cerebrovascular neurosurgery timeline | demetrius lopes, md
DESCRIPTION
Read the timeline of treatments introduced in Chicago by Dr. Demetrius Lopes, a cerebrovascular nuerosurgeon at Rush University Medical Center.TRANSCRIPT
Timeline of treatments introduced in Chicago
2001 2002/2007 2011
Flexible self-expanding stent 1st in Chicago Pipeline Flow diverter
1st in Chicago Neuroform Stent
Arrival to Chicago 1st Neurosugeon trained in open and endovascular cerebrovascular surgery
1st in Chicago Enterprise stent
Stenting and coiling technique
Largest experience in Chicago more than 1000 cases
First Neuroform Case 10/15/2002 First Neuroform TREO 3/3/2004
2004 – First YMCA worldwide
YMCA case
YMCA
YMCA
Liberty Arterial ReConstruction
2013 – Global Principal Investigator 1st Case Worldwide
First pipeline case in Chicago and follow up 5 years later
First Surpass and Fred flow diverters in Chicago 2013
Dr Lopes evolution of aneurysm repair with endovascular techniques
Feasibility Wide Neck? Coiling Balloon assisted coiling
Stent assisted coiling Flow diversion
Neck Coverage depends on stent type
Stent
Approximate Coverage
Neuroform, Enterprise,
Solitaire 6%
Liberty, LVIS 15%
PED, Silk, Fred, Surpass 30%
Relationship pipeline - perforator
Developing intravascular imaging with OCTfor brain vessels This work made to the cover of SNIS journal
MCA – Lenticulostriate perforators
First neurointervention using magnetic navigation
AVM First AVM embolization with ONYX in Illinois
AVM embolization with Onyx
Intracranial Stenosis – First treatment of symptomatic
intracranial stenosis in Chicago with wingspan stent
4D angiography The latest imaging techniques and equipment for better outcomes
Acute Stroke Treatment Involved on all the trials and devices available in the USA 5 Max Ace aspiration system Solitaire, Trevo , 3D – Stent retriever devices
• 2 year old • Presented with acute left hemiplegia • PMH
– HLHS • s/p multiple surgeries
– Norwood with Sano (1/2012) – Glenn (5/2012) – Tricuspid repair x 2 (7/2013,
4/2014) – G20210a prothrombin mutation – R MCA CVA (7/2013)
Video of patient sent child stroke survivor From not moving left side of body to completely recovered