Perspectives on Neuroradiology Medical Expert Testimony: Fact and Fiction.

There are numerous misconceptions about serving as a medical malpractice expert witness. By maintaining an objective perspective based in the unbiased interpretation of the images provided (for both sides of the conflict), one can best serve society as a whole. Most cases for which a neuroradiology expert is recruited are the following: 1) not with the radiologist as a defendant, 2) resolved without court testimony, and 3) short-lived if frivolous.

Safety of unilateral endovascular occlusion of the cervical segment of the vertebral artery without antecedent balloon test occlusion.

Background And Purpose: Antecedent balloon test occlusion is often performed prior to vertebral artery sacrifice, but there is limited data to suggest this adds a significant clinical benefit, especially in the setting of trauma. Furthermore, balloon test occlusion can be time-consuming, add to the technical complexity of the procedure, and increase the overall cost of treatment. The purpose of this study was to determine the safety of unilateral vertebral artery occlusion without antecedent balloon test occlusion as part of the treatment regimen in patients with traumatic vertebral artery dissection, cervical tumor, or intracranial aneurysm.

Endovascular repair of traumatic cervical internal carotid artery injuries: a safe and effective treatment option.

Background And Purpose: The appropriate choice of treatment for traumatic extracranial carotid artery injury is still debated. The purpose of this study was to evaluate outcomes of endovascular carotid repair with regard to vessel patency and retreatment rates.

Methods And Methods: We retrospectively reviewed records of patients who underwent endovascular treatment for acute traumatic internal carotid artery dissection with or without pseudoaneurysm formation.