Young woman, followed for years with steadily progressive midbrain cavmal enlargement. Now reaches pial surface anteriorly. Quicktome to visualize tracts for safe entry between motor fibers and 3rd nerve nucleus. UB Neurosurgery (UBNS) UBNS Vascular Jacobs Institute | Nonprofit Med-Tech

Flow diverters occasionally remain constricted after deployment. When standard techniques fail due to recalcitrant narrowing, balloon-angioplasty is necessary. UB Neurosurgery (UBNS), SVIN, CNS, AANS, CV Section, Q'Apel Medical, Terumo Neuro, Medtronic Neurovascular

Insightful case that highlights troubleshooting when the FD deployment is difficult. Collin Liu, MD, MS Silent ischemia Devan Patel UBNS Vascular

NEW CASE: An uncommon condition of MMA supply from the opthalmic artery. Instead of using liquid embolics. Just use coils. #neurosurgery #neurosurgeon #cerebrovascular Jaims Lim

Selecting the right microwire for support is key for flow diversion of ACoA #Aneurysms. Beefy catheters need larger wires. CNS CV Section AANS SVIN Medtronic UB Neurosurgery (UBNS) UBNS Vascular Jaims Lim Silent ischemia

Truly a phenomenal program with exceptional training BarrowNeurological. Thank you to the residents and Michael T. Lawton, MD for being consummate hosts. Exciting times ahead together l!

NEW CASE: L subclavian artery stenting with Trek balloon protection of the L vertebral artery. #neurosurgery #neurosurgeon #cerebrovascular Jaims Lim

🌍 SEAL IT IDE Trial Update 🌍 We’ve reached a key milestone—100 enrolled patients! 🎉 A huge thank you to all our enrolling sites & investigators for their dedication. Special acknowledgment to Prof. Adnan Siddiqui (University at Buffalo, NY) for enrolling patient #100!

Submaximal #angioplasty technical video description for #flowdiverter in-stent stenosis on FRED-X treated SHA #brain aneurysm Collin Liu, MD, MS Jaims Lim Brain Aneurysm Foundation UB Neurosurgery (UBNS) UB Neurosurgery (UBNS) SVIN CNS AANS CV Section Q'Apel Medical Boston Scientific Terumo Neuro

Lots of learning for me during this case that taught me that some carefully evaluated #AVMs can be #cured via #endovascular approach UB Neurosurgery (UBNS) UBNS Vascular Silent ischemia

Great learning case showing importance of microcatheter work after the Medtronic Vascular Health PED is deployed. Silent ischemia Collin Liu, MD, MS Muhammad Waqas

NEW CASE ➡️ New Galaxy endosaccular device for a large complex acom #aneurysm. Collin Liu, MD, MS Jaims Lim #neurosurgery #neurosurgeon #endovascular #neurovascular

NEW CASE 🚀 In a severely angulated and calcified anatomy open cell stent assisted by intravascular lithotripsy makes transfemoral CAS an excellent choice. Devan Patel Jaims Lim #neurosurgery #neurosurgeon #endovascular #neurovascular

Salvage techniques after Terumo Neuro WEB device occludes a branch vessel. We illustrate stent- recanalization of an A2 post #aneurysm treatment. UB Neurosurgery (UBNS) CNS SNIS Info SVIN The Aneurysm and AVM Foundation (TAAF)

Complex #aneurysms require elegant solutions. Here we show a stent-in-stent construct to protect the PCA and SCA. We use our “roller coaster” technique to navigate #inflow—>outflow of the SCA. Nuanced understanding of stent characteristics and advanced techniques are needed.

Tortuous carotid anatomy can be controlled using the the combination of #balloon anchor ⚓️ and #balloon sail techniques⛵️. #HEAVYMETAL Additionally PROXIMAL #embolic protection is used when distal landing zones are challenging. #airbag Narration: Collin Liu, MD, MS Q'Apel Medical

Inverted #rollercoaster technique to StrykerNeurovascular coil large SCA #aneurysm with temporary stent Terumo Neuro LVIS EVO CNS CV Section AANS Narration: Jaims Lim Advantages: protecting the neck without need for #DAPT (nuisance bleeding) pubmed.ncbi.nlm.nih.gov/32620576/

Subclavian artery stenting with protection of vertebral ostia with a hyper compliant balloon. Silent ischemia #neurosurgery #neurosurgeon

NEW CASE ⬇️ Optimal management of intracranial atherosclerotic LVO, rapid staged escalation in revascularization strategies. ​ Jaims Lim CV Section @UB_neurosurgery Muhammad Waqas #neurosurgery #cerebrovascular

Great case highlighting the utility of a balloon as a “temporary clip” to control bleeding duruing #aneurysm coiling Silent ischemia Collin Liu, MD, MS @ Muhammad Waqas