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  1. Article ; Online: Our Webinar connection.

    Milburn, James M

    Journal of neurointerventional surgery

    2020  Volume 12, Issue 12, Page(s) 1149–1150

    Language English
    Publishing date 2020-11-14
    Publishing country England
    Document type Editorial
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/neurintsurg-2020-017030
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6845: Show issues Location:
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  2. Article ; Online: Mentorship in neurointerventional surgery.

    Milburn, James M / Hirsch, Joshua A

    Journal of neurointerventional surgery

    2022  Volume 14, Issue 7, Page(s) 635

    MeSH term(s) Humans ; Mentors
    Language English
    Publishing date 2022-06-21
    Publishing country England
    Document type Editorial
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/neurintsurg-2022-019196
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article ; Online: Betwixt and between: an idiomatic understanding of anesthesia in stroke intervention.

    Milburn, James M / Fiorella, David / Hirsch, Joshua A

    Journal of neurointerventional surgery

    2023  Volume 15, Issue 5, Page(s) 411–412

    MeSH term(s) Humans ; Stroke/surgery ; Anesthesia ; Anesthesia, General
    Language English
    Publishing date 2023-04-11
    Publishing country England
    Document type Editorial
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/jnis-2023-020364
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: 61624/26 and You!

    Hirsch, Joshua A / Milburn, James M / Woo, Henry / Chen, Michael / Chen, Melissa M / Mocco, J

    Journal of neurointerventional surgery

    2023  Volume 15, Issue 11, Page(s) 1059–1060

    Language English
    Publishing date 2023-09-21
    Publishing country England
    Document type Editorial
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/jnis-2023-021005
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6845: Show issues Location:
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  5. Article ; Online: No Surprises Act - what neurointerventionalists need to know.

    Grossberg, Jonathan A / Heller, Richard E / Niknejad, Kathy G / Milburn, James M / Hirsch, Joshua A

    Journal of neurointerventional surgery

    2023  

    Language English
    Publishing date 2023-11-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/jnis-2023-021147
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6845: Show issues Location:
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  6. Article ; Online: No Surprises Act: Legal Challenges and Implications for Radiology.

    Hirsch, Joshua A / Buch, Karen / Keysor, Kathryn / Mehan, William A / Milburn, James M

    Journal of the American College of Radiology : JACR

    2023  Volume 21, Issue 4, Page(s) 651–655

    Abstract: When the word "surprise" is used as a noun, it generally describes an unexpected event. When "surprise" is used in conjunction with "billing", it conjures up images with which even the most hardened backroom medical administrator can empathize. One's ... ...

    Abstract When the word "surprise" is used as a noun, it generally describes an unexpected event. When "surprise" is used in conjunction with "billing", it conjures up images with which even the most hardened backroom medical administrator can empathize. One's first reaction is likely patient based, that a person received medical services from a health care provider or facility that are larger than anticipated in-network charges. As a result, the bill for services incorporates that, no-doubt unpleasant, surprise. The whole truth is understandably more complex. Radiology groups contract with insurance companies who for their own reasons, might have historically preferred progressively narrower networks. Nonetheless, these contracts allow providers the opportunity to negotiate reasonable payments for services rendered. Events have changed the historic dynamic between providers and insurance companies.
    MeSH term(s) Humans ; United States ; Radiology ; Health Personnel ; Contracts
    Language English
    Publishing date 2023-11-03
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 2274861-1
    ISSN 1558-349X ; 1546-1440
    ISSN (online) 1558-349X
    ISSN 1546-1440
    DOI 10.1016/j.jacr.2023.10.013
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6636: Show issues Location:
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  7. Article: The Penumbra 5MAX ACE Catheter Is Safe, Efficient, and Cost Saving as a Primary Mechanical Thrombectomy Device for Large Vessel Occlusions in Acute Ischemic Stroke.

    Vidal, Gabriel A / Milburn, James M

    The Ochsner journal

    2016  Volume 16, Issue 4, Page(s) 486–491

    Abstract: Background: Reperfusion of large vessel occlusions in acute stroke can improve patient outcomes. The purposes of this study were to assess the safety and efficacy of the Penumbra 5MAX ACE catheter for revascularization of large vessels and to compare ... ...

    Abstract Background: Reperfusion of large vessel occlusions in acute stroke can improve patient outcomes. The purposes of this study were to assess the safety and efficacy of the Penumbra 5MAX ACE catheter for revascularization of large vessels and to compare its cost to the cost of stent retrievers.
    Methods: In this retrospective, single-center case review study, data were captured on consecutive patients treated with the Penumbra 5MAX ACE as first-line therapy during an 11-month period. Good functional outcome was defined as a modified Rankin Scale score of ≤2 at discharge. Results were directly compared with previously published data for stent retrievers, and length of stay was analyzed in relation to revascularization.
    Results: The 31 patients studied had a mean age of 66.3 ± 17.8 years and a mean National Institutes of Health Stroke Scale score of 19.4 ± 5.7. Intravenous tissue recombinant plasminogen activator therapy was initiated in 35.5% (11/31) of patients. A Thrombolysis in Cerebral Infarction (TICI) grade of 2b-3 reperfusion after endovascular therapy was achieved in 26/31 (83.9%) of cases; TICI grade 3 was achieved in 19/31 (61.3%) patients. The average time from groin puncture to TICI grade 2b-3 reperfusion was 40 minutes. The average estimated cost for aspiration with the 5MAX ACE alone was $4,916 per case compared with an estimated cost of $9,620 if a stent retriever was used as the primary device. Our actual average cost per case, including all adjunctive devices used in the neurointerventional procedure, was $6,997. Good functional outcome was achieved in 19/31 (61.3%) patients. Two patients experienced symptomatic intracerebral hemorrhage (6.5%), and 1 (3.2%) patient died. The length of stay was significantly shorter among patients with TICI grade 2b-3 reperfusion compared to patients with TICI grade <2 (6.8 ± 5.34 days vs 15.8 ± 11.32 days, respectively;
    Conclusion: These findings suggest that direct aspiration with the large-bore 5MAX ACE catheter can be considered a first-line approach to mechanical thrombectomy for large vessel occlusions. Our results demonstrated high rates of successful reperfusion in a timely manner with excellent clinical outcomes, although our sample size was small. In addition, this direct-aspiration technique has important cost-savings potential compared to stent retrievers.
    Language English
    Publishing date 2016-10-17
    Publishing country United States
    Document type Journal Article
    ISSN 1524-5012
    ISSN 1524-5012
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  8. Article ; Online: COVID-19 meets neurointervention on the pages of

    Milburn, James M / Regenhardt, Robert W / Fiehler, Jens / Fargen, Kyle M / Hirsch, Joshua A

    Journal of neurointerventional surgery

    2021  Volume 13, Issue 10, Page(s) 863–864

    Language English
    Publishing date 2021-06-03
    Publishing country England
    Document type Journal Article
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/neurintsurg-2021-017722
    Database MEDical Literature Analysis and Retrieval System OnLINE

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    Zs.A 6845: Show issues Location:
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  9. Article ; Online: The Evolving Status of Fellowships and Mini-Fellowships in Diagnostic Radiology: A Survey of Program Directors and Chief Residents.

    Pfeifer, Cory M / Reddy, Nisha / Burton, Kirsteen R / Griffith, Brent / Bazylewicz, Michael P / Pakkal, Mini V / Milburn, James M

    Academic radiology

    2021  Volume 28, Issue 9, Page(s) 1264–1271

    Abstract: Rationale and objectives: Recent changes in radiology fellowships include musculoskeletal radiology adopting a match system, interventional radiology transitioning away from diagnostic radiology to offer direct-entry programs, and a common fellowship ... ...

    Abstract Rationale and objectives: Recent changes in radiology fellowships include musculoskeletal radiology adopting a match system, interventional radiology transitioning away from diagnostic radiology to offer direct-entry programs, and a common fellowship application timeline created by the Society for Chairs of Academic Radiology Departments (SCARD). The concept of mini-fellowships has also emerged with the elimination of the oral American Board of Radiology examinations that had been administered in the final year of residency training prior to 2014. This paper seeks to assess the opinions of fellowship program directors, residency program directors, and chief residents regarding these recent changes.
    Materials and methods: This is a cross-sectional study using a web-based survey posed to fellowship program directors, residency program directors, and chief residents in 2020. Questions sought to explore current attitudes toward the following topics: (1) a common fellowship application timeline; (2) a common fellowship match; and (3) the status of mini-fellowships in diagnostic radiology. In addition, the number of fellowship positions for each subspecialty was estimated using subspecialty society directories, Accreditation Council for Graduate Medical Education (ACGME) data, and individual program websites.
    Results: Deidentified responses were collected electronically and aggregated. The three respondent groups preferred a common fellowship application timeline at rates of 67% among fellowship program directors, 80% residency program directors, and 74% residents. A common match system across all subspecialties was preferred at rates of 50% fellowship program directors, 74% residency program directors, and 26% chief residents. There was widespread reported compliance with the SCARD fellowship timeline policy. Subspecialty programs using the match system reported interviewing greater numbers of applicants per position. Fellowship directors and chief residents reported that the most common duration of mini-fellowship experiences was 2 to 3 months.
    Conclusion: There is a division between chief residents and program directors regarding the preference for a common radiology match. Adopting a radiology-wide fellowship match would increase the number of interviews required. The SCARD fellowship timeline policy has been successful, and there is support across stakeholders regarding the common timeline. Mini-fellowships are highly variable in length and structure.
    MeSH term(s) Cross-Sectional Studies ; Education, Medical, Graduate ; Fellowships and Scholarships ; Humans ; Internship and Residency ; Radiology, Interventional ; Surveys and Questionnaires ; United States
    Language English
    Publishing date 2021-03-26
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1355509-1
    ISSN 1878-4046 ; 1076-6332
    ISSN (online) 1878-4046
    ISSN 1076-6332
    DOI 10.1016/j.acra.2021.03.007
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  10. Article ; Online: Spine 2.0

    Hirsch, Joshua A / Chandra, Ronil V / Cianfoni, Alessandro / De Leacy, Reade / Marcia, Stefano / Manfre, Luigi / Regenhardt, Robert W / Milburn, James M

    Journal of neurointerventional surgery

    2021  Volume 13, Issue 8, Page(s) 683–684

    MeSH term(s) Humans ; Spine
    Language English
    Publishing date 2021-05-10
    Publishing country England
    Document type Journal Article
    ZDB-ID 2514982-9
    ISSN 1759-8486 ; 1759-8478
    ISSN (online) 1759-8486
    ISSN 1759-8478
    DOI 10.1136/neurintsurg-2021-017612
    Database MEDical Literature Analysis and Retrieval System OnLINE

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