NEW CASE 🎬 Complex distal Pcom recurrent aneurysm treated with EVO stent assisted coil embolization to preserve large Pcom. #GustavoCortez @jaims_lim @UB_Neurosurgery #RadicalCatheterTechnologies @terumoneuro @KanekaNVUSA

Tandem occlusions can be tough. Here is our standard technique that yields high patency rates. “#Flow begets #flow”

#2025CNS broadcasted the first carotid stent procedure from an outpatient center ever in the U.S. during our live surgeries on Oct. 14. Did you catch this ground-breaking operation? #CNSConnects @EladLevyMD @UB_Neurosurgery

Thank you to @CNS_Update #CNS2025 for the opportunity to showcase the #FIRST outpatient carotid stent. And thank you to the team of health care professionals who made this possible. @Medtronic @SiemensHealth @UB_Neurosurgery @rosalind_lai @_AdnanSiddiqui @jaims_lim

Incredible experience at #CNS2025 witnessing one of the first carotid stent cases performed in an ambulatory center 🧠 Thank you @CNS_Update for the privilege to learn from leaders at the frontier of neuroendovascular innovation. @_AdnanSiddiqui @EladLevyMD @kunalraygor

Enlarging aneurysms in older patients require creative solutions. Clipping for this aneurysm is an excellent choice, but not for elderly patients. Here we chose: 1. Conscious sedation 2. Balloon guide (#airbag safety) 3. Stent assisted coil (#jailing Kaneka coils) @q_apel

Sometimes a single well placed stone can do the work of an army, as shown in this Onyx cast of a falcotentorial piodural arteriovenous fistula safely embolized with a single transarterial injection #neurosurgery #neuroendovascular #neuroanatomy

A new study evaluated the effectiveness of a less invasive treatment for chronic subdural hematomas. Results show strong outcomes with fewer complications & quicker recovery. @jaims_lim @EladLevyMD @JMDaviesMDPhD @_AdnanSiddiqui 🔗: https://t.co/Ee9n0lnWaW

Great learning case highlighting coil occlusion as a method to treat distal dissecting aneurysms. @UB_Neurosurgery @ubnsvascular @CollinLiu_MD @DevanPatelMD

Intra-operative rupture of previously ruptured #aneurysms occur. Rapid and nuanced management is imperative to minimize bleeding in the #subarachnoid space. In this case, the balloon guide was a life saver 🛟 as we instantly attested flow upon witnessing extravasation.

Congratulations to our newly graduated #neurosurgery residents & fellows!🎓🦬 Alex Becker @jaims_lim @H_Shallwani @EstebanQuicen14 Rafael Bastianon Santiago @ScullenTyler Hamid Khan Thanks to @JGGolfinos for joining us as this year’s Nick Hopkins Graduation Speaker!

NEW CASE ⬇️ Optimal management of intracranial atherosclerotic LVO, rapid staged escalation in revascularization strategies. ​ @jaims_lim @cvsection @UB_neurosurgery @MWaqas_MBBS #neurosurgery #cerebrovascular

Great case highlighting the utility of a balloon as a “temporary clip” to control bleeding duruing #aneurysm coiling @HamidSKhan5 @CollinLiu_MD @ Muhammad Waqas

Subclavian artery stenting with protection of vertebral ostia with a hyper compliant balloon. @HamidSKhan5 #neurosurgery #neurosurgeon

Inverted #rollercoaster technique to @Stryker_NV coil large SCA #aneurysm with temporary stent @terumoneuro LVIS EVO @CNS_Update @cvsection @AANSNeuro Narration: @jaims_lim Advantages: protecting the neck without need for #DAPT (nuisance bleeding) https://t.co/JZF1GWHQO0

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: @CollinLiu_MD @q_apel

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.

Salvage techniques after @terumoneuro WEB device occludes a branch vessel. We illustrate stent- recanalization of an A2 post #aneurysm treatment. @UB_Neurosurgery @CNS_Update @SNISinfo @svinsociety @TAAF

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

NEW CASE ➡️ New Galaxy endosaccular device for a large complex acom #aneurysm. @CollinLiu_MD @jaims_lim #neurosurgery #neurosurgeon #endovascular #neurovascular