cerebrovascular neurosurgery timeline | demetrius lopes, md

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