Publications by authors named "Douglas Stofko"
Article Synopsis
- The study evaluates carotid artery stenting without using embolic protection devices, which is typically a standard recommendation but lacks proven superiority over unprotected stenting.
- The analysis involved a review of 174 procedures, with 166 performed without protection, focusing on complications like strokes and restenosis.
- Results indicated a low complication rate, suggesting that stenting without protection can be safe and effective, showing no increase in restenosis compared to techniques that use poststenting angioplasty.
Endoscopic Endonasal Reconstruction of Skull Base: Repair Protocol.
J Neurol Surg B Skull Base
June 2016
Background Endoscopic endonasal skull base reconstructions have been associated with postoperative cerebrospinal fluid (CSF) leaks. Objective A repair protocol for endoscopic endonasal skull base reconstruction is presented with the objective of decreasing the overall leak rate. Methods A total of 180 endoscopic endonasal skull base reconstructions were reviewed.
View Article and Find Full Text PDFRecombinant factor VIIa (rFVIIa) can be used for rapid INR normalization in life-threatening hemorrhage in anticoagulated patients. Dosing is unclear and may carry thromboembolic risks. We reviewed the use of rFVIIa at a comprehensive stroke and cerebrovascular center to evaluate dose effectiveness on INR reduction and thromboembolic complications experienced.
View Article and Find Full Text PDFBackground: The majority of patients presenting with an ischemic stroke arrive after the 3-4.5 h time window allowed for intravenous tissue plasminogen activator (IV tPA) administration. Most of the literature on heparin use in acute ischemic stroke does not describe dose-adjusted intravenous unfractionated heparin (IV UFH) without bolus, a common method of administration.
View Article and Find Full Text PDFBackground: Undifferentiated uterine sarcoma (UUS) is a rare tumor with an aggressive growth pattern. They occur in women from 40 to 60 years and are generally characterized by poor prognosis, a high rate of local recurrence, and distant metastases. UUS accounts for 0.
View Article and Find Full Text PDFBackground: Although the value of early MR imaging has been justified for microscopic transphenoidal surgery, there is no literature evaluating immediate postoperative MR imaging following endoscopic endonasal resection of pituitary adenomas. We hypothesized that MRI of the pituitary gland performed on the first postoperative day is just as effective at detecting residual disease and/or reconstruction materials as the MRI at 3 months following surgery.
Methods: We retrospectively evaluated 102 consecutive patients who underwent endoscopic endonasal surgery for presumed pituitary adenomas.