Our Approach to Neurovascular Conditions

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The Montefiore Einstein Comprehensive Neurovascular Center is one of the leading destinations worldwide for the management of vascular diseases of the brain and spine, including ischemic and hemorrhagic strokes, venous occlusive disease, vascular malformations, subarachnoid hemorrhages, traumatic injuries and congenital conditions. We are the first health system from the Bronx to the Hudson Valley to have earned the prestigious Comprehensive Stroke Center designation from the Joint Commission and are among the top three percent of hospitals in the nation to earn this designation. We are the highest-volume stroke center in the New York metropolitan region and treat one of the most diverse communities in the nation, including traditionally underserved and particularly vulnerable pediatric and adult stroke patients, with state-of-the-art care and emerging technology. We are ranked in the top 1% of all hospitals in the nation for neurology and neurosurgery, according to U.S. News & World Report.

We use the latest and most advanced imaging tools and procedures to treat patients of all ages suffering from complex, life-threatening neurovascular conditions. Our neurovascular program offers a complete array of state-of-the-art solutions for the full spectrum of neurovascular diseases, including endovascular, open, minimally invasive, and hybrid surgeries.

Leading Stroke Research, Clinical Trials & Education

An internationally recognized leader in stroke research, Montefiore Einstein is a founding partner and key member of the New York City Collaborative Regional Coordinating Center (NYC-RCC), the largest National Institutes of Health (NIH)-funded, multi-institutional consortium dedicated to stroke prevention, treatment, education and rehabilitation efforts to reduce the burden of stroke on children and adults throughout the country. Distinguished as an NIH StrokeNet Regional Coordinating Center since the inception of the NIH StrokeNet in 2013, we are among an elite group of only 27 centers in the nation to be awarded a five-year grant, funded by the National Institute of Neurological Disorders and Stroke (NINDS)/NIH. We spearhead and participate in numerous clinical trials to advance promising interventions for stroke prevention, treatment, recovery and rehabilitation for patients with or at risk of a stroke across all stages of life.

A collaborative effort between the NIH and Montefiore Einstein, the Icahn School of Medicine at Mount Sinai, New York University School of Medicine and other affiliated institutions and partner sites, our Regional Coordinating Center encompasses all boroughs of New York City, Westchester, Long Island and Upstate New York, as well as Nashville, TN, and we continue to expand our network. As one of the top NIH StrokeNet centers enrolling minority groups to ensure that a diverse population of patients is represented in our clinical trials, we are committed to serving children and adults who are underrepresented in stroke research, and to advancing culturally sensitive interventions and protocols for populations most at risk for stroke. We also continue to develop interdisciplinary endovascular platforms, new devices and intersectional strategies for conducting ultra-rapid clinical trials.

At the Montefiore Einstein Comprehensive Neurovascular Center we are also leaders in education, advancing programs and training for the next generation of top multidisciplinary experts in stroke care.

Recognized Expertise

The Montefiore Einstein Comprehensive Neurovascular Center team is led by nationally renowned vascular neurologists, neurosurgeons and neuroradiologists. Our multidisciplinary team members have advanced fellowship training, experience and expertise in the latest technologies and techniques for treating strokes, aneurysms and vascular malformations, among other conditions. We are also one of few centers in the nation whose specialists in all three departments have been trained through fellowship programs focused on endovascular techniques.

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Advanced Treatments

The Montefiore Einstein Comprehensive Neurovascular Center team is led by nationally renowned vascular neurologists, neurosurgeons and neuroradiologists. Our multidisciplinary team members have advanced fellowship training, experience and expertise in the latest technologies and techniques for treating strokes, aneurysms and vascular malformations, among other conditions. We are also one of few centers in the nation whose specialists in all three departments have been trained through fellowship programs focused on endovascular techniques.

Patients are initially evaluated by neurologists with subspecialty training in stroke and endovascular neurology. They will determine if the patient needs urgent medical treatment, minimally invasive endovascular treatment, or open surgical or neurosurgical treatment.

 

Aneurysms

There are a range of surgical options for treating aneurysms, each with its own benefits and requirements for postoperative follow-up and care. Based on an individualized approach, each patient’s unique needs are considered during the consultation to determine the most promising outcome.

Arteriovenous Malformations

For patients with arteriovenous malformation (AVM), the following treatment options can achieve a stand-alone cure. However, a combined approach is often most effective. The goal of any treatment option is to completely disconnect the connections to achieve a total cure. Only a total cure will eliminate the risk of bleeding.

Moyamoya Disease

Some rare conditions cannot be fully cured, as they interfere with blood vessels (internal carotid arteries) that supply blood to the brain. One such diagnosis is Moyamoya disease, which results in an increased risk of stroke and brain bleeding. However, patients diagnosed with Moyamoya disease may benefit from surgery that can reduce these risks.

Clinical Trials for Neurovascular Disorders

Find a clinical trial that’s right for you.

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Research & Clinical Trials

An NIH StrokeNet Regional Coordinating Center, Montefiore Einstein Comprehensive Stroke Center participates in several NIH- and industry-funded stroke clinical trials and registries. In 2020, the vascular neurology and neurological surgery faculty published 30 articles in peer-reviewed journals, including many describing the novel aspects of stroke associated with COVID-19.

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Your Comprehensive Neurovascular Center Team

Our collaborative, multidisciplinary team of neurovascular experts is at the forefront of neurovascular care and the development of therapies. From prevention to treatment options, we will propose an individualized care plan that fits your needs and lifestyle to deliver the best possible outcomes.

Meet Your Comprehensive Neurovascular Center Team

About Stroke

A stroke is a brain attack. It is a sudden interruption of continuous blood flow to the brain and a medical emergency. A stroke occurs when a blood vessel in the brain becomes blocked or narrowed, or when a blood vessel bursts and spills blood into the brain. Just like a heart attack, a stroke requires immediate medical attention.

After a stroke, some brain cells die because they stop getting the oxygen and nutrients needed to function. Other brain cells die because they are damaged by sudden bleeding in or around the brain. Some brain cells die quickly, but many linger in a compromised or weakened state for several hours. Stroke causes permanent brain damage over minutes to hours.

During a stroke “time is brain”, meaning that the sooner treatment begins, the better. Knowing the signs of stroke and calling 911 immediately can help save a relative, neighbor or friend. With timely treatment it is possible to save these compromised or weakened cells and greatly reduce and reverse the damage.

Learn More About Stroke & Other Neurovascular Conditions

Find Neurovascular Care Locations

We have more locations than ever to help you with the diagnosis and treatment of neurovascular conditions.

Find Cancer Care Locations

Schedule a Consultation

Consultations are available in-person, by phone or by video visit.
Contact us today to schedule a consultation.

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Refer Your Patient

Our referral hotline is staffed Monday–Friday from 8:30 AM to 5:00 PM to address referrals for patients who need urgent neurosurgical evaluation and management.

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