Cerebrovascular Surgery and Intervention Center | Patient Resources

Welcome to the Cerebrovascular Surgery and Interventions Center. We see patients of all ages — from newborns to teens to adults — and are also available for prenatal consults, second opinions, and, in some cases, videoconferencing.

To request a consultation or second opinion, please contact us directly at:

Email: CVDsurgery@childrens.harvard.edu
Phone: 617-919-1379

If you are coming from outside the United States, please visit our International Patients page.

Why Boston Children’s?

Learn more about the center’s unique approach with co-directors Darren Orbach, MD, PhD, and Edward Smith, MD.

Preparing for your consultation

For the most accurate assessment possible, please be sure to have a full summary of you or your child’s initial diagnosis on hand. In addition, please gather as much of the following information as you can:

  • you or your child’s full name, address, and date of birth
  • your insurance provider’s name (for example, Blue Cross Blue Shield of Massachusetts), the name of the specific plan (for example, HMO Blue), and your subscriber identification number
  • the name, address, and phone number of the physician making the referral (if different from the primary care provider)
  • a list of your child’s symptoms
  • previous lab work reports
  • any x-ray, MRI, or CT scan films or angiograms
  • Please call the center at 617-919-1379. We may request additional images once we’ve been in contact with you.

What to expect at your visit

What to expect at your visit.
If your child is new to the CVD Center, Dr. Edward Robert Smith and Dr. Darren Orbach will review your child’s case. Please email us your child’s medical records, imaging, and imaging reports to CVDSurgery@childrens.harvard.edu. Our coordinator will call you to get this process started.
What to expect at your visit.
We may recommend that you have a phone or video call with Drs. Smith or Orbach before your first appointment to talk about your child’s condition and possible treatments. If a call is recommended, our coordinator will contact you to schedule the call.
What to expect at your visit.
For surgical appointments, our coordinator will call you to schedule a date for surgery and set up any other appointments that are needed. You will get an email confirmation with details once the surgery is scheduled. For in-person appointments, visit our Contact Us page to find out where Drs. Smith and Orbach clinics are located.
What to expect at your visit.
If your child is having surgery, you’ll have a visit in our pre-op clinic (located at Boston Children’s main campus Main Building, first floor). At this visit, you will learn when to arrive for your child’s surgery, eating and drinking guidelines before surgery, and how long your child will need to stay in the hospital. You will also meet with the anesthesia team and any other clinical specialists who will be part of the surgery.
What to expect at your visit.
If your child needs imaging tests before surgery, you will be told about this during your clinic visit. If your child is under age 18, please call Radiology at 617-919-7226 to answer some safety questions and schedule the scan. If your child is over age 18, please have them call Radiology to answer the safety questions and schedule the scan. The appointment date and time will be included in your surgical confirmation letter.
What to expect at your visit.
Depending on the surgery, your child will either be admitted to the hospital the night before surgery or on the morning of surgery. If your child is having surgery for moyamoya, they will be admitted the night before surgery. We will call you one business day before the surgery telling you when to arrive that evening. For all other surgeries, the arrival time will be included in your confirmation letter, and you will also receive a call one business day prior to learn your exact arrival time.
What to expect at your visit.
After surgery, your child will likely go to the Intensive Care Unit (ICU) or to our neurosurgical “step-up” unit for one to two days. Then, they’ll go to a standard inpatient neurosurgical room on 9 North. In total, your child will probably stay in the hospital for three to five days.
What to expect at your visit.
A virtual visit will be scheduled with our nurse practitioners four to six weeks after your child leaves the hospital. You will get an e-mail with a link to log on to the portal and an instruction guide that will tell you how to sign in and use the portal. The calendar invitation to this virtual visit will have a series of questions to answer and send back before the visit. If you would rather have an in-person follow-up visit, please either tell your nurse practitioners before you leave the hospital or call 617-919-1379.

Remote image upload

It is helpful for us to have the following test results when first reviewing the patients case, along with:

  • any x-ray, MRI, or CT scan films or angiograms
  • relevant lab work reports

Images may be uploaded to our secure server. For temporary credentials and instructions, please e-mail CVDSurgery@childrens.harvard.edu or call 617-919-1379. We may request additional images once we’ve been in contact with you.

Videoconferencing

For patients who live far from Boston, we can often conduct follow-up visits through telemedicine. Contact CVDSurgery@childrens.harvard.edu or 617-919-1379 to arrange.

Information and support

These links are provided as a resource. Please note that neither Boston Children’s Hospital nor the Cerebrovascular Surgery and Interventions Center unreservedly endorse all of the information found at these sites: