MDNews - Long Island

1 4 | Long Island MD NEWS ■ M D N E W S . CO M Neurological Surgery PC Specialists Offer a Less Invasive Alternative for Stroke Treatment and Prevention By Laura Jane Walker FOR PATIENTS WITH SYMPTOMATIC AND ASYMPTOMATIC CAROTID ARTERY DISEASE, CAROTID STENTING IS A MINIMALLY INVASIVE ALTERNATIVE TO CAROTID ENDARTERECTOMY THAT REDUCES THE RISK FOR STROKE AND TRANSIENT ISCHEMIC ATTACK. C AROTID S TE NOSIS , TH E nar- rowing of the inner wall of the carotid artery typically caused by atherosclerosis, can remain asymptomatic until the carotid artery is severely narrowed. When stenosis occludes the artery, patients can suffer a number of adverse events, including stroke. But because the risk of stroke is partly assessed by the presence of symptoms — and partly by the degree of stenosis present on imaging studies — physicians with expertise in treating or managing the condition are a critical part of the care team for patients with carotid stenosis who are at risk for stroke. In Neurological Surgery PC (NSPC), referring physicians have ready access to leaders in the fields of endovascular and neurovascular medicine and surgery. Jonathan Brisman, MD, a board-certified neurosurgeon at NSPC who specializes in cerebrovascular and endovascular conditions, and John Pile-Spellman, MD, FACR, interventional and endovascular neuroradiologist at NSPC, each have decades of experience treating carotid stenosis and have published extensively on the subject. Such expertise is a boon because there are a number of treatment options for carotid stenosis, each tailored to accom- modate specific risk factors. Drs. Brisman SPECI A L FE AT UR E (From left) John Pile-Spellman, MD, FACR, interventional and endovascular neuroradiologist at NSPC, and Jonathan Brisman, MD, a board- certified neurosurgeon at NSPC

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