- Clinical Services
Cerebrovascular & Endovascular Neurosurgery
The Cerebrovascular Center of the Department of Neurological Surgery at New Jersey Medical School is lead by Drs. Charles J. Prestigiacomo, Chirag D. Gandhi, and E. Jesus Duffis along with the assistance of Brigitte Ramones, APN. This multi-disciplinary service works in cooperation with Neuroradiology, the Section of Vascular Neurology and the Section of Vascular Surgery to efficiently evaluate and treat, both operatively and non-operatively, patients with diseases of the blood vessels supplying the brain and spinal cord including:
- Arteriovenous Malformations (AVM)
- Vascular Tumors
- Extracranial cerebral vascular disease
- Intercranial artherosclerosis
- Spinal Cord AVM/AVF
- Pre-operative embolization of brain and spinal tumors
This multi-disciplinary service offers both diagnostic and interventional capabilities for vascular pathologies of the brain and spinal cord. The center specializes in endovascular treatment of aneurysms, AVMs (both spinal and cranial), intracranial and extracranial atherosclerosis, as well as non-vascular procedures, such as vertebroplasty/ kyphoplasty. There is very close cooperation with the Neurology Stroke team to offer 24-hour interventional capability in support of our Comprehensive Stroke Center. The service also offers a two-year fellowship in which we offer training to neurosurgeons, radiologists, and neurologists that have met their individual section prerequisites.
Cutting Edge Endovascular Technology and Humanitarian Use Devices
Humanitarian Use Device is a device used to diagnose or treat a disease or condition that affects fewer than 4,000 individuals in the United States per year and for which no comparable device is available. UMDNJ- Medical School Department of Neurological Surgery is currently working with four HUD studies for treating aneurysms.
Some types of aneurysms are difficult to treat with coils alone, they can have such a widen opening that the coils might not be able to stay in and fall back into the blood vessels or block blood flow.
The CODMAN ENTERPRISE™ Vascular Reconstruction Device and Delivery System and Neuroform EZ™ Stent System for Intracranial Aneurysms are HUD devices that both use a type of self-expanding intracranial stent made from a materiel called nitinol and are used to treat “wide neck” cerebral aneurysms. The stent is threaded through the artery to the aneurysm sac, coils are then released and used to fill the aneurysm, lowering the chances of the aneurysm rupturing. The stent is being used to help keep the coils from falling out of the aneurysm sac.
Onyx Liquid Embolic System (HD-500) is a liquid packing material injected through a micro catheter into the aneurysm. Once injected the material hardens filling up the aneurysm intending to excluded the aneurysm sac from intracranial blood pressure while preserving the parent artery circulation.
Wingspan™ Stent System with Gateway™ PTA Balloon Catheter is used to open up an artery with >50% blockage to prevent the thickening arterial walls from collapsing, to improve blood flow to your brain and prevent stroke.