Welcome Dr. Randall Higashida to Join Journal of Stroke Research

Dr. Randall Higashida
Clinical Professor of Radiology, Neurological Surgery, Neurology, & Anesthesiology
Chief, Neuro Interventional Radiology
UCSF Medical Center, San Francisco,  CA , USA


Biography & Research Interest

Welcome Dr. Randall Higashida to Join the Editorial Board of Journal of Stroke Research.
Dr. Randall Higashida has served as Chief of the UCSF Interventional Neuroradiology (INR) section since 1996, within the Department of Radiology.  The INR section is composed of 5 full time faculty, 3 full time neuro-interventional fellows, and 7 diagnostic neuroradiology fellows per year.   The INR service provides full-time coverage of 3 hospitals including UCSF Medical Center, San Francisco General Hospital, and the San Francisco Veterans Affairs Medical Center.  In 2015, we will also provide coverage of the new Mission Bay Women’s and Children’s Hospital.
Dr. Higashida spends 40-50 hours per week involved in the clinical care of patients referred from the departments of neurosurgery, neurology, emergency medicine, and general medicine, who require either the diagnosis or the treatment of complex cerebrovascular disorders and/or spinal cord abnormalities.
The INR service provides 24 hour/ 7 day per week coverage for UCSF in-patients and out-patients who are diagnosed with acute ischemic and/or hemorrhagic strokes, vascular abnormalities of the brain, head, neck, and/or spine, hypervascular tumors, and traumatic vascular injuries.
The INR service performs >1200 procedures per year, as well as consultations on both in-patients and out-patients, within the UCSF Neurosciences service line.   We perform daily rounds on all patients, weekly conferences in conjunction with the stroke neurology, vascular neurosurgery, and neuro-anesthesia services to discuss management of new cases, as well as monthly morbidity and mortality meetings.
The INR service provides full time coverage of the Northern California region for acute stroke patients who are diagnosed and require rapid interventional treatment within 6-8 hours from the onset of symptoms.   UCSF is considered a tertiary acute stroke hospital for referrals of all patients with a subarachnoid or intracerebral hemorrhage, as well as a comprehensive stroke hospital which accepts emergency patients from surrounding emergency rooms.  The INR staff have been an integral part of providing these services to the hospital for the past 27 years.

SUMMARY OF CLINICAL ACTIVITIES

Dr. Randall Higashida was recruited by UCSF Medical Center in 1986, to organize and develop the specialty of Interventional Neurovascular Radiology (INR), within the departments of Radiology and Neurosurgery.
In the past, Dr. Higashida has spent considerable time and effort traveling to different medical centers in the United States and internationally to perform and teach interventional neurovascular procedures for critically ill patients.  These patients were judged to be too sick for transfer by ambulance or air evacuation to UCSF and often presented with life threatening disorders without alternative treatments.
Currently, the referrals to UCSF Medical Center for treatment of complex cerebrovascular diseases, have increased to the point, where the INR group has become one of the busiest and most well recognized centers in the world.
Our section has pioneered the interventional treatment of ruptured and un-ruptured brain aneurysms by endovascular coiling techniques, acute ischemic stroke therapy by intra-arterial thrombolysis and mechanical thrombo-embolectomy, treatment of complex dural arteriovenous fistula’s by endovascular occlusion with liquid tissue adhesives, treatment of carotid atherosclerosis by carotid artery stenting, schlerotherapy for facial vascular malformations, and the diagnosis and treatment of complex spinal cord vascular abnormalities.
Dr. Higashida’s areas of clinical expertise include the treatment of intracranial cerebral aneurysms, acute ischemic stroke, management of arterial vasospasm, treatment of carotid atherosclerosis by stenting, and treatment of intracranial atherosclerosis by balloon angioplasty and stenting.  Many of these minimally invasive brain therapy techniques have been pioneered by Dr. Higashida and the INR group, during his 27 years of service to the medical center.

KEYWORDS/AREAS OF INTEREST

Stroke
Atherosclerosis
Carotid Stenosis
Intracranial Atherosclerosis
Cerebral Aneurysms
Intracranial Hemorrhage

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