten "prädiktiven Werten" auf sich hat. Zur Videoversion geht es hier: https://www.youtube.com/watch?v=-uvpgV3ZX5o Das PDF zum Nachlesen könnt Ihr auf unserer Website runterladen: https://www.gzfwr.org/podcasts/ Lösung unseres Rätsels: Wie gut ein Test mit Werten von 0,5? = Die Testgenauigkeit entspricht einem Münzwurf. Quellen: Teleb MS, Ver Hage A, Carter J, et al Stroke vision, aphasia, neglect (VAN) assessment—a novel emergent large vessel occlusion screening tool: pilot study and comparison with current clinical severity indices. Journal of NeuroInterventional Surgery 2017;9:122-126. Kreienbrock et. al., Epidemiologische Methoden, 5. Auflage (2012), Springer, Berlin/Heidelberg, Deutschland Habt Ihr Anregungen, Feedback, Kritik oder Themenwünsche? Kontaktiert uns unter: podcast@gzfwr.org

Contributor: Aaron Lessen, MD Educational Pearls: Locked in syndrome results typically from an infarct of the basilar artery leading to infarction of the brainstem but typically preservation of the higher structures The result is complete paralysis with preserved cognitive function, hence the name Because of their location within the brainstem, ocular movements are sometimes preserved, allowing a patient who recovers from the initial injury to communicate Patients typically do not regain any motor function and have a poor prognosis of recovery Thrombectomy of the basilar artery is sometimes considered even late after the initial presentation given the devastating prognosis References Smith E, Delargy M. Locked-in syndrome. BMJ. 2005;330(7488):406‐409. doi:10.1136/bmj.330.7488.406 Buchman SL, Merkler AE. Basilar Artery Occlusion: Diagnosis and Acute Treatment. Curr Treat Options Neurol. 2019;21(10):45. Published 2019 Sep 26. doi:10.1007/s11940-019-0591-0 Meinel TR, Kaesmacher J, Chaloulos-Iakovidis P, et alMechanical thrombectomy for basilar artery occlusion: efficacy, outcomes, and futile recanalization in comparison with the anterior circulationJournal of NeuroInterventional Surgery 2019;11:1174-1180. Summarized by Jackson Roos, MS4 | Edited by Erik Verzemnieks, MD

Host: Interim President Michael Bernstein About Dr. Fiorella: Dr. David J. Fiorella, Director of the Stony Brook Cerebrovascular Center, Co-Director of the Stony Brook Cerebrovascular and Comprehensive Stroke Center, and Professor of Neurosurgery and Radiology joined the Department of Neurosurgery in 2009. Dr. Fiorella is considered a pioneer in the field of neuro-interventional therapies, advancing new devices and techniques for the treatment of Cerebrovascular disease. Dr. Fiorella spearheaded the acquisition of 2 Mobile Stroke units for Stony Brook University Hospital, the first program in Suffolk County. He is the Principle Investigator or Co-PI on numerous national trials evaluating new devices and techniques for the treatment of aneurysms, acute stroke and intracerebral hemorrhage. He is a senior member of the Society for Neuro-interventional Surgery (SNIS) and senior associate editor of the Journal of Neurointerventional Surgery. Dr. Fiorella has been named amongst the best interventional radiologists/endovascular surgeons in Castle Connolly's Top Doctors for several years in a row. About the Episode: Stony Brook Medicine Mobile Stroke Unit founder, Dr. David Fiorella, is considered a pioneer in the field of neuro-interventional therapies -- advancing new devices and techniques for the treatment of Cerebrovascular disease. He took that pioneering inspiration one step further in 2019 when he and a team of Stony Brook clinicians and colleagues launched the first two Mobile Stroke Units on Long Island. These Mobile Stroke Units enable stroke patients to be triaged and treated in the field, wherever the patient is located. Clinicians can administer IV TPa, a medication that minimizes brain injury, at any remote location and then immediately transport the patient to the closest appropriate care facility, where physicians can initiate further care. In this episode of “Beyond the Expected,” Michael Bernstein talks to Dr. Fiorella about his trajectory as a vascular brain surgeon and what inspired him to pursue the complex initiative of starting a Mobile Stroke Unit program. You'll also hear heartwarming stories of patient survival, and learn what this groundbreaking program has meant for Long Island stroke care since it launched in April 2019. Credits: Thanks to Dr. David Fiorella Guest Host: Michael Bernstein Executive Producer: Nicholas Scibetta Producer: Lauren Sheprow Art Director: Karen Leibowitz Assistant Producer: Emily Cappiello Assistant Producer: Joan Behan-Duncan Social Media: Meryl Altuch, Casey Borchick Podcast photography and YouTube Technician: Dennis Murray Podcast Director: Jan Diskin-Zimmerman Engineer/Technical Director: Phil Altiere Production Manager: Tony Fabrizio Camera/Lighting Director: Jim Oderwald Camera: Brian DiLeo Camera: Greg Klose Original score: “Mutti Bug” provided by Professor Tom Manuel Special thanks to the Stony Brook University School of Journalism for use of its podcast studio.

Welcome to the NeurologyLive Mind Moments podcast.   In this episode, Donald Frei, MD, a neurointerventional surgeon at Swedish Medical Center and Radiology Imaging Associates in Denver, Colorado, and past president of the Society for Neurointerventional Surgery, discusses efforts to improve stroke systems of care, starting with advocating for changes to national legislation on EMS triage and transport protocols.    For more on stroke and other neurology topics, visit NeurologyLive.com (https://www.neurologylive.com/) . Thanks for listening.

In this podcast, Editor-in-Chief of JNIS Felipe C. Albuquerque talks to Justin F. Fraser, Neurological Surgery, University of Kentucky, about the current endovascular strategies for posterior circulation large vessel occlusion stroke: the report of the Society of NeuroInterventional Surgery Standards and Guidelines Committee. Read the paper for free on the JNIS website: https://jnis.bmj.com/content/11/10/1055.

The recommendations of the report of the Society of Neurointerventional Surgery (SNIS) Standards and Guidelines Committee for endovascular strategies for cerebral venous thrombosis are discussed in this podcast. Editor-in-Chief of JNIS, Felipe de Albuquerque, talks to Justin Fraser (Department of Neurological Surgery, University of Kentucky, Lexington, USA) on behalf of the Society of NeuroInterventional Surgery. Read the paper on the JNIS website: https://jnis.bmj.com/content/10/8/803

JNIS Associate Editor Joshua Hirsch is joined by Shazam Hussain (Cerebrovascular Center, Cleveland Clinic, Ohio, USA) and David Fiorella (Department of Neurosurgery, Stony Brook University, New York, USA) to discuss the June 2017's editorial in the Journal of Neurointerventional Surgery. In this commentary, they analyse the conclusions of the study “Public Health Urgency Created by the Success of Mechanical Thrombectomy Studies in Stroke”, published by Circulation, stating that the opinions of Drs Hopkins and Holmes “lead to unwarranted conclusions that have dangerous implications for patient care”. The authors of the JNIS editorial comment on three major points of controversy: (1) a disregard for training, expertise, and experience in the management of a disease that may lead to death or disability when treating physicians do not have them; (2) a misunderstanding of the fundamental underpinnings of stroke physiology and anatomy; (3) a false association between a real problem (undeveloped systems of care) and a spurious assumption (ie, that there are not enough physicians trained to perform intracranial MT). We examine these concerns below. The editorial “In defense of our patients” was written on behalf of the Society of NeuroInterventional Surgery, the Cerebrovascular Section of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons, and the Society of Vascular and Interventional Neurology. Read the full article on the JNIS website: jnis.bmj.com/content/9/6/525.

Host: Brian P. McDonough, MD, FAAFP Dr. McDonough welcomes Dr. Donald Frei, neuroradiologist and Director of Neurointerventional Surgery at Radiology Imaging Associates in Denver, CO. Dr. Frei is working towards establishing state-of-the-art diagnosis and management strategies in treating patients with acute stroke. His procedural specialties include acute catheter directed stroke intervention, angioplasty/stent revascularization of cerebrovascular stenosis and minimally invasive treatment of cerebral aneurysms and arteriovenous malformations.

Host: Brian P. McDonough, MD, FAAFP Dr. McDonough welcomes Dr. Donald Frei, neuroradiologist and Director of Neurointerventional Surgery at Radiology Imaging Associates in Denver, CO. Dr. Frei is working towards establishing state-of-the-art diagnosis and management strategies in treating patients with acute stroke. His procedural specialties include acute catheter directed stroke intervention, angioplasty/stent revascularization of cerebrovascular stenosis and minimally invasive treatment of cerebral aneurysms and arteriovenous malformations.

Host: Brian P. McDonough, MD, FAAFP Dr. McDonough welcomes Dr. Donald Frei, neuroradiologist and Director of Neurointerventional Surgery at Radiology Imaging Associates in Denver, CO. Dr. Frei is working towards establishing state-of-the-art diagnosis and management strategies in treating patients with acute stroke. His procedural specialties include acute catheter directed stroke intervention, angioplasty/stent revascularization of cerebrovascular stenosis and minimally invasive treatment of cerebral aneurysms and arteriovenous malformations.