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VCU Stroke Center

VCU Advanced Comprehensive Stroke Center Certified by the Joint Commission

Virginia’s 1st certified Comprehensive Stroke Center

An academic primary and referral center providing care, diagnosis, and treatment for patients with stroke.  Such patients include those with ischemic stroke (arterial blockage to the brain), transient ischemic attack (TIA), subarachnoid hemorrhage, brain aneurysm, intracerebral hemorrhage, extracranial and intracranial artery disease, arteriovenous malformation (AVM), and other cerebrovascular disease.

Mission

To improve the quality of and access to care for stroke patients throughout the Commonwealth of Virginia by providing superior, compassionate, and innovative care, educating healthcare professionals and the community, and advancing biomedical research.

American Heart Association/American Stroke Association recognition

Gold/Gold Plus Performance Achievement Hospital-Stroke: 2010, 2011, 2012, 2013, 2014, 2015, 2016

Target Stroke Honor Roll Elite Plus for achievement in IV-TPA treatment for acute ischemic stroke patients, charter member:  2011, 2012, 2013, 2014, 2015, 2016


VCU Comprehensive Stroke Center:

Department of Neurology
Department of Neurosurgery
Division of Vascular Surgery
Department of Emergency Medicine
Department of Radiology, Neuroradiology
Division of Critical Care Medicine, Neurointensivists
Department of Physical Medicine and Rehabilitation
Department of Care Coordination
Department of Pharmacy

VCU Stroke Center Highlights

Comprehensive emergency diagnosis and treatment of acute stroke patients, including interdisciplinary care by physicians and nurses of the Departments of Emergency Medicine, Neurology, Neurosurgery, and Neuroradiology, available 24 hours a day, 7 days a week.  Spiral CT located in the ED provides multimodal CT angiography and CT perfusion studies for advanced diagnosis and treatment options. Acute ischemic stroke treatment includes IV-TPA and endovascular neurointervention.  Neurosurgical physicians are available 24 hours a day, 7 days a week for patients with subarachnoid and intracerebral hemorrhage.  Cerebrovascular neurosurgeons provide diagnosis and treatment of brain aneurysm, arteriovenous malformation (AVM) and related disorders.  Neuroradiologist with expertise in brain MRI, diffusion and perfusion substudies, and head and neck MR angiography supplement stroke imaging and diagnosis.

Department of Emergency Medicine Clinical Decision Unit (CDU) physicians, in consultation Department of Neurology physicians, employs rapid diagnostic evaluation and treatment of patients with TIA usually within 24 hours, 7 days a week.

VCU Transfer Center and VCU LifeEvac provide regional community hospitals with Stroke Neurology and Neurosurgery expert consultation and transfer of acute ischemic and hemorrhagic stroke patients benefitting from tertiary comprehensive interdisciplinary care, 24/7.

The VCU Adult Neurology Inpatient Stroke Service staffed by certified stroke neurologists cares for patients of all forms of stroke, including those in the neuroscience ICU and the neuroscience unit.

VCU Department of Neurosurgery cerebrovascular neurosurgeons employ one of the first and most advanced hybrid operating room-endovascular suites on the East coast, located in the Critical Care Hospital of VCU Medical Center.  To repair brain aneurysms and arteriovenous malformations (AVM) our cerebrovascular neurosurgeons employ endovascular coiling and other embolization techniques, among the most advanced in the world.  VCU neurosurgeons use angiography and mechanical thrombectomy (clot removal) to restore blood flow to the brain for patients with acute stroke due to blocked arteries.  Catheter based angioplasty and stenting of carotid, vertebral, and intracranial vessels as well as surgical repair of carotid arteries are among the options for patients with cerebrovascular disease.  

VCU Medical Center Neuroscience ICU, located in the Critical Care Hospital, is staffed 24/7 by Division of Critical Care Medicine physicians, including subspecialty trained Neurointensivists, and a dedicated state-of-the-art  CT scanner for advanced neuroimaging.

VCU Division of Vascular and Endovascular Surgery physicians perform angioplasty, stenting, and surgical interventions for patients with carotid and peripheral artery disease and other disorders.  At the VCU Baird Vascular Institute, located in Richmond’s near West End, surgeons of the Division of Vascular Surgery and interventional radiologists of the Department of Radiology work collaboratively to provide a broad range of diagnostic and therapeutic options for patients with vascular disorders.

VCU Stroke Clinic, Department of Neurology, offers outpatient diagnosis, treatment and care for new and returning patients with stroke and TIA, is staffed by certified stroke neurologists.

At VCU Medical Center we are committed to the highest quality of compassionate patient care.  VCU Stroke Center employs a range of performance measures in the clinical setting to evaluate the care of our patients.  The statistics outlined below show the most recent complication rates for endovascular procedures for stroke at VCU Medical Center.

Date Range Number of Patients with Complications Total Cases % of Patients with Complications

January 2014 - December 2016

2 945 0.21


Endovascular Catheter Based Treatment of Stroke and Vascular Disorders

Acute ischemic stroke due to blocked arteries
Brain aneurysm and subarachnoid hemorrhage
Carotid artery disease
Vertebral artery disease
Arteriovenous malformation (AVM)
Carotid and vertebral artery dissection
Fibromuscular dysplasia

Physicians, Nurse Practitioners, and other Key Personnel

Department of Neurology

Warren L. Felton III, MD
Professor Neurology and Ophthalmology
Medical Director, VCU Comprehensive Stroke Center

Maha Alatarr, MD
Assistant Professor, Neurology

Ahmad Bayrlee, MD
Assistant Professor, Neurology and Neurocritical Care
Co-Director, Neuroscience ICU

Sherita Chapman Smith, MD
Assistant Professor, Neurology

Lenore N. Joseph, MD
Associate Chief of Staff for Education, Hunter Holmes McGuire VA Medical Center
Assistant Professor, Neurology

Prachi Mehndiratta, MD
Assistant Professor, Neurology

Anand Karthik Sarma, MD
Assistant Professor, Neurology and Neurocritical Care

Michael Oliver, RN
Neurology Practice Manager

Stacie Stevens, PhD, RN, FNP-BC
VCU Stroke Center Nurse Coordinator

Lorie Selleck, RN, SCRN
Clinical Nurse/Data Abstractor/QA Nurse

Jamie Heath, RN, MSN
Neurology Nurse Case Manager

Jeneane N. Henry, RN, BSN
VCU Stroke Clinical Research Nurse

Department of Neurosurgery

John Reavey-Cantwell, MS, MD
Reynolds Associate Professor
Harold F. Young Neurosurgical Center
Director, Endovascular and Cerebrovascular Neurosurgery

Dennis J. Rivet II, MD
Associate Professor
Harold F. Young Neurosurgical Center

Charlotte Gilman, RN, BSN
Endovascular and Cerebrovascular Neurosurgery Nurse Clinical

Division of Vascular Surgery

Mark Levy, MD
Associate Professor, Division Chair

Francisco Albuquerque, Jr., MD
Assistant Professor

Robert Larson, MD
Associate Professor

Department of Emergency Medicine

V. Ramana Feeser, MD
Assistant Professor
Director, Quality and Safety
Department of Emergency Medicine

Division of Critical Care Medicine, Neurointensive Care

Courtenay E. Leahman, MD
Medical Neurointensivist and Associate Co-Director for Critical Care, NSICU
Assistant Professor and Division Director, Division of Critical Care Medicine
Department of Anesthesiology
Assistant Professor, Department of Neurology

Kristin Miller, MD
Assistant Professor, Internal Medicine
Division of Pulmonary and Critical Care Medicine
Neurointensivist

Vishal Yajnik, MD
Department of Anesthesiology
Certified surgical intensivist

Department of Radiology, Neuroradiology

Ahmet Baykal, MD
Assistant Professor
Director, Neuroradiology

Warren Stringer, MD
Assistant Professor

Yang Tang, MD
Assistant Professor

Brian Suddarth, MD
Assistant Professor

Department of Physical Medicine and Rehabilitation

James P. McGowan, MD
Assistant Professor
Medical Director, Physical Medicine and Rehabilitation Unit


VCU Medical Center Stroke Research:

Department of Neurology

Warren L. Felton III, MD
Professor Neurology and Ophthalmology
Medical Director, VCU Stroke Center

Jeneane N. Henry, RN, BSN
VCU Stroke Clinical Research Nurse

NIH/NINDS Sponsored Clinical Research

Ongoing:

Platelet-Oriented Inhibition in New TIA and minor ischemic stroke (POINT) Trial, Study Principal Investigator S. Claiborne Johnson, University of California San Francisco. Compares Clopidogrel plus asprin and asprin in patients with acute TIA or minor stroke. VCU Principal Investigator: Warren Felton III, MD

Industry Sponsored Clinical Research

Ongoing:

A randomized, double-blind, multinational study to prevent major vascular events with Ticagrelor compared to Aspirin (ASA) in patients with acute ischemic stroke or TIA. (SOCRATES – Acute Stroke Or Transient IsChaemic attack TReated with Aspririn or Ticagrelor and Patient OutcomES). VCU Principal Investigator: Warren Felton III, MD

Virginia Women’s Stroke Prevention Initiative, sponsored by the Pfizer Medical Education Group. Competitively awarded to VCU with the overall aim to implement strategies to improve primary prevention of stroke in women, with a focus on underserved women, including the development of enhanced electronic health record stroke risk screening and management tools in primary care clinics. VCU Co-Principal Investigator: Warren Felton III, MD; VCU Co-Principal Investigator: Susan G. Kornstein, MD, Professor of Psychiatry and Obstetrics/Gynecology, Executive Director, VCU Institute for Women’s Health


Department of Neurosurgery Stroke Research

NIH/NINDS Sponsored Clinical Research

Ongoing:

A Phase III, randomized, open-label, 500-subject clinical trial of minimally invasive surgery plus rt-PA in the treatment of intracerebral Hemorrhage (MISTIE III). VCU Principal Investigator: William Broaddus, MD, PhD

(ATACH-II) Antihypertensive Treatment of Cerebral Hemorrhage.  A Phase III randomized multicenter clinical trial of blood pressure reduction for hypertension in acute intracerebral hemorrhage. VCU Principal Investigator: William Broaddus, MD, PhD

Industry Sponsored Clinical Research

Ongoing:

(FEAT) Framing Eighteen coils in cerebral Aneurysms Trial. A randomized controlled trial of Eighteen (0.014-0.0155 inch) platinum coils versus standard (<0.014) platinum coils in the endovascular treatment of medium-sized (6-14mm) intracranial aneurysms. VCU Principal Investigator: John Reavey-Cantwell, MS, MD

VCU Stroke Contacts and Resources:

VCU Stroke Center
(804) 828-1856

Department of Neurology Stroke Clinic
(804) 828-9350

Department of Neurosurgery
Endovascular and Cerebrovascular Neurosurgery
(804) 828-9165

Division of Vascular and Endovascular Surgery
(804) 828-9165

The VCU Stroke Center is an academic primary and tertiary referral center providing comprehensive care, diagnosis, and treatment of patients with stroke and cerebrovascular disease. Such patients include those with ischemic stroke, transient ischemic attack (TIA), subarachnoid hemorrhage, intracerebral hemorrhage, extracranial and intracranial artery disease, cerebral aneurysm, and arteriovenous malformation (AVM), among others.