Walter S. Lesley, MD, CPE, FACR

Interventional Neuroradiologist
Scott & White Healthcare

CSO Representative


Specialties
Neuroradiology, Interventional Radiology, Diagnostic Radiology


Patient Care Emphasis
Aortic Angiography, Cerebrovascular Occlusive Disease, Diagnostic Neuroradiology, Glomus Jugulare Tumor, Intracranial Atherosclerosis Angioplasty, Kyphoplasty, Magnetic Resonance Angiography, Neuroendovascular Intervention, Neuroradiology, Sacral Insufficiency Fracture, Spinal Tumor Vertebroplasty, Stroke, Subarachnoid Hemorrhage, Vertebral Insufficiency Fracture, Vertebrobasilar Circulatory Disorders, Wada Testing, Cerebral Aneurysm, Brain Aneurysm Repair, Cerebrovascular Endosurgery, Cerebral & Spinal Catheter Angiography, Carotid Stenting, Dural Arteriovenous Fistula, Cerebral & Spinal Vascular Malformation, Epistaxis Embosurgery, Head and Neck Embosurgery, Vertebroplasty, Spinal Dural Arteriovenous Fistula, Spinal Tumor Embolization, Vascular Malformations, Vein of Galen Aneurysmal Malfromation Embolization


Board Certification
  • Diplomate of the American Board of Neuroradiology
  • Diplomate of the American Board of Radiology

  • Scott & White Appointment
    July 26, 2004


    Education
  • The University of Kentucky College of Medicine, Lexington, KY, MD, 1987
  • Wheaton College, Wheaton, IL, BS, 1983

  • Specialty Training
  • NeuroInterventional and NeuroRadiology Fellowships, University of Iowa and Wayne State University
  • Radiology Residency, Cook County Hospital, Chicago, IL

  • Faculty Rank - Texas A&M Health Science Center College of Medicine
    Professor of Radiology, Neurosurgery and Surgery


    Publications and Research
  • Lesley WS, Thomas MR, Abdulrauf SI. N-butylcyanoacrylate embolization of a middle meningeal artery aneurysm in a patient with neurofibromatosis type 2. AJNR Am J Neuroradiol 25(8], 1414-1416.
  • Lesley WS, Weigele JB, Chaloupka JC. Outcomes for overlapping stents in the extracranial carotid artery. Catheter Cardiovasc Interv 62(3], 375-379.
  • Lesley WS, Dalsania HJ. Double origin of the posterior inferior cerebellar artery. AJNR Am J Neuroradiol 25(3], 425-427.
  • Weigele JB, Chaloupka JC, Lesley WS, Mangla S, Hitchon PW, VanGilder JC, Adams HP Jr. Peripheral aneurysms of the lateral posterior choroidal artery: clinical presentation and endovascular treatment: report of two cases. Neurosurgery 50(2], 392-395.
  • Weigele JB, Chaloupka JC, Lesley WS. Galenic dural arteriovenous fistula: unusual clinical presentation and successful endovascular therapy. J Neurosurgery 97(2], 467-470.
  • Lesley WS, Bieneman BK, Dalsania HJ. Selective use of the paraophthalmic balloon test occlusion (BTO) to identify a false-negative subset of the cervical carotid BTO. Minim Invasive Neurosurg 49(1], 34-36.
  • Runge VM, Patel MC, Baumann SS, Simonetta AB, Ponzo JA, Lesley WS, Calderwood GW, Naul LG. T1-weighted imaging of the brain at 3 tesla using a 2-dimensional spoiled gradient echo technique. Invest Radiol 41(2], 68-75.
  • Lesley WS, Lazo A, Kazmierczak CD, Wilseck JM. Simultaneous bilateral carotid stenting for postendarterectomy restenosis. Catheter Cardiovasc Interv 58(2], 147-150.
  • Lesley WS, Chaloupka JC, Weigele JB, Mangla S, Dogar MA. Preliminary experience with endovascular reconstruction for themanagement of carotid blowout syndrome. AJNR Am J Neuroradiol 24(5], 975-981.
  • Lesley WS, Lazo A, Chaloupka JC, Weigele JB. Successful treatment of cerebral vasospasm by use of transdermal nitroglycerin ointment (Nitropaste). AJNR Am J Neuroradiol 24(6], 1234-1236.
  • Samimi SS, Lesley WS. Craniocervical CT and MR imaging of Schwartz-Jampel syndrome. AJNR Am J Neuroradiol 24(8], 1694-1696.
  • Chaloupka JC, Weigele JB, Mangla S, Lesley WS. Cerebrovascular angioplasty and stenting for the prevention of stroke. Curr Neurol Neurosci Rep 1(1], 39-53.
  • Hunt MG, Lee AG, Kardon RH, Lesley WS, Chaloupka JC. Improvement in papilledema and visual loss after endovascular stent placement in dural sinus thrombosis. Neuroophthalmology 26(2], 85-92.
  • Lesley WS, Kupsky WJ, Guthikonda M. Intravascular papillary endothelial hyperplasia arising within a posteroinferior cerebellar artery aneurysm: case report and review of the literature. Neurosurgery 47(4], 961-965.
  • Lesley WS, Rajab MH, Case RS. Double origin of the posterior inferior cerebellar artery: association with intracranial aneurysm on catheter angiography. AJR Am J Roentgenol Oct;189(4):893-897.
  • Lesley WS, Buckley CJ. Stent-angioplasty for internal-to-external carotid artery anastomotic stenosis. Vasc Endovascular Surg Jun-Jul;41(3):262-264.
  • Lesley WS. Endosurgical repair of an iatrogenic facial arteriovenous fistula due to percutaneous trigeminal balloon rhizotomy. J Neurosurg Sci Dec;51(4):177-180.
  • NIH Multi-Center Wingspan Intracranial Stent Registry Study Group. The NIH registry on use of the Wingspan stent for symptomatic 70-99% intracranial arterial stenosis. Neurology Apr 22;70(17):1518-1524.
  • Lesley WS. Fenestration of the posterior inferior cerebellar artery. Cerebellum 7(3):240-241.
  • Lesley WS. Resolution of trigeminal neuralgia following cerebellar AVM embolization with Onyx. Cephalalgia Sep:29(9):980-985.
  • CREST Investigators. Stenting versus endarterectomy for treatment of carotid-artery stenosis. N Engl J Med. Jul 1;363(1):11-23.
  • Lesley WS, Rangaswamy R. Balloon test occlusion and endosurgical parent artery sacrifice for the evaluation and management of complex intracranial aneurysmal disease. J NeuroIntervent Surg 1:112-120
  • Patel DV, Rangaswamy R, Lesley WS, Hester JL, McDonald DK, Tsai JH. Transvenous embosurgery of a left sigmoid sinus dural arteriovenous fistula via a retrograde approach from the superior ophthalmic vein, cavernous and inferior petrosal sinuses. J NeuroIntervent Surg 3:229-232
  • Lesley WS, Rangaswamy R. Catheter exchange technique for the Wingspan stent: technical note. J NeuroIntervent Surg 1:168-170
  • Lesley WS, Rangaswamy R, Patel DV. Results of epistaxis embosurgery using detachable platinum fibered coils. J NeuroIntervent Surg 2:171-175
  • Lesley WS. Bilateral mirror posterior inferior cerebellar artery aneurysms: diagnostic caveat on catheter angiography. J NeuroIntervent Surg 3:383-385
  • Lesley WS, Rangaswamy R, Smith KH, Watkins DM. Predicting acute ischemic stroke by measuring the degree of ocular gaze deviation (Prevost's sign) on CT. J NeuroIntervent Surg 1:32-34
  • Lesley WS, Kumar R, Rangaswamy R. Use of a wire extender during neuroprotected vertebral artery angioplasty and stenting. J NeuroIntervent Surg 2:198-200
  • SAMMPRIS Investigators. Design of the stenting and aggressive medical management for preventing recurrent stroke in intracranial stenosis trial. J Stroke Cerebrovasc Dis 2011;20(4):357-368
  • Lesley WS. Ruptured Intracranial Aneurysms and the Timing of Embosurgery. Acad Radiol 19(1):1-2
  • Lesley WS, Shmerling S. Opportunities and risks of mining the electronic medical record. Physician Executive Journal of Medical Management (in press)
  • Bricker PC, Lesley WS, Surapaneni R. ALK Positive Anaplastic Large Cell Lymphoma With Pure Leptomeningeal Involvement: Unique Case Report and Review of the Literature. Clinical Neuroradiology.
  • The SAMMPRIS Trial Investigators. Aggressive medical treatment with or without stenting in high-risk patients with intracranial artery stenosis (SAMMPRIS): the final results of a randomised trial. Lancet 383(9914):333-341
  • Lesley WS, Patel DV. Neuroform-EZ stent modification for facilitated delivery during intracranial aneurysm embosurgery. Neurointervention 8(2):101-104.
  • The SAMMPRIS Trial Investigators. Mechanisms of stroke after intracranial angioplasty and stenting in the SAMMPRIS trial. Neurosurgery 72(5):777-795.
  • The CREST Trial Investigators. Restenosis after carotid artery stenting and endarterectomy: a secondary analysis of CREST, a randomised controlled trial. Lancet Neurol. 11(9):755-763.
  • The SAMMPRIS Trial Investigators. Stenting versus aggressive medical therapy for intracranial arterial stenosis. New England Journal of Medicine 15;365:993-1003.
  • Patel D, Ruiz S, Lesley WS, Rangaswamy R, Biggs K, Noonan PT, Conley JA, Rose DM, Dollar BT, Montgomery ML, Neese PA, McDonald DK. Randomized, blinded, prospective outcome analysis of unilateral versus bilateral transpedicular vertebroplasty in patients with venographically-defined intra-operative fracture clefts. Radiology Resident Research Day, Scott & White Clinic, Temple, Texas
  • Rangaswamy R, Lesley WS, Patel DV, Hester JL. Transvenous embolization of a left sigmoid sinus dural fistula via retrograde catheterization of superior ophthalmic vein, sigmoid sinus, and inferior petrosal sinus. Association of University Radiologists Annual Meeting, San Diego, California
  • Patel DV, Rangaswamy R, Lesley WS. Retrospective analysis of therapeutic efficacy and complications of distal internal maxillary artery embolization using detachable fiber coils for uncontrolled posterior epistaxis. 43rd Annual Meeting, American Society of Head and Neck Radiology, New Orleans, Louisiana
  • The Wingspan Registry Investigator Group. An NIH Funded Multi-Center Registry on the Use of the Wingspan Intracranial Stent for High Risk Patients with Symptomatic Intracranial Arterial Stenosis. International Stroke Conference, San Francisco, California
  • Runge VM, Patel MC, Baumann SS, Simonetta AB, Ponzo JA, Lesley WS. T1-weighted Imaging of the Brain at 3-Tesla Using a 2D Spoiled Gradient Echo Technique. Radiological Society of North America Annual Meeting, Chicago, Illinois
  • Case RS, Lesley WS. Double origin of the posterior inferior cerebellar artery, vertebrobasilar artery junction fenestration, trigeminal artery and aneurysm: Case illustration of a previously unreported constellation of rare anomalies and variants. 43rd Annual Meeting, American Society of Neuroradiology, Toronto, Canada
  • Weigele JB, Chaloupka JC, Harty MP, Lesley WS. Congenital dural arteriovenous fistula: prenatal diagnosis on fetal MR imaging and successful neonatal endovascular surgery. 40th Annual Meeting, American Society of Neuroradiology, Vancouver, Canada
  • Weigele JB, Chaloupka JC, Lesley WS, Bemporad J, Dogar MA. Vascular disorders mimicking the clinical presentation of a carotid-cavernous fistula: diagnosis and endovascular management. 40th Annual Meeting, American Society of Neuroradiology, Vancouver, Canada
  • Weigele JB, Chaloupka JC, Lesley WS, Dogar MA, Bemporad J. Octyl-2-cyanoacrylate: An effective agent for head and neck tumor embolization. 40th Annual Meeting, American Society of Neuroradiology, Vancouver, Canada
  • Mangla S, Chaloupka JC, Zwaag KV, Ueda T, Lesley WS, Weigele JB, Yuh WTC. Endovascular surgical revascularization of the brain after six hours of ischemia: Preliminary technical and clinical outcomes. 4th Annual Joint Section Meeting, American Association of Neurological Surgeons/Congress of Neurological Surgeons/American Society of Interventional and Therapeutic Neuroradiology, Waikoloa, Hawaii
  • Chaloupka JC, Zwaag KV, Mangla S, Weigele JB, Lesley WS. Incidence of aneurysms under 10 mm that have ruptured in a university referral population: Practical and theoretical implications. 4th Annual Joint Section Meeting, American Association of Neurological Surgeons/Congress of Neurological Surgeons/American Society of Interventional and Therapeutic Neuroradiology, Waikoloa, Hawaii
  • Chaloupka JC, Mangla S, Ueda T, Taoka T, Lesley WS, Weigele JB, Yuh WTC. Rapid cerebral revascularization in acute thromboembolic stroke using primarily percutaneous transluminal angioplasty--Initial clinical experience. 4th Annual Joint Section Meeting, American Association of Neurological Surgeons/Congress of Neurological Surgeons/American Society of Interventional and Therapeutic Neuroradiology, Waikoloa, Hawaii
  • Weigele JB, Chaloupka JC, Lesley WS, Mangla S. Endovascular management of a middle cerebral artery atheroembolus. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Weigele JB, Chaloupka JC, Lesley WS, Mangla S. Lateral posterior choroidal artery aneurysms: Clinical presentation and endovascular management. 39th Annual Meeting, American Society of Neuroradiology. Boston, Massachusetts
  • Weigele JB, Chaloupka JC, Lesley WS. De novo development of multiple cerebral arteriovenous malformations during serial angiography. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Chaloupka JC, Weigele JB, Mangla S, Ueda T, Lesley WS, Yuh WTC. Primary PTA for rapid mechanical thrombolysis in acute thrombo-embolic stroke. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Weigele JB, Chaloupka JC, Vander Zwaag K, Mangla S. Lesley WS. Incidence of aneurysms under 10 mm that have ruptured in a university referral population. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Weigele JB, Chaloupka JC, Mangla S, Lesley WS. Reversible brainstem edema following successful endovascular treatment of a posterior fossa dural arteriovenous fistula. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Chaloupka JC, Lesley WS, Weigele JB, Mangla S. Reconstructive endovascular surgery for the management of the carotid blowout syndrome. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Chaloupka JC, Mangla S, Vander Zwaag K, Weigele JB, Lesley WS, Ueda T, Yuh WTC. Acute stroke endovascular intervention after six hours of ischemia. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Weigele JB, Chaloupka JC, Lesley WS. Mechanical thrombolysis of an occluded one-day old superficial temporal artery-middle cerebral artery bypass graft. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Weigele JB, Hunt MG, Chaloupka JC, Lee AG, Mangla S, Lesley WS, Kardon RH. Improvement in papilledema and visual loss after endovascular angioplasty and stent placement for dural sinus thrombo-occlusive disease. 39th Annual Meeting, American Society of Neuroradiology, Boston, Massachusetts
  • Diagnosis and Endosurgical Treatment of Middle Cerebral Artery Stenosis. American College of Radiology’s Case-in-Point, Peer-Reviewed Radiology Resident Teaching File.
  • Vertebroplasty and Spinal Compression Fractures. American College of Radiology’s Case-in-Point, Peer-Reviewed Radiology Resident Teaching File.
  • Posterior communicating artery and middle cerebral artery aneurysm Matrix coil embosurgery exhibit, www.matrixcoils.com Category II CME
  • Osteoporotic Compression Fractures and Treatment with Vertebroplasty, www.cyberounds.com Category I CME
  • Lesley WS. Contributing author. In: Runge VM, Smoker WRK, Valavanis A, (eds). Neuroradiology: The Essentials with MR and CT. Thieme Publishers, New York City, New York
  • Chaloupka JC, Lesley WS, Hayakawa M, Hsu SW. Diagnosis and Endovascular Surgical Management of Carotid Blowout Syndrome. In: Golzarian J, Sun S, Sharafuddin MJ, (eds). Vascular Embolotherapy, Vol 2. Springer, pp. 271-292.
  • Chaloupka JC, Ganeshan N, Elahi A, Weigele JB, Lesley WS. Balloon- and Stent-Assisted Percutaneous Transluminal Angioplasty of Cerebrovascular Occlusive Disease for the Prevention of Stroke. In: Adams Jr HP, (ed). Handbook of Cerebrovascular Diseases, 2nd Edition. Marcel Dekker, pp. 433-487


  • Professional Memberships
  • Fellow, American College of Radiology
  • Deputy Editor, Neuroradiology section of Academic Radiology Journal
  • Association of University Radiologists Editorial Executive Committee
  • Advisory Panel, American College of Physician Executives
  • Associate Editor, World Journal of Neurology
  • Clinical Committee, Research Mentorship Award program, BSW/TAMU HSC-COM
  • Quality Improvement Committee, Research Mentorship Award program, BSW/TAMU HSC-COM
  • Multiple Case Study Committee, Research Mentorship Award program, BSW/TAMU HSC-COM
  • Translational Committee, Research Mentorship Award program, BSW/TAMU HSC-COM

  • Languages Spoken
    English


    Interests/Hobbies
    Church, soccer, hiking, business application


    Locations


    Scott & White Clinic - Temple
    2401 S. 31st St.
    Temple, TX 76508
    254-724-2150

    Appointments