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Neuroendovascular and Stroke Treatment

Neuroendovascular Referrals

Main Telephone: 315 464-4470
Main Fax: 315-464-5520
Toll Free: 800 255-5011 

Required for referrals:

  • Recent office notes with diagnosis & reason for surgical consult
  • Recent imaging / scans from within the last 6 months

Grahame C. Gould, MD
Tel. 315 492-3118
Fax: 315-464-8476

Upstate Medical University belongs to a select group of medical institutions which use both traditional surgical and current endovascular techniques. This allows us to offer patients who are experiencing a Stroke or other cerebrovascular disorders every possible solution to their highly complex and often life-threatening problems.

We offer a multidisciplinary approach that includes neurologists, neurosurgeons, endovascular neurosurgeons, interventional radiologists, and rehabilitation therapists.

Among the ever-evolving treatment options are Gamma Knife radiosurgery, interventional neuroradiology, conventional open skull surgery, and preoperative embolization with arterial catheterization.

Clinical Programs to treat

All of the links below are away from the Neurosurgery Website. Links will open in a new window.

  • Cerebral aneurysms
  • Arteriovenous malformations (AVMs)
  • Cartoid Endarterectomy
  • Stroke or threatened stroke

Interventional Neuroradiology

The development of new flexible flow directed catheters has given rise to a progressive program for interventional neuroradiology at Upstate Medical University. Among the applications:

  • Carotid Cavernous Fistulas: Using detachable, inflatable balloons to temporarily occlude the internal carotid artery
  • Occlusion of Major Feeding Vessels of Glomus Tumors: Using balloons prior to surgical resections
  • Managing Intracranial Aneurysms: Using endovascular techniques including GDC coils for obliteration of aneurysms and angioplasty with direct delivery for symptomatic cerebral vasospasm
  • Embolizing Large Skull-Base and Other Intracranial Tumors: Preoperatively using superselective arterial catheterization and injections of particulate materials to treat meningiomas, metastatic tumors to the spine and aneurysmal bone cyst tumors of the spine has dramatically facilitated surgical resection without requiring intra- and postoperative transfusions.
  • Guglielmi Detachable Coil (GDC): Three stages of the procedure for aneurysm obliteration.