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![](db+"spacer.gif?Openimageresource") Clinical Specialty
Cerebrovascular
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| PROGRAM DESCRIPTION |  |
At Washington University School of Medicine, physicians from the disciplines of neurosurgery, neurology, interventional neuroradiology, neuroanesthesia and radiation oncology coordinate the care of patients with all types of neurovascular disorders including aneurysms, arteriovenous malformations (AVMs), arteriovenous fistulas (AVFs), cavernous malformations, carotid artery stenosis, Moyamoya disease, stroke and vascular tumors. Novel techniques such as bypass and skull-base surgery, endovascular therapy, Gamma Knife radiosurgery, Stealth computerized surgical navigation, and functional scanning (PET) allow our team to offer sophisticated treatment plans for some patients whose lesions were previously deemed untreatable.
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| CONDITIONS & TREATMENTS |
Aneurysms
Microsurgical repair with routine use of intraoperative angiography and select use of skull-base and bypass surgery; endovascular therapy including use of Guglielmi detachable coil embolization, balloon remodeling, and stenting
AVMs and AVFs
Microsurgical resection including use of Stealth computerized surgical navigation and intraoperative brain mapping; embolization; Gamma Knife radiosurgery
Cavernous malformations
Microsurgical resection including Stealth computerized surgical navigation and intraoperative brain mapping; Gamma Knife radiosurgery
Carotid Artery Stenosis/Cerebrovascular stenosis
Endarterectomy; angioplasty; stenting
Moyamoya Disease
Innovative use of quantitative cerebral blood flow analysis (PET); direct and/or indirect bypass surgery for revascularization
Vascular Tumors
Microsurgical resection including Stealth computerized surgical navigation and select use of skull-base surgery; embolization; novel intra-arterial chemotherapy techniques; Gamma Knife radiosurgery
Ischemic stroke
Emergent evaluation by vascular neurology; use of intravenous and intra-arterial t-PA; carotid endarterectomy; angioplasty; stenting
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| FACULTY |
Neurosurgery Providers
Michael R. Chicoine, M.D.
Ralph G. Dacey Jr., M.D.
Keith M. Rich, M.D.
Gregory J. Zipfel, M.D.
Interventional Neuroradiology Providers
DeWitte T. Cross, M.D.
Colin P. Derdeyn, M.D.
Christopher J. Moran, M.D.
Vascular Neurology Providers
Jin-Moo Lee, M.D., Ph.D.
Mark P. Goldberg, M.D.
William J. Powers, M.D.
Allyson R. Zazulia, M.D.
Abdullah M. Nassief, M.D.
David A. Carpenter, M.D.
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| CONFERENCES |
Cerebrovascular conference
Once a week. All cerebrovascular cases are reviewed by neurosurgery and interventional neuroradiology to determine an optimal, individualized treatment plan. Physicians wishing to submit cases for review should contact the Cerebrovascular Nurse Coordinator at (314) 747-8871.
Stroke conference
Every other week. Lecture series and select case reviews by vascular neurology, neurosurgery and interventional neuroradiology faculty. Please refer to www.strokecenter.org for conference dates and times.
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| MAKE AN APPOINTMENT |
Adult Patients
Contact us at (314) 362-3577 (Option 1)
Adult Referring Physicians
Contact us at (314) 362-3577 (Option 2)
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| PATIENT OFFICE LOCATIONS |
Adult Patients
Neuroscience Center
Center for Advanced Medicine
4921 Parkview Place, Suite 6C
St. Louis, Missouri 63110
Barnes-Jewish West County Office
1040 North Mason Road, Suite 211
Creve Coeur, Missouri 63141
Helpful Maps
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| SPECIALTY LINKS |
Adult Stroke Center at Barnes-Jewish Hospital
& Washington University School of Medicine
American Stroke Association
Brain Aneursym Resources
National Stroke Association
National Institute Of Neurological Disorders And Strokes
The Brain Aneursym Foundation
Pediatric Stroke Center at St. Louis Children’s Hospital &
Washington University School of Medicine
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