Van Halbach, MD

Professor
Prof of Clinical Radiology

Biography

Van V. Halbach, MD, is a Clinical Professor of Radiology, Neurological Surgery, Neurology, and Anesthesiology at the University of California at San Francisco. Dr. Halbach received his medical degree from the School of Medicine at University of California, Los Angeles, and completed his residency in Diagnostic Radiology from the Medical Center of UCLA, followed by a fellowship in Interventional Radiology from the Medical Center of UCLA.

As Principal and Co-Principal Investigator, Dr. Halbach and his colleagues of the Interventional Neurovascular Radiology Section developed clinical and basic science research protocols designed to perfect innovative techniques to treat life threatening neurovascular disorders. Dr. Halbach and his group have pioneered many current techniques and developed many of the devices utilized in the expanding field of interventional neuroradiology.

Dr. Halbach has published over 240 scientific articles on stroke, dural fistulae, ateriovenous malformations and related topics and authored over 87 book chapters. His articles have appeared in the American Journal of Neuroradiology, Radiology, the Journal of Neurosurgery, Neurosurgery, the Journal of Endovascular Surgery, Lancet, Stroke, Neurology, and the Journal of the American Medical Association.

Expertise:
Neuro Interventional Radiology

Specialty:
Neurovascular disorders

Professional Interests:
Interventional neuroradiological procedures in hemorrhagic and ischemic stroke and dural and direct fistulae

Education and Training:
• Medical School: University of California, Los Angeles School of Medicine
• Internship: Sepulveda Veterans Hospital, California - Internal Medicine
• Residency: University of California, Los Angeles Medical Center - Diagnostic Radiology
• Fellowship: University of California, Los Angeles Medical Center - Interventional Radiology
• American Board of Radiology (Certified)
• Basic Cardiopulmonary Resuscitation
• Advanced Cardiopulmonary Resuscitation
• Added Qualifications in Neuroradiology

Honors and Awards

San Francisco Chronicle "Super Doctor", 2013
Super Doctors, 2012
2012 US News and World Report's "Top Doctors" (2011-2012), 2011-2012
Top Doctors, 2011
Honorary Member of the Cuban Society of Radiology, 2003
Best Doctors in San Francisco, San Francisco Magazine, 1999
Best Doctors in San Francisco, San Francisco Magazine, 1999
William G. Obota, MD Outstanding Clinical Faculty Award, UCSF Medical Center, 1999
The Best Doctors in America, 1994-2016
The Best Doctors in the West, 1994
Wilson Award Honorable Mention, Western Neuroradiology Society, "Endovascular therapy for vertebral, 1994
Japanese Neurosurgical Society, Keynote speaker Kagoshima, Japan, 1992
Magna Cum Laude Award, XIII Symposium Neuroradiologicum, "Normal anatomy of the facial nerve as demo, 1986
Alpha Omega Alpha Medical Honor Society, 1979

Publications

Alexander MD, Halbach VV, Hallam DK, Cooke DL, Ghodke BV, Dowd CF, Amans MR, Hetts SW, Higashida RT, Meyers PM. Long-Term Outcomes of Endovascular Treatment of Indirect Carotid Cavernous Fistulae: Superior Efficacy, Safety, and Durability of Transvenous Coiling Over Other Techniques. Neurosurgery. 2018 Nov 10.
Kondapavulur S, Cooke DL, Kao A, Amans MR, Alexander M, Darflinger R, Dowd CF, Higashida RT, Damato B, Halbach VV, Matthay KK, Hetts SW. Estimation of intra-arterial chemotherapy distribution to the retina in pediatric retinoblastoma patients using quantitative digital subtraction angiography. Interv Neuroradiol. 2018 Apr; 24(2):214-219.
Ammanuel S, Alexander MD, Damato B, Cooke DL, Halbach VV, Amans MR, Dowd CF, Higashida RT, Hetts SW. Improved procedural safety following protocol changes for selective ophthalmic arterial infusion of chemotherapy for treatment of ocular retinoblastoma. Interv Neuroradiol. 2018 Jan 01; 1591019918755088.
Alexander MD, Rebhun JM, Hetts SW, Amans MR, Settecase F, Darflinger RJ, Dowd CF, Halbach VV, Higashida RT, Cooke DL. Technical factors affecting outcomes following endovascular treatment of posterior circulation atherosclerotic lesions. Surg Neurol Int. 2017; 8:284.
Settecase F, McCoy DB, Darflinger R, Alexander MD, Cooke DL, Dowd CF, Hetts SW, Higashida RT, Halbach VV, Amans MR. Improving mechanical thrombectomy time metrics in the angiography suite: Stroke cart, parallel workflows, and conscious sedation. Interv Neuroradiol. 2018 Apr; 24(2):168-177.
Cooke DL, McCoy DB, Halbach VV, Hetts SW, Amans MR, Dowd CF, Higashida RT, Lawson D, Nelson J, Wang CY, Kim H, Werb Z, McCulloch C, Hashimoto T, Su H, Sun Z. Endovascular Biopsy: In Vivo Cerebral Aneurysm Endothelial Cell Sampling and Gene Expression Analysis. Transl Stroke Res. 2018 Feb; 9(1):20-33.
Hightower JS, Phelps A, Halbach VV, Kohi MP. Collateral Damage: Catheterization of the Epidural Space during Deep Venous Thrombosis Thrombolysis. J Vasc Interv Radiol. 2017 Sep; 28(9):1332-1334.
Kao E, Kefayati S, Amans MR, Faraji F, Ballweber M, Halbach V, Saloner D. Flow patterns in the jugular veins of pulsatile tinnitus patients. J Biomech. 2017 02 08; 52:61-67.
Kefayati S, Amans M, Faraji F, Ballweber M, Kao E, Ahn S, Meisel K, Halbach V, Saloner D. The manifestation of vortical and secondary flow in the cerebral venous outflow tract: An in vivo MR velocimetry study. J Biomech. 2017 01 04; 50:180-187.
Lum MA, Martin AJ, Alexander MD, McCoy DB, Cooke DL, Lillaney P, Moftakhar P, Amans MR, Settecase F, Nicholson A, Dowd CF, Halbach VV, Higashida RT, McDermott MW, Saloner D, Hetts SW. Intra-Arterial MR Perfusion Imaging of Meningiomas: Comparison to Digital Subtraction Angiography and Intravenous MR Perfusion Imaging. PLoS One. 2016; 11(11):e0163554.
Hetts SW, Moftakhar P, Maluste N, Fullerton HJ, Cooke DL, Amans MR, Dowd CF, Higashida RT, Halbach VV. Pediatric intracranial dural arteriovenous fistulas: age-related differences in clinical features, angioarchitecture, and treatment outcomes. J Neurosurg Pediatr. 2016 Nov; 18(5):602-610.
Alexander MD, Halbach V, Nicholson A, Settecase F, Darflinger RJ, Amans MR. Transvenous ethanol sclerotherapy of feeding arteries for treatment of a dural arteriovenous fistula. J Neurointerv Surg. 2017 Mar; 9(3):e12.
Alexander MD, Halbach V, Nicholson A, Settecase F, Darflinger RJ, Amans MR. Transvenous ethanol sclerotherapy of feeding arteries for treatment of a dural arteriovenous fistula. BMJ Case Rep. 2016 Jul 15; 2016.
Lawton MT, Abla AA, Rutledge WC, Benet A, Zador Z, Rayz VL, Saloner D, Halbach VV. Bypass Surgery for the Treatment of Dolichoectatic Basilar Trunk Aneurysms: A Work in Progress. Neurosurgery. 2016 07; 79(1):83-99.
Lee SK, Hetts SW, Halbach V, terBrugge K, Ansari SA, Albani B, Abruzzo T, Arthur A, Alexander MJ, Albuquerque FC, Baxter B, Bulsara KR, Chen M, Delgado Almandoz JE, Fraser JF, Frei D, Gandhi CD, Heck D, Hussain MS, Kelly M, Klucznik R, Leslie-Mazwi T, McTaggart RA, Meyers PM, Patsalides A, Prestigiacomo C, Pride GL, Starke R, Sunenshine P, Rasmussen P, Jayaraman MV. Standard and Guidelines: Intracranial Dural Arteriovenous Shunts. J Neurointerv Surg. 2017 05; 9(5):516-523.
Settecase F, Nicholson AD, Amans MR, Higashida RT, Halbach VV, Cooke DL, Dowd CF, Hetts SW. Onyx embolization of an intraosseous pseudoaneurysm of the middle meningeal artery in a patient with meningiomatosis, McCune-Albright syndrome, and gray platelet syndrome. J Neurosurg Pediatr. 2016 Mar; 17(3):324-9.
Narvid J, Amans MR, Cooke DL, Hetts SW, Dillon WP, Higashida RT, Dowd CF, Halbach VV. Spontaneous retroclival hematoma: a case series. J Neurosurg. 2016 Mar; 124(3):716-9.
Sun Z, Lawson DA, Sinclair E, Wang CY, Lai MD, Hetts SW, Higashida RT, Dowd CF, Halbach VV, Werb Z, Su H, Cooke DL. Endovascular biopsy: Strategy for analyzing gene expression profiles of individual endothelial cells obtained from human vessels?. Biotechnol Rep (Amst). 2015 Sep; 7:157-165.
Acevedo-Bolton G, Amans MR, Kefayati S, Halbach V, Saloner D. Four dimensional magnetic resonance velocimetry for complex flow in the jugular vein. Quant Imaging Med Surg. 2015 Aug; 5(4):635-7.
Seymour ZA, Sneed PK, Gupta N, Lawton MT, Molinaro AM, Young W, Dowd CF, Halbach VV, Higashida RT, McDermott MW. Volume-staged radiosurgery for large arteriovenous malformations: an evolving paradigm. J Neurosurg. 2016 Jan; 124(1):163-74.
Alexander MD, Rebhun JM, Hetts SW, Kim AS, Nelson J, Kim H, Amans MR, Settecase F, Dowd CF, Halbach VV, Higashida RT, Cooke DL. Lesion location, stability, and pretreatment management: factors affecting outcomes of endovascular treatment for vertebrobasilar atherosclerosis. J Neurointerv Surg. 2016 May; 8(5):466-70.
Cooke DL, Bauer D, Sun Z, Stillson C, Nelson J, Barry D, Hetts SW, Higashida RT, Dowd CF, Halbach VV, Su H, Saeed MM. Endovascular biopsy: Technical feasibility of novel endothelial cell harvesting devices assessed in a rabbit aneurysm model. Interv Neuroradiol. 2015 Feb; 21(1):120-8.
Moftakhar P, Cooke DL, Fullerton HJ, Ko NU, Amans MR, Narvid JA, Dowd CF, Higashida RT, Halbach VV, Hetts SW. Extent of collateralization predicting symptomatic cerebral vasospasm among pediatric patients: correlations among angiography, transcranial Doppler ultrasonography, and clinical findings. J Neurosurg Pediatr. 2015 Mar; 15(3):282-90.
Sun Z, Su H, Long B, Sinclair E, Hetts SW, Higashida RT, Dowd CF, Halbach VV, Cooke DL. Endothelial cell high-enrichment from endovascular biopsy sample by laser capture microdissection and fluorescence activated cell sorting. J Biotechnol. 2014 Dec 20; 192 Pt A:34-9.
Amans MR, Narvid J, Halbach VV. Intra-arterial chemotherapy for bilateral retinoblastoma via left ophthalmic artery and right anterior deep temporal artery. BMJ Case Rep. 2014 Sep 19; 2014.
Rutledge WC, Abla AA, Nelson J, Halbach VV, Kim H, Lawton MT. Treatment and outcomes of ARUBA-eligible patients with unruptured brain arteriovenous malformations at a single institution. Neurosurg Focus. 2014 Sep; 37(3):E8.
Cooke DL, Stout CE, Kim WT, Kansagra AP, Yu JP, Gu A, Jewell NP, Hetts SW, Higashida RT, Dowd CF, Halbach VV. Cerebral arterial fenestrations. Interv Neuroradiol. 2014 May-Jun; 20(3):261-74.
Chow ML, Cooke DL, Fullerton HJ, Amans MR, Narvid J, Dowd CF, Higashida RT, Halbach VV, Hetts SW. Radiological and clinical features of vein of Galen malformations. J Neurointerv Surg. 2015 Jun; 7(6):443-8.
Amans MR, Cooke DL, Vella M, Dowd CF, Halbach VV, Higashida RT, Hetts SW. Contrast staining on CT after DSA in ischemic stroke patients progresses to infarction and rarely hemorrhages. Interv Neuroradiol. 2014 Jan-Feb; 20(1):106-15.
Cooke DL, Stout CE, Kim WT, Hetts SW, Higashida RT, Halbach VV, Dowd CF, Gould RG. Radiation dose reduction in intra-arterial chemotherapy infusion for intraocular retinoblastoma. J Neurointerv Surg. 2014 Dec; 6(10):785-9.
Hetts SW, English JD, Stiver SI, Singh V, Yee EJ, Cooke DL, Halbach VV. Bilateral cervical spinal dural arteriovenous fistulas with intracranial venous drainage mimicking a foramen magnum dural arteriovenous fistula. Interv Neuroradiol. 2013 Dec; 19(4):483-8.
Amans MR, Stout C, Fox C, Narvid J, Hetts SW, Cooke DL, Higashida RT, Dowd CF, McSwain H, Halbach VV. Cerebral arteriopathy associated with Arg179His ACTA2 mutation. J Neurointerv Surg. 2014 Nov; 6(9):e46.
Cooke DL, Su H, Sun Z, Guo Y, Guo D, Saeed MM, Hetts SW, Higashida RT, Dowd CF, Young WL, Halbach VV. Endovascular biopsy: evaluating the feasibility of harvesting endothelial cells using detachable coils. Interv Neuroradiol. 2013 Dec; 19(4):399-408.
Amans MR, Stout C, Fox C, Narvid J, Hetts SW, Cooke DL, Higashida RT, Dowd CF, McSwain H, Halbach VV. Cerebral arteriopathy associated with Arg179His ACTA2 mutation. BMJ Case Rep. 2013 Nov 29; 2013.
Meisel K, Yee A, Stout C, Kim W, Cooke D, Halbach V. Arteriovenous fistula after ventriculostomy in aneurysmal subarachnoid hemorrhage. Neurology. 2013 Jun 04; 80(23):2168.
Thampi S, Hetts SW, Cooke DL, Stewart PJ, Robbins E, Banerjee A, Dubois SG, Char D, Halbach V, Matthay K. Superselective intra-arterial melphalan therapy for newly diagnosed and refractory retinoblastoma: results from a single institution. Clin Ophthalmol. 2013; 7:981-9.
Losey AD, Lillaney P, Martin AJ, Halbach VV, Cooke DL, Dowd CF, Higashida RT, Saloner DA, Wilson MW, Saeed M, Hetts SW. Safety of retained microcatheters: an evaluation of radiofrequency heating in endovascular microcatheters with nitinol, tungsten, and polyetheretherketone braiding at 1.5 T and 3 T. J Neurointerv Surg. 2014 May; 6(4):314-9.
Kansagra AP, Cooke DL, English JD, Sincic RM, Amans MR, Dowd CF, Halbach VV, Higashida RT, Hetts SW. Current trends in endovascular management of traumatic cerebrovascular injury. J Neurointerv Surg. 2014 Jan; 6(1):47-50.
Moftakhar P, English JD, Cooke DL, Kim WT, Stout C, Smith WS, Dowd CF, Higashida RT, Halbach VV, Hetts SW. Density of thrombus on admission CT predicts revascularization efficacy in large vessel occlusion acute ischemic stroke. Stroke. 2013 Jan; 44(1):243-5.
Cooke DL, Meisel KM, Kim WT, Stout CE, Halbach VV, Dowd CF, Higashida RT. Serial angiographic appearance of segmental arterial mediolysis manifesting as vertebral, internal mammary and intra-abdominal visceral artery aneurysms in a patient presenting with subarachnoid hemorrhage and review of the literature. J Neurointerv Surg. 2013 Sep 01; 5(5):478-82.
Hetts SW, Moftakhar P, English JD, Dowd CF, Higashida RT, Lawton MT, Douglas VC, Halbach VV. Spinal dural arteriovenous fistulas and intrathecal venous drainage: correlation between digital subtraction angiography, magnetic resonance imaging, and clinical findings. J Neurosurg Spine. 2012 May; 16(5):433-40.
Tatum J, Farid H, Cooke D, Fullerton H, Smith W, Higashida R, Halbach VV, Dowd C. Mechanical embolectomy for treatment of large vessel acute ischemic stroke in children. J Neurointerv Surg. 2013 Mar; 5(2):128-34.
Alexander MD, Hetts SW, Young WL, Halbach VV, Dowd CF, Higashida RT, English JD. Supernova hemorrhage: obliterative hemorrhage of brain arteriovenous malformations following ? knife radiosurgery. J Neurointerv Surg. 2012 Sep; 4(5):364-7.
Cooke D, Farid H, Kim W, Dowd C, Higashida R, Halbach V. Zygomatico-orbital intra-arterial melphalan infusion for intraocular retinoblastoma. J Neurointerv Surg. 2012 Jul; 4(4):e16.
Cooke D, Tatum J, Farid H, Dowd C, Higashida R, Halbach V. Transvenous embolization of a pediatric pial arteriovenous fistula. J Neurointerv Surg. 2012 Jul; 4(4):e14.
Waldron JS, Halbach VV, Lawton MT. Microsurgical management of incompletely coiled and recurrent aneurysms: trends, techniques, and observations on coil extrusion. Neurosurgery. 2009 May; 64(5 Suppl 2):301-15; discussion 315-7.
Singh V, Smith WS, Lawton MT, Halbach VV, Young WL. Risk factors for hemorrhagic presentation in patients with dural arteriovenous fistulae. Neurosurgery. 2008 Mar; 62(3):628-35; discussion 628-35.
Lawton MT, Sanchez-Mejia RO, Pham D, Tan J, Halbach VV. Tentorial dural arteriovenous fistulae: operative strategies and microsurgical results for six types. Neurosurgery. 2008 Mar; 62(3 Suppl 1):110-24; discussion 124-5.
Narvid J, Hetts SW, Larsen D, Neuhaus J, Singh TP, McSwain H, Lawton MT, Dowd CF, Higashida RT, Halbach VV. Spinal dural arteriovenous fistulae: clinical features and long-term results. Neurosurgery. 2008 Jan; 62(1):159-66; discussion 166-7.
Dispensa BP, Saloner DA, Acevedo-Bolton G, Achrol AS, Jou LD, McCulloch CE, Johnston SC, Higashida RT, Dowd CF, Halbach VV, Ko NU, Lawton MT, Martin AJ, Quinnine N, Young WL. Estimation of fusiform intracranial aneurysm growth by serial magnetic resonance imaging. J Magn Reson Imaging. 2007 Jul; 26(1):177-83.
Caragine LP, Halbach VV, Dowd CF, Higashida RT. Intraorbital arteriovenous fistulae of the ophthalmic veins treated by transvenous endovascular occlusion: technical case report. Neurosurgery. 2006 Feb; 58(1 Suppl):ONS-E170; discussion ONS-E170.
Higashida RT, Halbach VV, Dowd CF, Juravsky L, Meagher S. Initial clinical experience with a new self-expanding nitinol stent for the treatment of intracranial cerebral aneurysms: the Cordis Enterprise stent. AJNR Am J Neuroradiol. 2005 Aug; 26(7):1751-6.
Martin AJ, Saloner DA, Roberts TP, Roberts H, Weber OM, Dillon W, Cullen S, Halbach V, Dowd CF, Higashida RT. Carotid stent delivery in an XMR suite: immediate assessment of the physiologic impact of extracranial revascularization. AJNR Am J Neuroradiol. 2005 Mar; 26(3):531-7.
Smith WS, Dowd CF, Johnston SC, Ko NU, DeArmond SJ, Dillon WP, Setty D, Lawton MT, Young WL, Higashida RT, Halbach VV. Neurotoxicity of intra-arterial papaverine preserved with chlorobutanol used for the treatment of cerebral vasospasm after aneurysmal subarachnoid hemorrhage. Stroke. 2004 Nov; 35(11):2518-22.
Ng PP, Higashida RT, Cullen SP, Malek R, Dowd CF, Halbach VV. Intraarterial thrombolysis trials in acute ischemic stroke. J Vasc Interv Radiol. 2004 Jan; 15(1 Pt 2):S77-85.
Chun JY, Gulati M, Halbach V, Lawton MT. Thrombosis of a spinal arteriovenous malformation after hemorrhage: case report. Surg Neurol. 2004 Jan; 61(1):92-4.
Caragine LP, Halbach VV, Dowd CF, Ng PP, Higashida RT. Parallel venous channel as the recipient pouch in transverse/sigmoid sinus dural fistulae. Neurosurgery. 2003 Dec; 53(6):1261-6; discussion 1266-7.
Stefanutto TB, Halbach V. Bronchospasm precipitated by ethanol injection in arteriovenous malformation. AJNR Am J Neuroradiol. 2003 Nov-Dec; 24(10):2050-1.
Ng PP, Higashida RT, Cullen S, Malek R, Halbach VV, Dowd CF. Endovascular strategies for carotid cavernous and intracerebral dural arteriovenous fistulas. Neurosurg Focus. 2003 Oct 15; 15(4):ECP1.
Dowd CF, Halbach VV, Higashida RT. Meningiomas: the role of preoperative angiography and embolization. Neurosurg Focus. 2003 Jul 15; 15(1):E10.
Ng PP, Halbach VV, Quinn R, Balousek P, Caragine LP, Dowd CF, Higashida RT, Wilson C. Endovascular treatment for dural arteriovenous fistulae of the superior petrosal sinus. Neurosurgery. 2003 Jul; 53(1):25-32; discussion 32-3.
Du R, Binder DK, Halbach V, Fischbein N, Barbaro NM. Trigeminal neuralgia in a patient with a dural arteriovenous fistula in Meckel's cave: case report. Neurosurgery. 2003 Jul; 53(1):216-21; discussion 221.
Ng PP, Halbach VV, Caragine LP, Dowd CF, Higashida RT. Guglielmi detachable coil extraction: suction generated by pusher-wire withdrawal after coil detachment within an intracranial aneurysm. AJNR Am J Neuroradiol. 2003 May; 24(5):982-4.
Hashimoto T, Wen G, Lawton MT, Boudreau NJ, Bollen AW, Yang GY, Barbaro NM, Higashida RT, Dowd CF, Halbach VV, Young WL. Abnormal expression of matrix metalloproteinases and tissue inhibitors of metalloproteinases in brain arteriovenous malformations. Stroke. 2003 Apr; 34(4):925-31.
Vates GE, Lawton MT, Wilson CB, McDermott MW, Halbach VV, Roberts TP, Rowley HA. Magnetic source imaging demonstrates altered cortical distribution of function in patients with arteriovenous malformations. Neurosurgery. 2002 Sep; 51(3):614-23; discussion 623-7.
Meyers PM, Halbach VV, Dowd CF, Lempert TE, Malek AM, Phatouros CC, Lefler JE, Higashida RT. Dural carotid cavernous fistula: definitive endovascular management and long-term follow-up. Am J Ophthalmol. 2002 Jul; 134(1):85-92.
Caragine LP, Halbach VV, Ng PP, Dowd CF. Vascular myelopathies-vascular malformations of the spinal cord: presentation and endovascular surgical management. Semin Neurol. 2002 Jun; 22(2):123-32.
Singh V, Gress DR, Higashida RT, Dowd CF, Halbach VV, Johnston SC. The learning curve for coil embolization of unruptured intracranial aneurysms. AJNR Am J Neuroradiol. 2002 May; 23(5):768-71.
Halim AX, Singh V, Johnston SC, Higashida RT, Dowd CF, Halbach VV, Lawton MT, Gress DR, McCulloch CE, Young WL. Characteristics of brain arteriovenous malformations with coexisting aneurysms: a comparison of two referral centers. Stroke. 2002 Mar; 33(3):675-9.
Phatouros CC, Meyers PM, Higashida RT, Malek AM, Lempert TE, Dowd CF, Halbach VV. Intracranial hemorrhage and cerebral hyperperfusion syndrome after extracranial carotid artery angioplasty and stent placement. AJNR Am J Neuroradiol. 2002 Mar; 23(3):503-4.