Ran into one of my thrombectomy patients on his way into work. ~90d out from simultaneous right M1 and right V4. My smile was irrepressible
Matt Bender
612 posts
Matt Bender
@mtbendermd
Cerebrovascular neurosurgeon @UofR / alumnus @hopkinsnsurg @mckinsey @yale / @ironmantri triathlete, marathoner, run commuter
- Benign but invasive hemangiopericytoma. Superior sagittal sinus occlusion allowed aggressive preoperative onyx embolization. Biparietal craniectomy, tumor/sinus resection and reconstruction by @URNeurosurgery colleague @JonStoneMD #neurotwitter #Neurosurgery #MedEd #surgery
00:00 - This is how we learned arterial bypass @HopkinsNsurg. Highlights from this vintage text to follow! @URNeurosurgery
- Has #flowdiversion become standard of care for ruptured blister #aneurysm? This was more of a fusiform blowout. Grade V #subarachnoidhemorrhage. Pentobarbital. Returning to work 8mos later. @Stryker_NV @cvsection @URNeurosurgery
00:00 - Hasan grading for chronically occluded internal carotid artery (COICA) is one of the more useful scales I've come across. Grade A here (flame shaped ICA stump and distal recon) predicted recanalizability in pt w TIAs and poor ACoA/PCoA. @TheJNS @davidhasan10 @StrokeAHA_ASA
00:00 - OR timing for ruptured AVMs? At @HopkinsNsurg we'd watch for 6wks and resect thru encephalomalacia cavity. Near-term re-bleed rate isn't as high as ANR. Young person, full brain, we onyxed two pedicles and resected within 48h. Which way do you tend? @cvsection @StrokeAHA_ASA
00:00 - There's been some #nihilism about large core embolectomy and same re: grade V #SAH. Well, here's a win from clinic. Battled through awful spasm and barbiturate coma. He's back to work, delivering for @_mealsonwheels @bafound @cvsection @stryker_nv
00:00 - Who else besides @JMDaviesMDPhD and @PascalJabbourMD is doing #radialfirst embolectomy? I've had some wins, like this 7F #RIST climbing a cervical loop to open a right M2. But also a lot of kinking. What's your preferred guide catheter for stroke? @cvsection @StrokeAHA_ASA
00:00 - Type 1 spinal dAVF. Indocyanin green gets the job done for pre/post vascular imaging. Love the way that arterialized vein turns purple during 10min temporary clip while observing MEP/SSEP. Cord congestion resolved at 3mos fu. @cvsection @esmintsociety @SNISinfo @StrokeAHA_ASA
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- Unruptured 14mm basilar apex aneurysm remains completely occluded 3yrs s/p Y-stent coil. Still the right approach? If so, how are you doing it... one stage or multiple? Revisiting after pubs by @WBrinjikji (WEB) and @visishs (flow div) @SNISinfo @JNIS_BMJ @ActaNeuro @LINNConline
00:00 - Quick vid made for resident education. #vesselwallimaging identifies culprit left #MCA #aneurysm. Temp clipping facilitates dome dissection, avoidance of inferior division. Neat to decompress and see inside at the end... @cvsection @CNS_Update @StrokeAHA_ASA @RahmaniRedi
00:00 - Excited to be in Gainesville @UFNeuroICU for BLOCK-SAH training. Ultrasound-guided pterygopalatine fossa block for headache in aneurysmal subarachnoid hemorrhage. Coming to @URNeurosurgery @UR_Med this fall
