We take pride in caring for the cerebrovascular patients. If you feel the appointment is urgent for any reason, simply state that in the message. You may also request that the patient be seen within a certain time period. We can accommodate same day and next day appointments for urgent referrals.
For more information, please see our FAQs included below.
Is someone on the Cerebrovascular service available all the time?
- A dual-trained Cerebrovascular or Endovascular surgeon is available all the time - 24 hours a day, 7 days a week. We welcome patient transfers at any hour, any day.
Who will respond to my call?
- Your phone call will be answered by an experienced neurosurgeon who specializes in both Cerebrovascular and Endovascular neurosurgery. The only exception to this is when we are already involved in an operation. During those times, the nursing staff will answer the phone and relay the questions to us. You will still get the answers you need!
How experienced are your Cerebrovascular and Endovascular Neurosurgeons?
- Our dual-trained neurosurgeons have treated thousands of patients with cerebrovascular conditions and are the most experienced cerebrovascular and Endovascular neurosurgeons in Virginia.
Why use this hotline?
- We know that you, as physicians and health care providers, have significant time commitments. You have patients who are sick and other patients waiting to be seen. We want to make access as simple and easy for you as possible. One phone call and your questions will be answered. No wait times and no waiting to be called back. Direct access to an attending neurosurgeon. If a patient needs to be transferred, we will take down the necessary information and contact our transfer center. You will not need to make any additional phone calls.
What conditions do you treat?
- Ruptured Brain aneurysms (subarachnoid hemorrhage)
- Unruptured brain aneurysms Carotid stenosis
- Stroke (mechanical clot retrieval) Arteriovenous Malformations (AVMs)
- Arteriovenous Fistula (AVFs)
- Carotid Cavernous Fistulas
- Carotid Dissection (neck and head) Vertebral Dissection (neck and head)
- Intracranial atherosclerotic disease
- Vertebral origin stenosis
- Moya moya disease
- Vascular Tumors (head and neck, including glomus Tumors, carotid body tumors and vascular meningiomas)
- Intractable Epistaxis
- Oropharyngeal bleeding
When should we call you about brain aneurysms?
- When a brain aneurysm is ruptured, we need to know about the patient as soon as possible. Time is of the essence to treat the brain aneurysm before it may bleed again. When a brain aneurysm is not ruptured and found by accident, you may call us or request an appointment.
When should we call you about stroke?
- Stroke affects 800,000 people in the US every year. If someone presents within 3 hours of the stroke onset, they may be eligible for iv TPA; iv TPA is given at many hospitals under the supervision of neurologists. If the patient has a large vessel occlusion on imaging, they may be eligible for a stroke intervention such as a mechanical thrombectomy. Mechanical thrombectomy can often be performed even if iv TPA is given. Mechanical thrombectomies can also be performed up to 24 hours after onset of symptoms. Time to intervention is critical. Please call us as soon as possible for any patient who has a large vessel occlusion in the head and neck. We will use the available information to determine if a transfer for mechanical thrombectomy is warranted.