Dr Steve Cordina is a gozitan doctor who was in the news recently for performing life saving brain surgery on an 8 month old baby in the United States, full story
here. I asked him a few questions on his career and on this particular operation.
How long ago did you leave Malta? 9 years ago
What is your specialty and what attracted you to it? I am
a stroke and interventional neurologist – which give me the ability to perform
radiological procedures on patients with neurovascular disease. I was always
attracted to interventional radiology as well as neurology and this was for me
an ideal way to combine the two.
What made you choose the US for your studies? The US is at
the forefront of medical research, and it made sense for me to go there.
Was it hard settling in a new country? Very. We had to start
afresh. The distances to family meant that
we were physically isolated. Having young children, with no outside help makes
you really appreciate the support families provide.
Can you describe the procedure you carried out on Carley and
what difficulties it posed? It can be best described as transarterial
embolization. The feeder arteries to the vein of Galen malformation were
accessed individually by microcatheter using transfemoral access. Once each
feeder was accessed, the flow was stopped using a combination of detachable
platinum coils and liquid embolic material (Onyx).
How common is this condition? It is rare, comprising 30% of
the paediatric vascular and 1% of all paediatric congenital anomalies.
Are there any signs one can look out for to detect the
condition early? Usually it is diagnosed by foetal ultrasound before birth.
Undetected, it leads to developmental disability and multiple organ dysfunction
due to the high flow state that it creates.
Finally, what advice would you give to any of our readers
who might want to choose a career path similar to yours? Do not be discouraged
by the long training period that it involves. It is worth it in the end.