David Altschul
@DavidAltschulMD
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Dual Trained Open and Endovascular Neurosurgeon. Professor of Neurosurgery and Radiology. Husband, father, guitarist, singer, songwriter. Skeptic.
New York, NY
Joined April 2018
@LeaderNeuro #thankyou @octaviaspencer from @MontefioreNYC @MonteNeurosg @MontefioreRAD @NeuroMonteEinst For making our staff safer #frontlineheroes #pandemic
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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 ⬇️⬇️⬇️
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Saw my first e-shunt today with @amandaebaker!! Thanks @MatoukCharles @YaleMed @CereVasc Amazing technology!
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. 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
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Happy to announce our #NIR #fellowship is #CAST accredited….DM me if interested. All specialties considered #neuroendovascular #neurosurgery #neuroIR #cerebrovascular @MontefioreNYC.
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Another rare cause of #SAH thoracic anterior spinal artery aneurysm check it out! #Neurosurgery #cerebrovascular #neuroIR #neuroendovascular #aneurysm @MontefioreNYC
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What does everyone see here? #cerebrovascular #neurosurgery #neuroanatomy #neurovascularanatomy #vascularneuroanatomy #somethingisweird #neuroradiology #mra #mrangiography
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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
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Super proud of @DrAltschul getting her art published in the first Stroke: Vascular and Interventional Neurology Journal #artinmedicine #medicineisart.
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#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
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You see #medtwitter still a roll for coiling for this wide necked PCOM #aneurysm with large pcom after presenting with 3rd nerve palsy
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Still doing emergency neurosurgery. Keepin my N-95 unsoiled. #neurosurgery #COVID-19 #pandemic @MonteNeurosg @MontefioreNYC
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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…
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Ok so how many more cases do you think we will be doing?.
Presented at #ISC23: In the SELECT2 trial involving patients with large acute strokes, endovascular thrombectomy resulted in better functional outcomes than medical care alone but was associated with vascular complications.
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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
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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
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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
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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
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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
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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
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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
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#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
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Excited and honored to be named assistant editor of Interventional Neuroradiology.
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Defending the intelligence of of brain surgeons on Fox News NYC last night 😂
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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
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1st case ever using #WEB 6x2 for a shallow ACOM aneurysm @MV_Terumo @MontefioreNYC #iloveneurosurgery #brainaneurysm #cerebrovascular #neurosurgery
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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.
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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
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Let’s do this! #functional #neurointerventional #surgery @synchroninc #bci #braincomputerinterface #BK #brooklyn #nyc
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Important to know and understand the dangerous anastamoses around the #MMA. What better way to understand than through #transophthalmic #tumorembo #iloveneurosurgery #cerebrovascular #neuroIR #neuroendovascular
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Saving babies on a Sunday #cerebrovascular #neurosurgery #NeuroIR #pialAVF #embolization @AllanLBrookMD @MonteNeurosg @MontefioreRAD
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@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
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What can be more fun than getting a #Hyperfine #portable #MRI @svinsociety 2023 #Miami. Amazing technology !
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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
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What great fun! #3C @JacobsInstitute @MokinMax @AdamArthurMD @chriskellnerMD @DrAltschul @johannatfifi @AmeerEHassan #quil&imran #jacksonhole Thanks Chris and Anne. Happy Birthday #VizAI
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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
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See you back in DC soon! @drajaywakhloo @StavrosMatsouk @SandraNarayanan @BrianHoh1 @drricardohanel @JMoccoMD @AdamArthurMD @GaborTothMD @STateshimaMD #ARISE @StrokeAHA_ASA
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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
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#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
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Super excited to have gotten my first #trenza case done in the #citadel trial @Stryker_NV @Ansaar_Rai
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Great paper to learn prospectively about cSDH recurrence rates! #SDH #cSDH #mmaembo use warm irrigation! @JAMANeuro #neurosurgery #neurovascular #iloveneurosurgery
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Thanks @drajaywakhloo @AdamArthurMD for the invitation. A lot of educational and meaningful discussion about future paths of our field.
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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
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Left M2 occlusion, then straight to The Red Herrings gig then back to work for a suboccipital craniectomy. #Worklifebalance #neurosurgerylife @MonteNeurosg
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It’s a great honor to have met and listened to Mr. Malcolm Gladwell @Gladwell in person today @CNS_Update Austin, TX 2021
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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
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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!
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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
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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.
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Nothing better than summer in Jackson, WY. #3C is my favorite meeting. @JacobsInstitute @_AdnanSiddiqui #loveit
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@SandraNarayanan @MajidiShahram @tomoxl @DrAltschul @synchroninc event Good times! The future is bright. Great convos! @svinsociety
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Blood Pressure Management After Endovascular Therapy for Acute Ischemic Stroke: The BEST-II Randomized Clinical Trial | Cardiology | JAMA | JAMA Network
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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
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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
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Congrats @DileepMonie & @kainaat_javed !!! Welcome to the Montefiore-Einstein neurosurgery family!!!
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Trial of Early Minimally Invasive Removal of Intracerebral Hemorrhage | New England Journal of Medicine Finally out! Congrats to @EmoryNeurosurg and all the investigators!.
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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
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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
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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
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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
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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.
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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
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What an honor! @thebeefoundatio.
SNIS members @DavidAltschulMD, @visishs & Scott Simon all received research grants tonight at the @thebeefoundatio #HoneyBash2023. Well done!
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#marseille #mainhall @esmintsociety #packedhouse @SNISinfo joint section talking about endosaccular strengths and limitations with other great talks from @JMoccoMD @_AdnanSiddiqui @Fie0815 @vitorpereiracan #davidfiorella #charbelmounayer #zsoltkulcsar
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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
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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
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@eytanraz @johannatfifi @PascalJabbourMD . Question for the audience. If this aneurysm were to rupture what would happen? Is this a dangerous aneurysm?
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#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
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Explosion in the understanding of somatic mutations of #vascularmalformations #avm #cerebrovascular #neuroIR #neurosurgery #abcwin @WFITN_Society @INR_WFITN over the last 20 years
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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
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Pretty picture of a #FREDX #flowdiverter #stent immediately after deployment for an #ophthalmic segment #aneurysm #brainaneurysm #neurosurgery #neuroendovascular #neuroIR #iloveneurosurgery
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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
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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
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Fun times yesterday with @JMoccoMD @MontefioreNYC Neurosurgery Grand rounds. Great to have you! NYC is the best!
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The man @_AdnanSiddiqui who makes 3C such a great meeting. Thanks for inviting me. I hope to be back next year #firepit #jacksonhole
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@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
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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
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All #aneurysms are potentially dangerous and need to be monitored. See this small bump at the ICA bifurcation turn into a saccular aneurysm 1 year later in a person with multiple #brainaneurysms treated with nano coils @Stryker_NV & #FREDX for the choroidal segment @MV_Terumo
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#Hippo & #Cheetah @q_apel managing a really tortuous #posterior #circulation #basilar #stroke 2 clot parts, the soft red and the hard white! Getting the job done when stent retrievers and zoom couldn’t!!! #lovinit #iloveneurosurgery #neuroIR #cerebrovascular #neuroendovascular
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