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Neurointerventional Radiology
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Radiology

Neurointerventional Radiology

   

 

Allan Brook MD
Division Head

 

The Department of Radiology at Montefiore Medical Center and the Albert Einstein College of Medicine established a dedicated Interventional Neuroradiology section of the Division of Neuroradiology in the early 1990s. We treat patients of all ages with vascular diseases of the central nervous system and spine, particularly aneurysms and stroke, and house the largest interventional pain management radiology programs on the east coast.

Our stroke and neurology staff has expanded exponentially over the past few years, and the Division now includes five dedicated interventional neuroradiologists. Dr. Allan Brook, who launched and continues to lead the Interventional Neuroradiology section, is nationally recognized for his pain management expertise. He was also the first in the state of New York to conduct a vertebroplasty.

Dr. Brook is the director of a national recognized interdisciplinary acute stroke intervention meeting in NYC (AIM/VEITH Symposium) annually. Fellows and other interventional radiologists train under Dr. Brooke's tutelage, and his Degenerative Spine Disease seminar, which he co-directs with Dr. John Houten, is attended by several hundred people from all specialties. He fields a large volume of pain management referrals and Emergency Department cases and helms several national conferences, as well as courses on acute stroke management and minimally invasive spine pain management.

Conditions and Procedures

Working in a multidisciplinary approach, the Division provides treatment for the entire spectrum of neurovascular diseases, encompassing acute stroke, brain aneurysm, brain AVMs, carotid-cavernous fistula (CCF), dural arteriorvenous fistula, spinal arteriorvenous malformations (AVMs), spinal arteriorvenous fistulae AVFs, cancer (brain, head, neck and spine), epistaxis, vein of galen malformations and vasospasm. Additionally, we provide pain management care for oncologic discomfort from tumors, back pain due to degenerative disease, trauma, sympathetic dystrophies and post-operative back pain, which we treat with spinal stimulators. Montefiore Medical Center is the only facility conducting percutaneous spinal stimulators through intrathecal pumps and the procedure takes place in our state-of-the-art interventional suite.

Other cutting-edge procedures we perform include:

  • CT (CAT) and fluoroscopic guided percutaneous biopsies and drainages
  • CT-guided blood patches for headache management
  • Coil embolization of aneurysms
  • Transarterial embolizations of cerebral and spinal AVMs and AVFs
  • Carotid angioplasty and covered stenting for severe neck tumors
  • Stenting the brain for stroke, as well as aneurysms
  • Intra-arterial chemotherapy (IAC) for liver cancer
  • Percutaneous vertebroplasty and kyphoplasty to reduce the compression of vertebral fractures often associated with osteoporosis
  • Temporary and permanent balloon occlusion of intracranial and brachiocephalic vessels
  • Intracranial percutaneous translumi angioplasty (PTA) and stenting for cerebral artery stenosis
  • Transarterial, transvenous and direct puncture embolization of congenital and acquired AVFs and congenital AVMs
  • Thrombolysis and thrombectomies (using Merci and Penumbra Systems) for stroke management

Research

Ongoing research is a crucial element of the Interventional Neuroradiology section's mission to develop critical breakthroughs and treat pain management and vascular diseases and spinal disorders. Our distinguished staff members have published papers on endovascular transvenous embolization of sinus pericranii, deep brain reversible encephalopathy, computer tomography guided sacroplasty, stroke prevention, back pain and corroded stenting for brain aneurysms, and have various clinical, basic and translational studies in progress at all times.