Research Topics
| David FiorellaSummaryAffiliation: Cleveland Clinic Foundation Country: USA Publications
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Detail Information
Publications
A 7-year experience with balloon-mounted coronary stents for the treatment of symptomatic vertebrobasilar intracranial atheromatous diseaseDavid Fiorella
Department of Neuroradiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Neurosurgery 61:236-42; discussion 242-3. 2007....- The role of neuroendovascular therapy for the treatment of brain arteriovenous malformationsDavid Fiorella
Department of Neuroradiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Neurosurgery 59:S163-77; discussion S3-13. 2006..The authors also provide a summary of the available embolic agents and their technical application, potential intraprocedural and periprocedural complications, and postprocedural management... - Endovascular reconstruction with the Neuroform stent as monotherapy for the treatment of uncoilable intradural pseudoaneurysmsDavid Fiorella
Department of Neuroradiology, Cleveland Clinic, Cleveland, Ohio 44195, USA
Neurosurgery 59:291-300; discussion 291-300. 2006..The current report describes the successful endovascular treatment of these lesions using a strategy of Neuroform stent reconstruction... - Neuroform in-stent stenosis: incidence, natural history, and treatment strategiesDavid Fiorella
Department of Neuroradiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Neurosurgery 59:34-42; discussion 34-42. 2006..The current series describes the incidence and natural history of in-stent stenosis after the deployment of the Neuroform stent within the cerebrovasculature for the treatment of aneurysms... - Emerging endovascular therapies for symptomatic intracranial atherosclerotic diseaseDavid Fiorella
Cleveland Clinic, Cleveland, Ohio 44195, USA
Stroke 38:2391-6. 2007 - Balloon-in-stent technique for the constructive endovascular treatment of "ultra-wide necked" circumferential aneurysmsDavid Fiorella
Department of Neuroradiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Neurosurgery 57:1218-27; discussion 1218-27. 2005..We detail a novel technique for endovascular parent vessel reconstruction with aneurysm embolization... - Antiplatelet therapy in neuroendovascular therapeuticsDavid Fiorella
Cleveland Clinic Foundation, 9500 Euclid Avenue, S80, Cleveland, OH 44195, USA
Neurosurg Clin N Am 16:517-40, vi. 2005..The optimal application of these agents will undoubtedly improve the risk profile of neuroendovascular procedures, increase the success rate of acute stroke intervention, and facilitate more effective secondary stroke prevention... - Monorail snare technique for the recovery of stretched platinum coils: technical case reportDavid Fiorella
Department of Neuroradiology, Barrow Neurological Institute, Phoenix, Arizona, USA
Neurosurgery 57:E210; discussion E210. 2005..To overcome this problem, we devised a technique to snare the distal, unstretched, intact portion of the platinum coil by use of the indwelling microcatheter and stretched portion of the coil as a monorail guide... - Usefulness of the Neuroform stent for the treatment of cerebral aneurysms: results at initial (3-6-mo) follow-upDavid Fiorella
Department of Neurosurgery, Cleveland Clinic Foundation Cleveland, Ohio 44195, USA
Neurosurgery 56:1191-201; discussion 1201-2. 2005..The present report details our experience with the Neuroform stent over the past 2 years, with an emphasis on evolving treatment strategies and treatment durability at initial (3-6 mo) follow-up... - US multicenter experience with the wingspan stent system for the treatment of intracranial atheromatous disease: periprocedural resultsDavid Fiorella
Department of Neurosurgery, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Stroke 38:881-7. 2007..The current report details our initial periprocedural experience with Wingspan (Boston Scientific/Target), the first self-expanding stent system designed for the treatment of intracranial atheromatous disease... - Double-balloon trapping technique for embolization of a large wide-necked superior cerebellar artery aneurysm: case reportMichael E Kelly
Division of Cerebrovascular and Endovascular Neurosurgery, Department of Neurosurgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
Neurosurgery 63:291-2; discussion 292. 2008..To describe a novel double-balloon trapping technique for endovascular embolization of a broad-based saccular aneurysm of the superior cerebellar artery... - Mechanical thrombectomy for acute stroke with the alligator retrieval deviceMuhammad S Hussain
Section of Cerebrovascular and Endovascular Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio, USA
Stroke 40:3784-8. 2009..The Alligator retrieval device, developed for endovascular foreign body retrieval, may also be useful for thrombus removal... - Preliminary experience using the Neuroform stent for the treatment of cerebral aneurysmsDavid Fiorella
Department of Neuroradiology, Barrow Neurological Institute, Phoenix, Arizona 85013, USA
Neurosurgery 54:6-16; discussion 16-7. 2004..Although delivery and deployment may be technically challenging, clinically significant complications are uncommon... - In-stent stenosis as a delayed complication of neuroform stent-supported coil embolization of an incidental carotid terminus aneurysmDavid Fiorella
Department of Neuroradiology, Barrow Neurological Institute, Phoenix, AZ, USA
AJNR Am J Neuroradiol 25:1764-7. 2004..The present case report demonstrates in-stent stenosis occurring as a delayed complication of Neuroform stent-supported coil embolization of an unruptured cerebral aneurysm... - Proximal migration and compaction of an Enterprise stent into a coiled basilar apex aneurysm: a posterior circulation phenomenon?Shervin R Dashti
Division of Neurological Surgery, Barrow Neurological Institute, St Joseph s Hospital and Medical Center, Phoenix, Arizona, USA
J Neurointerv Surg 2:356-8. 2010..Nonetheless, the left posterior cerebral artery and the basilar artery were still widely patent. This is the first documented case in which a stent 'compacted' into a completed coiled aneurysm in a delayed fashion... - Endovascular treatment of intracranial stenosisDavid Fiorella
Department of Neurosurgery, Cerebrovascular Center, Stony Brook University Medical Center, Stony Brook, New York, USA
World Neurosurg 76:S66-70. 2011.... - Recanalization of an acute middle cerebral artery occlusion using a self-expanding, reconstrainable, intracranial microstent as a temporary endovascular bypassMichael E Kelly
Division of Cerebrovascular and Endovascular Neurosurgery, Department of Neurosurgery, Cleveland Clinic, S80, Cleveland, OH 44195, USA
Stroke 39:1770-3. 2008..We describe a technique in which a reconstrainable stent was used to provide a temporary endovascular bypass to achieve MCA recanalization without permanent stent implantation... - Intracranial placement of a new, compliant guide catheter: technical noteMin S Park
Division of Neurological Surgery, Barrow Neurological Institute, St Joseph s Hospital and Medical Center, Phoenix, Arizona 85013, USA
Neurosurgery 63:E616-7; discussion E617. 2008..We describe our initial experience with the use of a novel, compliant guide catheter designed for placement within the cranial vasculature in a series of seven patients who were treated for various intracranial pathologies... - Neurovascular rescueEdwin J Cunningham
Department of Neurosurgery, The Cleveland Clinic Foundation, Cleveland, OH 44195, USA
Semin Vasc Surg 18:101-9. 2005..In this chapter the authors discuss techniques for the avoidance and management of CAS procedural complications... - Definitive reconstruction of circumferential, fusiform intracranial aneurysms with the pipeline embolization deviceDavid Fiorella
Department of Neuroradiology and Neurosurgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
Neurosurgery 62:1115-20; discussion 1120-1. 2008..We report the results of the first two human implantations of this device in North America... - Delayed visual deficits and monocular blindness after endovascular treatment of large and giant paraophthalmic aneurysmsRaymond D Turner
Department of Neurological Surgery, Cleveland Clinic, Cleveland, Ohio 44195, USA
Neurosurgery 63:469-74; discussion 474-5. 2008.... - Curative reconstruction of a giant midbasilar trunk aneurysm with the pipeline embolization deviceDavid Fiorella
Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona 85013, USA
Neurosurgery 64:212-7; discussion 217. 2009..To demonstrate the curative reconstruction of a giant circumferential basilar trunk aneurysm using the Pipeline embolization device (PED) (Chestnut Medical Technologies, Inc., Menlo Park, CA) alone, without embolization coils... - A reappraisal of angioplasty and stenting for the treatment of vertebral origin stenosisFelipe C Albuquerque
Division of Neurological Surgery, Barrow Neurological Institute, St Joseph s Hospital and Medical Center, Phoenix, Arizona 85013, USA
Neurosurgery 53:607-14; discussion 614-6. 2003..To assess the rate of restenosis after vertebral origin angioplasty and stenting (VOAS)... - Stent reconstruction of wide-necked aneurysms across the circle of WillisMichael E Kelly
Division of Cerebrovascular and Endovascular Neurosurgery, Department of Neurosurgery, The Cleveland Clinic, Cleveland, Ohio 44195, USA
Neurosurgery 61:249-54; discussion 254-5. 2007..To describe a novel technique for single stent reconstruction of wide-necked aneurysms arising from the circle of Willis... - Durability of aneurysm embolization with matrix detachable coilsDavid Fiorella
Department of Neurosurgery and Neuroradiology, Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Neurosurgery 58:51-9; discussion 51-9. 2006..The current study was undertaken to assess the durability of aneurysm occlusion after embolization with MDC... - Mid-term results of endovascular coiling of wide-necked aneurysms using double stents in a Y configurationAlejandro M Spiotta
Department of Neurosurgery, Neurological Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA
Neurosurgery 69:421-9. 2011..Double stenting in a Y configuration may be used to treat a subset of wide-necked aneurysms not amenable to reconstruction with a single stent... - Strategies for the management of intraprocedural thromboembolic complications with abciximab (ReoPro)David Fiorella
Departments of Neuroradiology and Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona 85013, USA
Neurosurgery 54:1089-97; discussion 1097-8. 2004..CONCLUSION: Abciximab (ReoPro), administered either intravenously or intra-arterially, is a viable option for the management of thromboembolic complications encountered during endovascular therapeutic procedures... - Transorbital endovascular embolization of dural carotid-cavernous fistula: access to cavernous sinus through direct puncture: case examples and technical reportShervin R Dashti
Division of Neurological Surgery, Barrow Neurological Institute, St Joseph s Hospital and Medical Center, Phoenix, Arizona, USA
Neurosurgery 68:75-83; discussion 83. 2011..Direct transorbital puncture for embolization was successful in curing the fistulas. The relevant anatomy and technique are reviewed... - Very late thrombosis of a pipeline embolization device construct: case reportDavid Fiorella
Stony Brook University Medical Center, Department of Neurosurgery, Cerebrovascular Center, Stony Brook, New York, USA
Neurosurgery 67:onsE313-4; discussion onsE314. 2010..We report the very late (>1 year) thrombosis of a PED construct placed for the treatment of a left vertebral aneurysm... - Preoperative Onyx embolization of a giant cavernous malformation involving the dural sinusesShervin R Dashti
Division of Neurological Surgery, Barrow Neurological Institute, St Joseph s Hospital and Medical Center, Phoenix, Arizona, USA
J Neurosurg Pediatr 3:302-6. 2009..Subsequently, complete circumferential excision of the mass from the tentorium was accomplished with minimal intraoperative blood loss... - Adjunctive rheolytic thrombectomy for central venous sinus thrombosis: technical case reportJacobo Kirsch
Department of Neuroradiology, The Cleveland Clinic Foundation, Cleveland, Ohio 44195, USA
Neurosurgery 60:E577-8; discussioin E578. 2007.... - Analyzer-based imaging of spinal fusion in an animal modelM E Kelly
Division of Neurosurgery, Royal University Hospital, University of Saskatchewan, Saskatoon, SK, Canada
Phys Med Biol 53:2607-16. 2008..Synchrotron-based ABI represents a novel imaging technique which can be used to assess spinal fusion in a small animal model. ABI produces superior image quality when compared to conventional radiographs... - Delayed symptomatic coil migration after initially successful balloon-assisted aneurysm coiling: technical case reportDavid Fiorella
Department of Neurosurgery, Barrow Neurological Institute, Phoenix, Arizona 85013, USA
Neurosurgery 64:E391-2; discussion E392. 2009..To describe delayed migration of a coil loop after adjunctive balloon remodeling of an anterior communicating artery aneurysm... - Styloidogenic jugular venous compression syndrome: diagnosis and treatment: case reportShervin R Dashti
Norton Neuroscience Center, Norton Healthcare, Louisville, Kentucky, USA
Neurosurgery 70:E795-9. 2012..Intracranial venous hypertension is known to be associated with venous outflow obstruction. We discuss the diagnosis and treatment of mechanical venous outflow obstruction causing pseudotumor cerebri... - Anesthetic considerations of selective intra-arterial nicardipine injection for intracranial vasospasm: a case seriesRafi Avitsian
Departments of General Anesthesiology, Cleveland Clinic Foundation, Cleveland, OH 44195, USA
J Neurosurg Anesthesiol 19:125-9. 2007..Selective intra-arterial injection of nicardipine during angiography can cause significant hemodynamic instability and requires supportive management by the anesthesiologist... - Assessment of the reproducibility of postprocessing dynamic CT perfusion dataDavid Fiorella
Department of Neuroradiology, Barrow Neurological Institute, Phoenix, AZ 85013, USA
AJNR Am J Neuroradiol 25:97-107. 2004..It is likely that, with optimization of postprocessing parameter selection, the degree of variability may be substantially reduced... - Vertical atlantoaxial distraction injuries: radiological criteria and clinical implicationsL Fernando Gonzalez
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496, USA
J Neurosurg Spine 1:273-80. 2004..7 and 2.6 mm. An LMI greater than 2.6 mm indicates the possibility of a distraction injury, which can be confirmed using MR imaging. Patients with a suspected C1-2 distraction injury may be candidates for surgical fusion of C1-2... - Brain computed tomography angiographic scans as the sole diagnostic examination for excluding aneurysms in patients with perimesencephalic subarachnoid hemorrhageRaymond Turner
Neurosurgery 61:E1340. 2007