David Altschul
@DavidAltschulMD
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Dual Trained Open and Endovascular Neurosurgeon. Husband, father, guitarist, singer, songwriter. Skeptic.
New York, NY
Joined April 2018
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Last Seen Profiles
@LeaderNeuro
#thankyou
@octaviaspencer
from
@MontefioreNYC
@MonteNeurosg
@MontefioreRAD
@NeuroMonteEinst
For making our staff safer
#frontlineheroes
#pandemic
3
15
145
We are proud to announce that our program has been approved for a resident increase to 2/year. After our successful match we are able to move one of matches to a pgy-2 position. We now have an open pgy-1 spot. Any interested candidates pls email katramir
@montefiore
.org ⬇️⬇️⬇️
11
42
136
Saw my first e-shunt today with
@amandaebaker
!! Thanks
@MatoukCharles
@YaleMed
@CereVasc
Amazing technology!
0
5
76
Maybe targeted screening for at risk populations could save lives
@BAFOUND
@CNS_Update
@AANSNeuro
@SNISinfo
Important to recognize
#disparity
when it exists
#brainaneurysm
#screening
#mra
#neuroIR
#neuroendovascular
#cerebrovascular
#neurosurgery
2
16
63
Happy to announce our
#NIR
#fellowship
is
#CAST
accredited….DM me if interested. All specialties considered
#neuroendovascular
#neurosurgery
#neuroIR
#cerebrovascular
@MontefioreNYC
2
5
58
What does everyone see here?
#cerebrovascular
#neurosurgery
#neuroanatomy
#neurovascularanatomy
#vascularneuroanatomy
#somethingisweird
#neuroradiology
#mra
#mrangiography
8
5
56
Another rare cause of
#SAH
thoracic anterior spinal artery aneurysm check it out!
#Neurosurgery
#cerebrovascular
#neuroIR
#neuroendovascular
#aneurysm
@MontefioreNYC
5
18
57
Are balloon mounted stents like the coronary Onyx Resolute stent the answer for symptomatic recurrent ICAD? Is this where the field should be heading?
#neurosurgery
#ICAD
#neuroendovascular
#neuroIR
#cerebrovascular
#neurovascular
#iloveneurosurgery
7
6
55
Super proud of
@DrAltschul
getting her art published in the first Stroke: Vascular and Interventional Neurology Journal
#artinmedicine
#medicineisart
2
22
79
0
9
54
#open
#vascular
#neurosurgery
is still a needed skill. I can’t imagine a great endovascular option for this ruptured acom
#clip
#iloveneurosurgery
#cerebrovascular
#neurosurgery
#neuroIR
4
5
54
You see
#medtwitter
still a roll for coiling for this wide necked PCOM
#aneurysm
with large pcom after presenting with 3rd nerve palsy
4
7
52
Still doing emergency neurosurgery. Keepin my N-95 unsoiled.
#neurosurgery
#COVID
-19
#pandemic
@MonteNeurosg
@MontefioreNYC
1
4
52
Surgery for
#brain
#avm
is still the best available treatment for SM Grade 1&2 AVMs. Pre-operative
#Embolization
performed by dual trained neurosurgeons is in my opinion extremely helpful. We know what we need…
1
7
52
Ok so how many more cases do you think we will be doing?
11
3
51
This is the future of neuro IR
An ultra-small and ultra-flexible electronic neural implant, delivered via blood vessels, was able to record single-neuron activity deep within the brains of rats, a 2023 Science study reported.
Learn more:
#ScienceMagArchives
8
53
170
0
8
49
Funny how the tables have turned 4 years later after rejecting our work in 2019….
@JNIS_BMJ
@AdamArthurMD
@AshuPJadhav
MMA embolization for migraine? Check out this month's editorial: by David Fiorella
@AdamArthurMD
,
@AshuPJadhav
1
46
148
2
8
47
Let’s call a spade a spade
@graffeo
@PascalJabbourMD
@BrianHoh1
@AdamArthurMD
@drdavidlanger
@WBrinjikji
there are kittens that have more followers than the top 100 neurosurgery social media influencers combined 🤣
#CuteKittens
with
#expensivetastes
this is
#Twitter
8
3
46
Want to learn more on how to do safe transophthalmic tumor embo? Nominate me for
@SNISinfo
Member at large endovascular neurosurgery. Thanks!
#cerebrovascular
#neuroIR
#neuroanatomy
#neurosurgery
#iloveneurosurgery
#tumorembo
1
6
45
There is a difference between leadership and management.
#Leaders
have a vision for the future and can align their team to help see that vision come to fruition. Thanks
@MontefioreNYC
for the
#education
in
#leadership
#leadershipdevelopment
2
1
44
Chronic ICA occlusion presenting with recurrent stroke 18 months after initial event. Endovascular revascularization. Thanks
@VCostalat
@_AdnanSiddiqui
for the inspiration. Presented with NIHSS 6, went home with NIHSS 1. Maybe a safer alternative to surgical bypass
3
4
43
The WEB-IT trial demonstrated 15.4% with residual aneurysm at 12-month follow up. Here is a case of a ruptured acom aneurysm treated with WEB with residual aneurysm at 1yr treated with surgical clipping
2
7
40
#twittertrained
#truthbetold
I learned most of these
#transradial
tricks on social media. so this platform can occasionally be useful
#reducing
a
#vascularloop
using a Simmons
#glidecath
and keeping a stiff glide wire in the catheter for tortuosity
#neuroIR
#cerebrovascular
1
7
40
Excited and honored to be named assistant editor of Interventional Neuroradiology.
1
4
41
A heartfelt congratulations to one of my mentors
@johannatfifi
I couldn’t be more proud of your accomplishments and I am grateful to your education and friendship to me over the years! Thank you for helping to pioneer
#equality
in
#leadership
positions in organized NIR, NES
Congratulations to
@johannatfifi
, who was voted in as the 2022-2023 Vice President for the Board of Directors of the Society of Neurointerventional Surgery (
@SNISinfo
).
@MountSinaiNeuro
@MSHSNeurology
@MountSinaiPeds
#NeuroTwitter
#MedTwitter
6
12
107
1
4
39
Defending the intelligence of of brain surgeons on Fox News NYC last night 😂
2
0
38
1st case ever using
#WEB
6x2 for a shallow ACOM aneurysm
@MV_Terumo
@MontefioreNYC
#iloveneurosurgery
#brainaneurysm
#cerebrovascular
#neurosurgery
0
8
36
A humbling mistake but thankfully a major save using
#Tiger13
@Rapid__Medical
to retrieve a migrated
#coil
in the
#pericallosal
artery. Inspire by
@dwzumofen
sharing a tough case at
#NYC
#emboclub
@eytanraz
@ENossek
@almuftifawaz
@amandaebaker
There always new things to learn.
0
4
35
Never forget the thyrocervical with those low hanging SAHs. Top left shoes dilated vein in the cervical spine. Cervical DAVF. s/p successful
#Onyx
embo
#cerebrovascular
#neuroendovascular
#NeuroSurgery
@MontefioreNYC
0
9
34
Let’s do this!
#functional
#neurointerventional
#surgery
@synchroninc
#bci
#braincomputerinterface
#BK
#brooklyn
#nyc
0
1
35
Saving babies on a Sunday
#cerebrovascular
#neurosurgery
#NeuroIR
#pialAVF
#embolization
@AllanLBrookMD
@MonteNeurosg
@MontefioreRAD
1
1
34
@EladLevyMD
@_AdnanSiddiqui
Do you guys know of Wallace B. Hamby? Former Professor @ University of Buffalo? He published a book on intracranial aneurysms in 1952. I was gifted it from James T. Goodrich’s library.
#historyofmedicine
#iloveneurosurgery
0
1
33
Important to know and understand the dangerous anastamoses around the
#MMA
. What better way to understand than through
#transophthalmic
#tumorembo
#iloveneurosurgery
#cerebrovascular
#neuroIR
#neuroendovascular
0
6
34
Dural AVF with transvenous cure with coil embolization. Important to note you need to check all arterial feeders before claiming victory.
#neurosurgery
#Neurointerventional
#neuroIR
#transvenous
#cerebrovascular
#amazing
@MontefioreNYC
0
10
32
What can be more fun than getting a
#Hyperfine
#portable
#MRI
@svinsociety
2023
#Miami
. Amazing technology !
0
2
33
See you back in DC soon!
@drajaywakhloo
@StavrosMatsouk
@SandraNarayanan
@BrianHoh1
@drricardohanel
@JMoccoMD
@AdamArthurMD
@GaborTothMD
@STateshimaMD
#ARISE
@StrokeAHA_ASA
1
4
30
What great fun!
#3C
@JacobsInstitute
@MokinMax
@AdamArthurMD
@chriskellnerMD
@DrAltschul
@johannatfifi
@AmeerEHassan
#quil
&imran
#jacksonhole
Thanks Chris and Anne. Happy Birthday
#VizAI
0
1
32
#web
for
#ruptured
#pcom
#brain
#aneurysm
with large pcom arising from the neck. These cases used to be more challenging requiring complex endovascular or surgical clipping. Now life is easy web it
#iloveneurosurgery
#cerebrovascular
#neuroendovascular
1
6
32
Still a role still for open clipping right here.
#unruptured
#mca
#aneurysm
that involves more 180 degrees of the artery
#cerebrovascular
#neurosurgery
#iloveneurosurgery
#neuroIR
#neuroendovascular
1
3
30
Sizing for
#WEB
@MV_Terumo
for irregular shaped
#aneurysms
can be challenging. The goal is to have ample lateral compression @ the neck w/ enough height for distal end of the web to be against the distal dome. Case 1 SL 6x3; Case 2 SL 4x3
#neuroIR
#cerebrovascular
#neurosurgery
1
3
32
Great paper to learn prospectively about cSDH recurrence rates!
#SDH
#cSDH
#mmaembo
use warm irrigation!
@JAMANeuro
#neurosurgery
#neurovascular
#iloveneurosurgery
1
6
30
It’s a great honor to have met and listened to Mr. Malcolm Gladwell
@Gladwell
in person today
@CNS_Update
Austin, TX 2021
0
3
31
Thanks
@drajaywakhloo
@AdamArthurMD
for the invitation. A lot of educational and meaningful discussion about future paths of our field.
0
1
31
Left M2 occlusion, then straight to The Red Herrings gig then back to work for a suboccipital craniectomy.
#Worklifebalance
#neurosurgerylife
@MonteNeurosg
2
3
31
Super excited to have gotten my first
#trenza
case done in the
#citadel
trial
@Stryker_NV
@Ansaar_Rai
5
3
31
Hunt-Hess Gr 3 SAH treated 2 yrs ago with balloon assisted coiling with large regrowth treated with WEB 5 months ago just followed up with an amazing result
#cerebrovascular
#neuroir
#neuroendovascular
#neurosurgery
#amazing
#nyc
#healthcareheroes
#brainaneurysm
@MontefioreNYC
1
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0
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We are very lucky to have so many nice new devices for
#stroke
#lvo
that make it so much easier, faster and safer to treat with
#thrombectomy
. Sometimes it’s fun to mix and match here with RIST 079
@Medtronic_NV
RED 62
@penumbrainc
& Tiger 17
@Rapid__Medical
#neuroIR
2
2
29
Due to an overwhelming response to our neurosurgery residency PGY-1 position we are no longer accepting applications. Thank you all for your interest. We will be objectively reviewing them all and will get back to you as soon as possible. Thanks again!
0
1
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#masterclass
#tumor
#embo
from ethmoidal branches of ophthalmic artery. Deep understanding of vascular anatomy essential to safe treatment. Some say not worth the risk. However with expanded endonasal approach tumor embo can have a real benefit. Thx
@neuroangio1
for advice.
2
4
28
Interesting case of a tandem occlusion in a middle aged person with distal emboli to ACA. Wound up having a bad cervical dissection treated with balloon mounted cardiac stent.
#tiger13
#rapidmedical
for the
#DEVO
#tiger17
for the
#LVO
#iloveneurosurgery
#cerebrovascular
#neuroIR
1
4
28
Nothing better than summer in Jackson, WY.
#3C
is my favorite meeting.
@JacobsInstitute
@_AdnanSiddiqui
#loveit
1
2
28
@SandraNarayanan
@MajidiShahram
@tomoxl
@DrAltschul
@synchroninc
event Good times! The future is bright. Great convos!
@svinsociety
1
6
28
Blood Pressure Management After Endovascular Therapy for Acute Ischemic Stroke: The BEST-II Randomized Clinical Trial | Cardiology | JAMA | JAMA Network
0
7
28
Grateful for the opportunity and trust
@MV_Terumo
had with me to have the honors of first in man for the new sizes of 6x2 and 7x2.
Congratulations Dr. David Altschul (
@DavidAltschulMD
) and Montefiore Health System (
@MontefioreNYC
) for the first deployment of WEB SL 6x2 and WEB SL 7x2 worldwide! We are looking forward to treating more cases with the new WEB sizes!
#oneanddone
#webdevice
#powerofone
0
2
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2
0
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Congrats
@DileepMonie
&
@kainaat_javed
!!! Welcome to the Montefiore-Einstein neurosurgery family!!!
1
2
25
Honored to be a part of the
@thebeefoundatio
endeavor to support brain aneurysm research.
We are glad to announce that our lab received the TBF 2023 prestigious research grant to investigate the psychiatric and mental outcomes of observation versus treatment for unruptured intracranial aneurysms.
@DavidAltschulMD
@MAEssibayi
@neuroogodzilla
@thebeefoundatio
0
0
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2
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27
Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage | New England Journal of Medicine
Finally out! Congrats to
@EmoryNeurosurg
and all the investigators!
0
4
26
What’s a better
#3C
anthem?
@JacobsInstitute
@_AdnanSiddiqui
@AmeerEHassan
@Fie0815
@DrAltschul
#OliviaRodrigo
#Vampire
or
#Allalongthewatchtower
#bobdylan
#jimihendrix
Getting ready for
#JacksonHole
. My favorite meeting of the year…see you soon..Sporting my fave
@synchroninc
2
2
26
Happy
#WorldStrokeDay
! Just want to thank our whole team in the recent past we performed 5 thrombectomies in 1 day which isn’t possibly if we can’t turn over the rooms. Every person counts to make the CSC successful
@MontefioreRAD
@MontefioreNYC
1
4
25
1st 3 Surpass Evolve cases in NYC done!
#Stryker
#flowdiverter
#Evolve
#Surpass
Handling tortuousity like a champ with predictable deliverability and very easy to resheath. Can’t do these cases without a great team! Thank you to everyone involved.
0
6
26
A lot of
#LVO
this week…had the opportunity to get some good results with ERIC (limited launch)
@MV_Terumo
nice case showing how to managed distal embolus with ERIC stent retriever while letting Sofia Plus gobble up the M1 occlusion maximizing single pass success!
#neuroIR
1
3
26
What an honor!
@thebeefoundatio
SNIS members
@DavidAltschulMD
,
@visishs
& Scott Simon all received research grants tonight at the
@thebeefoundatio
#HoneyBash2023
. Well done!
2
1
32
2
2
26
Big fan of
#Tracstar
as a venous guide catheter for transvenous cases. Been able to track it all the way to the SSS.
@imperative_care
#transvenous
#iloveneurosurgery
#neuroIR
#neuroendovascular
#cerebrovascular
#neurosurgery
1
2
26
Well deserved
@johannatfifi
Introducing the new Co-Director of
@MountSinaiNeuro
's Pediatric Cerebrovascular Disorders Program,
@johannatfifi
! She works in collaboration w/Co-Director Dr. Alex Berenstein &
@TShigematsuMD
to provide world-class care to neonates, children, & teens!
@MountSinaiPeds
#AVM
#VOGM
2
6
40
2
1
26
#radial
#zoom
getting the job done on a hot carotid. Tracked like a champ.
#angioplasty
and
#stent
a breeze
@ImpCare_Vasc
#neuroIR
#neuroendovascular
#iloveneurosurgery
#itrytolovestroke
#personalgrowth
#lol
1
1
25
Unfortunately stroke doesn’t stop just because it’s Mother’s Day. Happy to help all the mom’s in the Bronx should they need it.
#Singlepass
#TICI3
@CERENOVUS_HQ
#embotrap3
#thrombectomy
#noLVOleftbehind
#neuroIR
#stroke
#
#HappyMothersDay
#neuroendovascular
@MontefioreNYC
0
1
25
1
2
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0
0
25
@eytanraz
@johannatfifi
@PascalJabbourMD
Question for the audience. If this aneurysm were to rupture what would happen? Is this a dangerous aneurysm?
7
2
25
Super super selective microcatheterizarion of a ruptured en passage type AVM. Tri-axial with Sophia 5Fr for cervical carotid loop. Scepter-mini no balloon inflation as catheter was already occlusive in <1mm vessel.
#cerebrovascular
#neurosurgery
#neuroIR
@MV_Terumo
0
2
25
1
0
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#heritage
@MontefioreNYC
@NYUneurosurgery
@drdavidlanger
@HaranhalliMD
so happy to be a part of honoring my mentor Dr Eugene Flamm at his 1st endowed lecture
@nyuniversity
0
1
24
Pretty picture of a
#FREDX
#flowdiverter
#stent
immediately after deployment for an
#ophthalmic
segment
#aneurysm
#brainaneurysm
#neurosurgery
#neuroendovascular
#neuroIR
#iloveneurosurgery
2
2
24
Explosion in the understanding of somatic mutations of
#vascularmalformations
#avm
#cerebrovascular
#neuroIR
#neurosurgery
#abcwin
@WFITN_Society
@INR_WFITN
over the last 20 years
0
7
24
1
0
24
The man
@_AdnanSiddiqui
who makes 3C such a great meeting. Thanks for inviting me. I hope to be back next year
#firepit
#jacksonhole
0
0
23
@MV_Terumo
Introducing the new
#LVIS
#EVO
stent. You can finally see a stent for
#stent
-assisted
#coiling
. 1st in US before it’s commercially available in spring 2024.
#iloveneurosurgery
#neuroIR
#neuroendovascular
#pericallosal
#aneurysm
#cerebrovascular
#brainaneurysm
2
2
23
Happy to be a part of this great team and journal!
@INR_WFITN
We kick off this week with Introductions to the Editorial Board!
First up -
@DavidAltschulMD
| Dr. Altschul is a board certified dual-trained Open and Endovascular Cerebrovascular Neurosurgeon and Associate Professor at Montefiore Health System NYC.
@WFITN_Society
@WBrinjikji
1
5
37
0
0
22
Fun times yesterday with
@JMoccoMD
@MontefioreNYC
Neurosurgery Grand rounds. Great to have you! NYC is the best!
2
1
23
Around the world with stent-retriever assisted loop reduction to manage a giant cavernous
#aneurysm
- ICA blowout treated with
#pipeline
flex
@Medtronic
@MDTVascular
2 5mmx35mm stents placed.
#iloveneurosurgery
#neuroendovascular
#neuroIR
#cerebrovascular
1
2
23
Proof in concept for SDH MMA embo. Bilateral SDH s/p evac selective right MMA embo, followed by Spectral CT showing contrast w/ PVA sitting in the subdural space.
#neurosurgery
#amazing
#neuroir
#cerebrovascular
#neuroendovascular
#SpectralCT
#MMAembo
#SDH
@MontefioreNYC
0
3
23
@WBrinjikji
you warned me!! 😉 Zilver stent versus Carotid Wallstent for endovascular treatment of idiopathic intracranial hypertension | Journal of NeuroInterventional Surgery
0
4
21
Great job
@MAEssibayi
!!
@AANSNeuro
2024 best clinical scientific paper abstract award!
@monteinsteincrl
@MontefioreNYC
@AdamDmytriw
#WWWeb
Extremely excited and honored to share that my WorldWideWEB abstract won the Cerebrovascular Section Best Clinical Scientific Paper Award! Huge thanks to
@DavidAltschulMD
and
@AdamDmytriw
for this incredible opportunity. Can't wait to present this abstract at
#AANS2024
on! 🏆
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These lists are super irritating. Aren’t we all in this together? Working together to stop out Cerebrovascular disease and treat our patients through some of the hardest times in their lives? Having to face successes, failures, triumphs and heartache. Not a popularity contest…
3
1
21
@AnnaMNia
@KirnazSertac
Congrats to our two new neurosurgery residents
@MontefioreNYC
! Super excited to welcome you both to the Monte family. Looking forward to it!
3
5
22