The neurovascular program at Shands at UF is one of the leading programs in the nation for comprehensive cerebrovascular and endovascular neurosurgery. Under the direction of Stephen Lewis, MD, Brian Hoh, MD, and J. Mocco, MD, MS , the team performs more than 1,000 procedures annually including endovascular and open cerebrovascular surgery to treat many of the most complex neurovascular disorders.

Learn more about the Neurovascular Center and neurovascular surgery.

Conditions treated include cerebral aneurysms, arteriovenous
malformations, carotid and intracranial atherosclerosis
stroke, cavernous malformations and Moya Moya
disease.

Learn about:

• Endovascular surgery
• Cerebrovascular surgery
• Stroke program

Endovascular Surgery

The UF neurovascular team performs many of the
latest endovascular neurosurgical procedures using image
guidance technology for both diagnosis and treatment.

Procedures performed include:

• Diagnostic angiography
• Balloon angioplasty
• Coiling of aneurysms
• Embolization of arteriovenous malformations
• Endovascular treatment of acute strokes
• Embolization of tumors
• Intracranial and extracranial angioplasty and
  stent placement
• Obliteration of arteriovenous fistulae
• Embolization of vein of Galen malformations
  and other pediatric neurovascular procedures
• Vertebroplasty or kyphoplasty for spinal
  compression fractures

The team actively participates in many cerebrovascular/endovascular clinical trials where the latest high-technology devices are constantly being evaluated and perfected for improved patient care and has an active research laboratory focused on prevention and treatment of stroke, intracranial aneurysms, and arteriovenous malformations.

The team performs more than 300 cerebrovascular/endovascular procedures every year.

Cerebrovascular Surgery

The UF neurovascular team performs hundreds of
procedures every year. These include:

• Craniotomy
• Aneurysm clipping
• Carotid endarterectomy
• Resection of intracranial arteriovenous malformations
• Resection of spinal arteriovenous malformations
• EC-IC bypass for complex aneurysm, ischemic stroke
  and Moya Moya disease
• Combination cerebrovascular/endovascular
  procedures

Intraoperative images through surgical microscope of cerebral aneurysm before (top) and after (bottom) clip placement.

UF is an active participation site for many cerebrovascular endovascular clinical trials. The latest technological advances are constantly being evaluated and perfected for enhanced patient care.

Learn more about clinical trials.

Researchers in Dr. Hoh’s laboratory investigate the role of hematopoietic stem cells and endothelial progenitor cells
in cerebrovascular disease, specifically carotid atherosclerosis, aneurysm formation, aneurysm recanalization after coil embolization and stroke. Dr. Hoh works closely with the UF Program in Stem Cell Biology and Regenerative Medicine, studying the mechanisms by which aneurysms form in order to eventually develop therapies for treating or preventing aneurysms.

Dr. Lewis directs the Neurovascular-Neurotrauma lab. In the area of neurotrauma, Dr. Lewis and his team have developed a clinical platform to investigate proteomics and their potential use in acute brain injury. He led an NIH -funded study into the investigation of biochemical markers
in cerebrospinal fluid associated with the magnitude of brain injury occurrence of secondary insults and outcomes. In addition, the lab is involved in NIH -funded work in collaboration with other academic medical centers.

Numerous studies are also underway in the area of cerebrovascular surgery. Among them is research into proteomics and biomarkers in acute brain injury from aneurysmal subarachnoid hemorrhage to determine if specific biomarkers can be used to define specific events occurring in the injured brain.

Dr. Lewis also has collaborative research interests with the UF Department of Psychology and UF Department of Oral Molecular Biology.

Stroke Program

The UF Stroke Program is accredited as a Primary Stroke Center by the Agency for Health Care Administration (AHCA ) and primary stroke center criteria by the Joint Commission.

The Stroke Program is directed by UF neurologist Michael F. Waters, MD, PhD, who leads the acute stroke care team in the implementation of the American Stroke Association’s “Get with the Guidelines” national stroke database and quality assurance program.

Learn more about the stroke program at Shands at UF.

The program’s state-of-the-art acute stroke management protocols, guided by the principles of the American Heart/Stroke Association, Brain Attack Coalition and Joint Commission, focus on aggressive prevention of future stroke with a combination of medications and changes in lifestyle and maximum recovery.

As an integral part of the program, UF neurosurgeons provide surgical intervention for stroke patients. The UF program is one of the few places in the nation performing sophisticated endovascular procedures for stroke treatment including the retrieval of clots or the lysis of clots in blockages causing strokes.

Information

For more information or to schedule a new patient appointment, please call 352.273.9000 or visit the UF Department of Neurosurgery.

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Make an Appointment

To make a new patient appointment or find out more information about neurosurgery services offered at Shands at the University of Florida, please call 352-273-9000.