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Cerebrovascular and Stroke Center
Our Center
The Stony Brook University Medical Center Cerebrovascular and Stroke Center has a dedicated team with the expertise needed to diagnose and treat a wide range of cerebrovascular diseases, including arteriovenous malformations, arteriovenous fistulas, hemorrhagic strokes, ischemic strokes, atherosclerosis, and carotid stenosis. We are a multidisciplinary team of neurologists, interventional neuroradiologists, and cerebrovascular neurosurgeons who are committed to excellence in patient care, research, and education.
The Cerebrovascular and Stroke Center is home to an active clinical trials unit supported by four clinical research coordinators and an NIH funded hemodynamics laboratory. The clinical and translational research is funded by more than two dozen research grants and we participate in virtually all of the major trials that are currently underway in the U.S. As a result our patients have access to a wide variety of devices that are currently experimental but are available on a "compassionate use" basis to patients who have otherwise untreatable conditions.
Understanding Cerebrovascular Disease
Cerebrovascular disease is a term that describes disorders in which an area of the brain is temporarily or permanently deprived of blood and oxygen (ischemia) or bleeds profusely (hemorrhage). It involves one or more of the blood vessels that feed the brain or are located in the brain or the spine. Conditions include arterial narrowing (stenosis), arteriovenous malformations, aneurysms, and strokes.
The Stroke Program
Led by Michael Guido, MD, the Stony Brook University Medical Center Stroke Program is a certified Primary Stroke Center. We provide rapid response in diagnosing and treating stroke patients. For example, advanced radiologic techniques are available to aid in quick and accurate diagnosis. In addition, our highly specialized team of stroke experts collaborates at all stages of treatment using state-of-the-art research and technology. Therapies include medication, advanced neurosurgical techniques, and interventional neuroradiology procedures. We provide specialized diagnostic imaging for analyzing patient's blood flow in the brain and delivery of clot-busting medications as well. These unique capabilities are essential to the realization of our ultimate goal -- to provide outstanding stroke care to our patients and our community.
In addition, we are one of two stroke centers in Suffolk county that have been designated a Primary Stroke Center by the Joint Commission on Accreditation of Healthcare Organizations. This recognition certifies that the physicians and clinical staff at the Stony Brook University Medical Center Cerebrovascular and Stroke Center follow nationally recognized best practices for the treatment of stroke.
The Stony Brook University Stroke Center features the highest standard facility for the acute care and management of stroke patients. Our Stroke Team includes stroke neurologists, a stroke nurse practitioner, a stroke fellow, stroke nurse coordinators and researchers, physical, speech and occupational therapists, and the excellent neurology nursing staff. We also offer a Stroke Acute Care Unit with neurology nursing staff especially trained for the acute management of stroke and vascular patients. Our Stroke Team works with the dedicated and highly skilled Emergency Department staff and EMS, providing immediate care to stroke patients.
The Cerebrovascular Program
Begun in 2007, our Cerebrovascular Program is led by Henry Woo, MD, a world-renowned expert in the treatment of aneurysms and vascular malformations of the central nervous system. Dr. Woo is joined by other talented experts, including David Fiorella, MD, PhD, an expert in interventional neuroradiology who has pioneered new diagnosis and treatment methods for complex cerebrovascular disorders.
Stony Brook University Medical Center is a level one trauma center and is now the only institution in Suffolk County that offers endovascular treatment for acute stroke 24 hours a day, 7 days a week. Our treatments include open surgery, such as clipping, which involves placing a clamp on the neck of the aneurysm. In addition, we perform endovascular treatments, such as coiling. During this minimally invasive procedure, the surgeon advances a catheter (long, thin tube) through blood vessels to the site of the aneurysm. Once in place, coils are injected through the catheter and into the aneurysm, blocking blood flow. We also use minimally invasive methods to deploy clot-dissolving drugs or place instruments, such as stents, stent grafts, and embolic agents. Our expertise with less invasive treatments allows for shorter stays and more efficient treatment.
The Cerebrovascular and Stroke Center use a multidisciplinary, team-based approach, state-of-the-art facilities and equipment, and the latest surgical and minimally invasive techniques to accurately diagnose your cerebrovascular disorder and design a treatment plan that is individualized to your unique circumstances.
Stony Brook's state-of-the-art facilities, which include high-speed computed tomographic (CT), MRI, biplane angiography equipment and a new $14 million cerebrovascular biplane suite, enable us to make quick and accurate diagnoses so that critical treatment can begin as soon as possible. Our practitioners are supported by a full complement of modern treatment rooms, including two neurointerventional procedure rooms, a neurological suite, and advanced operating rooms.
Our support staff of physician assistants and administrative assistants will keep in contact with you through your follow-up imaging or treatments.
The conditions we treat include:
Arteriovenous malformation Aneurysm Carotid and intracranial stenosis Subarachnoid hemorrhage Intracranial hemorrhage Stroke Transient Ischemic Attach (TIA) Saccular aneurysm (berry aneurysm)
The cerebrovascular disease-related services we provide include:
Diagnostic imaging Medication consultation Balloon angioplasty and stent placement Coiling for aneurysms Aneurysm clipping Embolic agents for aneurysms Carotid endarterectomy and stenting Tumor embolization Inferior Petrosal Sinus Sampling (IPSS) Pipeline Embolization Device (PED)
Physicians
Supporting Specialists
Eileen Conlon, RN, Stroke Program Coordinator Antonieta Rosenberg, ANP, Stroke Neurology Ricardo Aranguren, RPA-C, Physician Assistant Heather Cook, RPA-C, Physician Assistant Diana Peers, RPA-C, Physician Assistant Paul Rogak, RPA-C, Physician Assistant Jessica Blumenthal, RN Michele Dinko, RN Heidy Thomas, RN James Burke, Medical Radiographer Christine Denice, Medical Radiographer Matthew LoGalbo, Medical Radiographer
Research Coordinators
Marlene Baumeister, RN Dawn Madigan, RN
Fellow
Patient Resources
Ask the Expert:
Patient Education
Conditions
Tests
Treatments
We offer our patients tomorrow's treatments today through our many clinical trials. Our patients may elect to participate in ongoing, cutting-edge, clinical research trials that are being conducted at our institution. Participation in a clinical trial can provide patients with access to new research treatments before they are widely available. Click on the following website links to access more information on the current clinical trials offered at Stony Brook University Medical Center:
Office of Clinical Trials:
General Clinical Research Center (GCRC):
Awards and Accreditations
We are a public health-certified stroke center and one of only two Joint Commission (JCAHO)-Certified Primary Stroke Centers in Suffolk County. In addition, we are the only institution in the county offering endovascular treatment for stroke, 24-hours-a-day, 7 days-a-week. SBUMC received the Silver Award from the American Stroke Association for the "Get with Guidelines" Stroke Program, 2010. SBUMC received the Bronze Award from the American Stroke Association for the "Get with Guidelines" Stroke Program, 2009.
Leading the Field
First institution in Long Island to implant the Cordis Enterprise Stent First in the nation to treat cerebral pseudoaneurysm with Enterprise triple stenting First institution in the country to treat cerebral aneurysm with the Pipeline embolic device in the setting of the COCOA and PUFS clinical research trials First institution in Long Island to utilize Onyx for arteriovenous malformations and aneurysms First institution in Long Island to utilize the Penumbra Stroke System First in Long Island to utilize the dual balloon remodeling technique First to offer intracranial stroke treatment with novel temporary endovascular bypass technology
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