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UCLA Anesthesiologists Provide 24 hour Coverage for World-Renowned Interventional Neuro-radiology Division

December 10th, 2010

UCLA Anesthesiologists Provide 24 hour Coverage for  World-Renowned Interventional Neuro-radiology Division
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Adjusting a syringe during a neuroradiology procedure; anesthesiology equipment behind video monitors.

The Director of the Division of Interventional Neuro-radiology, Dr. Fernando Vinuela considers it a “privilege” that the UCLA Department of Anesthesiology provides 24 hour services for their procedures. Dr. Vinuela adds that the committed availablility of anesthesia services is uncommon in most other institutions, and that his Division “relies heavily on the availability of excellent anesthesiology coverage”  to provide outstanding care for their complex patients.  Many of the interventions performed require an absolutely immobile patient so that the procedure can be performed expeditiously and with the least potential morbidity. 

The Division of Interventional Neuro-radiology at UCLA is world renowned in the evaluation and treatment of adults and children with central nervous system and peripheral vascular malformations and abnormalities.  Cerebral aneurysms, arteriovenous malformations, carotid stenosis, and acute stroke are just a few of the disorders treated on a daily basis.  The Division at UCLA is well known for pioneering a coiling technique with Guglielmi Detachable Coils, which is now the major modality for treatment of brain aneurysms.  The group has also been instrumental in the development of several other treatment devices including the Matrix coils, Onyx liquid embolic agent, and the MERCI device for treatment of stroke, amongst others. 

Michael Girma, M.D., CA-2 Resident, checking physiologic monitors before starting an anesthetic in the Neuroradiology Suite.
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Michael Girma, M.D., CA-2 Resident, checking physiologic monitors before starting an anesthetic in the Neuroradiology Suite.

The presence of highly skilled anesthesia providers with advanced knowledge of the techniques performed in the Neuro-radiology Suite is crucial to their care.  As UCLA Medical Center is a tertiary referral center for Neurologic disorders, UCLA anesthesiologists have extensive experience with the anesthesia care of patients undergoing surgery for the treatment of complex and life-threatening neurologic disorders such as ruptured cerebral aneurysms and complex arteriovenous malformations.  The same knowledge and understanding of neurologic pathophysiology, neurophysiologic monitoring modalities, and  principles for clinical management of blood pressure, ventilation and intracranial hypertension are required for anesthesia care of patients with complex neuropathology and medical issues undergoing neuro-interventional therapy.

Within the next six months, the Neuro-radiology Division will add an additional dedicated neuro-angiography suite.  Plans for the future include designs for an angiographic suite with concomitant MRI capability in order to provide the most efficient and rapid care of patients with acute neurologic disorders. UCLA anesthesiologists look forward to providing anesthesia care in this new venue.

As the diversity of interventional Neuro-radiology procedures continue to increase in both frequency and complexity, the necessity for anesthesia involvement in these cases also increases.  At UCLA, our patients are fortunate to have access to the excellent collaboration provided by the neuro-interventional and anesthesiology teams.  The expertise of our providers along with their continuous availability allows UCLA Medical Center to be at the forefront of this exciting and expanding field.

Keren Ziv, M.D.

More Photos

Sachin Rastogi, M.D., Interventional Radiology fellow, and Reza Jahan, M.D., Associate Professor of Radiology, in the Neuroradiology suite.
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Sachin Rastogi, M.D., Interventional Radiology fellow, and Reza Jahan, M.D., Associate Professor of Radiology, in the Neuroradiology suite.

 

Natale Naim, M.D., Clinical Instructor of Anesthesiology behind the radiation protective screen in the Neuroradiology Suite.
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Natale Naim, M.D., Clinical Instructor of Anesthesiology behind the radiation protective screen in the Neuroradiology Suite.
Reza Jahan, M.D., skillfully manipulating therapeutic catheters under fluoroscopic guidance.
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Reza Jahan, M.D., skillfully manipulating therapeutic catheters under fluoroscopic guidance.
Kenneth Kuchta, M.D., Associate Clinical Professor of Anesthesiology, reviewing data before starting an anesthetic in the Neuroradiology Suite.
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Kenneth Kuchta, M.D., Associate Clinical Professor of Anesthesiology, reviewing data before starting an anesthetic in the Neuroradiology Suite.
Kenneth Kuchta, M.D., Associate Professor of Anesthesiology, in the Neuroradiology Suite.
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Kenneth Kuchta, M.D., Associate Professor of Anesthesiology, in the Neuroradiology Suite.




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