Clipping aneurysms

Cerebrovascular Neurosurgery Center

The Comprehensive Center for Cerebrovascular Neurosurgery at the University of Pittsburgh Medical Center is a subspecialized multidisciplinary clinical unit that evaluates and treats all forms of vascular disorders of the brain and spinal cord. Given the high volume of cases managed by the center, it serves as a national and international resource for the management of patients with complex cerebrovascular disease, including aneurysms, arteriovenous malformations (AVMs), carotid disease, Moya-Moya, and cavernous malformations. With a group of highly subspecialized physicians, center faculty prospectively assess patients and provide broad state-of-the-art treatment options. Since cerebrovascular disease can often be treated using a spectrum of complementary techniques, experts evaluate cases and provide recommendations with the goal of minimizing risks and maximizing long-term efficacy. 

The center is directed by department chairman Robert M. Friedlander, MD. Tudor Jovin, MD, of the UPMC Stroke Institute, heads up our Center for Neuroendovascular Therapy. Other members of our team include Andrew F. Ducruet, MDBrian Jankowitz, MDPaul A. Gardner, MD, and Daniel A. Wecht, MD.

Challenging cases are reviewed prospectively in our weekly multidisciplinary cerebrovascular conference. All the key subspecialists are represented and discuss the individual features of each case. Individual consideration is given to each patient to tailor the most effective therapy taking into consideration a number of important features including patient age, overall health status, and specific anatomical consideration of their vascular abnormality. 

Expert neuroanesthesia and neuro critical care are key components of the comprehensive management of our neurovascular patients. The pathologies treated and therapeutic options include:

Aneurysms
Pipeline Embolization
Microsurgical Clipping
Endovascular Coiling

Arteriovenous Malformations
Microsurgical Resection
Endovascular Embolization
Radiosurgery

Carotid Stenosis
Carotid Endarterectomy
Angioplasty and Stent

Moya Moya Disease
Surgical Revascularization
EC-IC Bypass

Intracranial Artherosclerosis
Endovascular Stenting
Surgical Revascularization

Cavernous Malformations
Microsurgical Resection
Radiosurgery

Stroke
Thrombolysis
IV tPA
Intra-Arterial Thrombectomy
Angioplasty
Stenting

The Cerebrovascular Neurosurgery Center works in close collaboration with the UPMC Stroke Institute—staffed by neurologists with additional training in vascular neurology—including Lawrence Wechsler, MD, (chairman, Department of Neurology), Maxim D. Hammer, MD, (director, UPMC Mercy Stroke Service), Vivek K. Reddy, MD, (director, UPMC Vascular Neurology Training Program), and Ashu Jadhav, MD.