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Cerebrovascular & Stroke Center

Our Certified Primary Stroke Center

The Stony Brook Cerebrovascular and Stroke Center has been a New York State Department of Health designated Stroke Center since 2005 and a Joint Commission certified Advanced Primary Stroke Center since 2004. This recognition certifies that our physicians and clinical staff follow nationally recognized best practices for the treatment of stroke. Our dedicated, multidisciplinary team consists of neurologists, interventional neuroradiologists, and cerebrovascular neurosurgeons who have the expertise needed to diagnose and treat a wide range of cerebrovascular diseases, including arteriovenous malformations, arteriovenous fistulas, hemorrhagic strokes, ischemic strokes, atherosclerosis, and carotid stenosis.  

As part of an academic medical center, our Cerebrovascular and Stroke Center is also home to an active clinical trials unit supported by four clinical research coordinators and an National Institute of Health (NIH) funded hemodynamics laboratory. The clinical and translational research is funded by more than two dozen research grants and we participate in virtually all of the major trials that are currently underway in the U.S. As a result our patients have access to a wide variety of devices that are currently experimental but are available on a "compassionate use" basis to patients who have otherwise untreatable conditions.

The Stony Brook Difference

The Cerebrovascular and Stroke Center uses a multidisciplinary, team-based approach, state-of-the-art facilities and equipment, and the latest surgical and minimally invasive techniques to accurately diagnose your cerebrovascular disorder and design a treatment plan that is individualized to your unique circumstances.

Our state-of-the-art facilities, which include high-speed computed tomographic (CT), MRI, biplane angiography equipment and a new $14 million cerebrovascular biplane suite, enable us to make quick and accurate diagnoses so that critical treatment can begin as soon as possible. Our practitioners are supported by a full complement of modern treatment rooms, including two neurointerventional procedure rooms, a neurological suite, and advanced operating rooms.

Our support staff of physician assistants and administrative assistants will keep in contact with you through your follow-up imaging or treatments.

Understanding Cerebrovascular Disease

Cerebrovascular disease is a term that describes disorders in which an area of the brain is temporarily or permanently deprived of blood and oxygen (ischemia) or bleeds profusely (hemorrhage). It involves one or more of the blood vessels that feed the brain or are located in the brain or the spine. Conditions include arterial narrowing (stenosis), arteriovenous malformations, aneurysms, and strokes.

Our Neurology Stroke Program

Led by Michael Guido, MD, our Neurology Stroke Program provides rapid response in diagnosing and treating stroke patients. For example, advanced radiologic techniques are available to aid in quick and accurate diagnosis. In addition, our highly specialized team of stroke experts collaborates at all stages of treatment using state-of-the-art research and technology. Therapies include medication, advanced neurosurgical techniques, and interventional neuroradiology procedures. We provide specialized diagnostic imaging for analyzing patient's blood flow in the brain and delivery of clot-busting medications as well. These unique capabilities are essential to the realization of our ultimate goal -- to provide outstanding stroke care to our patients and our community.

Our Neurology Stroke program features the highest standard facility for the acute care and management of stroke patients. Our Stroke Team includes stroke neurologists, a stroke nurse practitioner, a stroke fellow, stroke nurse coordinators and researchers, physical, speech and occupational therapists, and the excellent neurology nursing staff. We also offer a Stroke Acute Care Unit with neurology nursing staff especially trained for the acute management of stroke and vascular patients. Our Stroke Team works with the dedicated and highly skilled Emergency Department staff and EMS, providing immediate care to stroke patients.

Our Cerebrovascular Program

Begun in 2007, our Cerebrovascular Program is led by David Fiorella, MD, PhD, an expert in interventional neuroradiology who has pioneered new diagnosis and treatment methods for complex cerebrovascular disorders.

Stony Brook University Hospital is Suffolk Countys only Adult and Pediatric Level 1 Trauma Center (the highest level as verified by the American College of Sureons (ACS), and the only institution in Suffolk County that offers endovascular treatment for acute stroke 24 hours a day, 7 days a week. Our treatments include open surgery, such as clipping, which involves placing a clamp on the neck of the aneurysm. In addition, we perform endovascular treatments, such as coiling. During this minimally invasive procedure, the surgeon advances a catheter (long, thin tube) through blood vessels to the site of the aneurysm. Once in place, coils are injected through the catheter and into the aneurysm, blocking blood flow. We also use minimally invasive methods to deploy clot-dissolving drugs or place instruments, such as stents, stent grafts, and embolic agents. Our expertise with less invasive treatments allows for shorter stays and more efficient treatment.

Awards and Accreditations

  • We are a public health-certified stroke center and one of only two Joint Commission (JCAHO)-Certified Primary Stroke Centers in Suffolk County. In addition, we are the only institution in the county offering endovascular treatment for stroke, 24-hours-a-day, 7 days-a-week.
  • Stony Brook received the Gold Plus Achievement Award from the American Stroke Association for the "Get with the Guidelines" Stroke Program in 2010, 2011, 2012, 2013, 2014, 2015, and 2016, with the added distinction of "Target Stroke Award" in 2014 and the highest award of "Target Stroke Honor Roll Elite Status" in 2015 and 2016. 
  • Stony Brook received the Silver Plus Achievement Award from the American Stroke Association for the "Get with the Guidelines" Stroke Program in 2009.
  • Stony Brook received the Bronze Award from the American Stroke Association for the "Get with the Guidelines" Stroke Program in 2008.

Leading the Field

  • First institution on Long Island to implant the Cordis Enterprise™ stent
  • First in the nation to treat cerebral pseudoaneurysm with Cordis Enterprise™ triple stenting
  • First institution in the country to treat cerebral aneurysm with the Pipeline embolic device in the setting of the COCOA and PUFS clinical research trials
  • First institution on Long Island to utilize Onyx® for arteriovenous malformations and aneurysms
  • First institution on Long Island to utilize the Penumbra System® for clot removal in acute ischemic stroke
  • First on Long Island to utilize the dual balloon remodeling technique
  • First to offer intracranial stroke treatment with novel temporary endovascular bypass technology