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National Guidelines & Standards

Starke RM, Snelling B et al. Transarterial and Transvenous Access for Neurointerventional Surgery: Report of the SNIS Standards and Guidelines Committee. Journal of NeuroInterventional Surgery, 2020; 12(8):733–741.

Co-authored on behalf of the Society of NeuroInterventional Surgery — the national specialty society — this publication establishes the evidence-based standards governing how vascular access is performed in brain and spine procedures across the United States.

Minimally Invasive Approaches

Snelling BM et al. Transradial Cerebral Angiography: Technique and Outcomes. Journal of NeuroInterventional Surgery, 2018. (September cover article) Demonstrating that brain imaging procedures can be performed safely through the wrist, reducing recovery time and bleeding risk for patients.

Snelling BM et al. Transradial Approach for Complex Anterior and Posterior Circulation Interventions. Operative Neurosurgery. Showing that even the most complex brain and spinal vessel procedures can be performed through the wrist using current surgical tools.

Snelling BM et al. Transradial Access: Lessons Learned from Cardiology. Journal of NeuroInterventional Surgery. Applying decades of cardiac surgery experience to improve the safety and efficiency of minimally invasive brain procedures.

Stroke & Thrombectomy

Snelling BM et al. Transradial Approach for Mechanical Thrombectomy in Anterior Circulation Large Vessel Occlusion. Neurosurgical Focus, 2017. How accessing the brain through the wrist — rather than the groin — improves safety and outcomes in emergency stroke surgery.

Snelling BM et al. Unfavorable Vascular Anatomy Is Associated With Revascularization Time and Outcome in Anterior Circulation Thrombectomy. World Neurosurgery. Why the shape of a patient's blood vessels affects how quickly a blocked artery can be reopened — and what surgeons can do about it.

McCarthy DJ, Snelling BM et al. Long-Term Outcomes of Mechanical Thrombectomy for Treatment of Acute Ischemic Stroke. World Neurosurgery, 2017. A look at how patients fare years after emergency clot-removal surgery for stroke.

Cerebrovascular Surgery

Snelling BM et al. Balloon Test Occlusion: Venous Phase Timing Does Not Predict SPECT Results. World Neurosurgery, 2017. Refining how surgeons safely test whether a major brain artery can be closed without causing a stroke.

Theodotou C, Snelling BM et al. Genetic Associations of Intracranial Aneurysm Formation and Subarachnoid Hemorrhage. Asian Journal of Neurosurgery, 2017. Exploring the inherited factors that may predispose certain patients to brain aneurysms.

Jimenez JE, Snelling BM et al. Role of Follow-Up Imaging After Resection of Brain Arteriovenous Malformations in Pediatric Patients. Journal of Neurosurgery: Pediatrics, 2016. Establishing best practices for monitoring children after surgical removal of abnormal brain blood vessel tangles.

Snelling BM et al. Treatment of Cerebral Vasospasm in an Infant Using a Modified Dotter Technique. Journal of Cerebrovascular and Endovascular Neurosurgery, 2017. A novel endovascular approach to treating dangerous brain artery spasm in one of the youngest patients on record.