Stroke Fellowship

Fellows

• 
  Anitha T. Abraham, M.D.
  Senior Fellow
  713-500-7568
• 
  Indrani Acosta, M.D.
  Junior Fellow
  713-500-7091
• 
  Oleg Chernyshev, M.D.
  Junior Fellow
  713-500-7082
• 
  Vivek Misra, M.D.
  Junior Fellow
  713-500-7043

Description

Our center supports a total of 4 stroke fellows which usually represents 2 per year. The stroke fellowship consists of two years:

• The first year is an ACGME accredited stroke fellowship
• Second year is a clinical stroke research year

Highlights

• Emphasis on clinical research in acute stroke care
• 30% thrombolysis treatment rate with >800 strokes/year
• Optional Interventional Neuroradiology track
• 24/7 Acute CT/CTA/CT Perfusion & MRI availability
• 24/7 Endovascular Team support with 2 interventionalists
• Dedicated 8 Bed Stroke Unit
• Dedicated 32 Bed Neurological / Neurosurgical ICU
• Full-time departmental biostatistician
• Ongoing prospective stroke database since 1995
• Extensive basic science research
• Among the first stroke fellowships in the nation, since 1982

Call Schedule

• Attending Physicians share in call schedule
• 4-5 calls per month per fellow

Weekly Conference Schedule

• Monday - Journal club (basic science or clinical) or stroke lecture
• Wednesday - Joint Stroke Neurology/Neurosurgery conference
• Thursday - Neurovascular conference

Important Topics

• Read an interesting article by Dr. Hen Hallevi, 2006-2008 Fellow
• Read a heartwire article regarding enoxaparin and heparin being linked to high bleeding risk in cardioembolic stroke
• Stroke patients who wake-up with their symptoms may be candidates for thrombolysis. Read more here.

Recent publications

• Martin-Schild S, Hallevi H, Shaltoni H, Barreto AD, Gonzales NR, Aronowski J, Savitz SI, Grotta JC. Combined neuroprotective modalities coupled with thrombolysis in acute ischemic stroke: a pilot study of caffeinol and mild hypothermia. Journal of Stroke and Cerebrovascular Diseases. 2009;18(2):86-96.
• Hallevi H, Dar NS, Barreto AD, Morales MM, Martin-Schild S, Abraham AT, Walker KC; Gonzales NR, Illoh K, Grotta JC, Savitz SI.  The IVH Score: A Novel Tool For Estimating Intraventricular Hemorrhage Volume: Clinical and Research Implications. Critical Care Medicine, 2009;37(3):969-74.
• Martin-Schild S, Morales MM, Khaja AM, Barreto AD, Hallevi H, Abraham A, Sline MR, Jones E, Grotta JC,  Savitz SI.  Is the drip-and-ship approach to delivering thrombolysis for acute ischemic stroke safe? Published on-line in Journal of Emergency Medicine, March 2009.
• Hallevi H, Barreto AD, Liebeskind DS, Morales MM, Martin-Schild S, Abraham AT, Gadia J, Saver JL, James C Grotta, Savitz SI. Identifying patients at high risk for poor outcome after intra arterial therapy for acute ischemic stroke Accepted for publication in Stroke, August 2008.
• Barreto AD, Martin-Schild S, Hallevi H, Morales MM, Abraham AT, Gonzales NR, Illoh K, Grotta JC, Savitz SI. Thrombolytic Therapy for Patients Who Wake-up with Stroke. Stroke 2009;40(3):827-32.
• Martin-Schild S, Albright KC, Hallevi H, Barreto AD, Grotta JC, Savitz SI. Does Study Enrollment Delay Treatment with Intravenous Thrombolytics for Acute Ischemic Stroke? Stroke 2009;40:663-665.
• Barreto AD, Albright KC, Hallevi H, Grotta JC, Noser EA, Khaja AM, Shaltoni HM, Gonzales NR, Illoh K, Martin-Schild S, Campbell MS, Weir RU, Savitz SI. Thrombus Burden is Associated with Clinical Outcome After Intra-Arterial Therapy for Acute Ischemic Stroke. Stroke 2008;39:3231-3235.
• Martin-Schild S, Hallevi H, Albright KC, Khaja AM, Barreto AD, Gonzales NR, Grotta JC, Savitz SI. Aggressive Blood Pressure Lowering before IV tPA for Acute Ischemic Stroke. Archives of Neurology 2008; 65(9):1174-8.
• Barreto AD and Grotta JC. The Argatroban and tPA Stroke Study. Progress in Neurotherapeutics. 2008;3:35-47.
• Hallevi H, Albright KC, Martin-Schild S, Barreto AD, Grotta JC, Savitz S. The complications of cardioembolic stroke: Lessons from the VISTA database. Cerebrovascular Disease 2008; 26(1):38-40.
• Hallevi H, Albright K, Martin-Schild S, Barreto AD, Savitz S, Escobar M, Gonzales N, Noser E, Illoh K, Grotta J. Anticoagulation after cardioembolic stroke: To bridge or not to bridge? Archives Of Neurology 2008; 65 (9):
• Hallevi H, Gonzales N, Barreto A, Martin-Schild S, Albright K, Noser E, Illoh K, Khaja A, Allison T, Escobar M, Shaltoni H, Grotta J. The effect of activated factor VII for intracerebral hemorrhage beyond three hours vs within three hours. Stroke. 2008;39:473-475.
• Hallevi H, Albright K, Aronowski J, Barreto A, Martin-Schild S, Khaja A, Gonzales N, Noser E, Illoh K, Grotta J. Intraventricular hemorrhage: Anatomic relationships and clinical implications. Neurology. 2008; 70:848-852.