Lesions Previously Thought Inoperable Now Treated With Neuroendovascular Surgery

Neuroendovascular surgery is an emerging specialty combining the skills of neurosurgery and interventional neuroradiology. These minimally invasive techniques have proven effective in the diagnosis and treatment of strokes, brain aneurysms, tumors, arterial venous malformations (AVMs), intracranial atherosclerosis, blocked carotid, vertebral and subclavian arteries, from inside the blood vessel. Patients benefit because neuroendovascular surgery results shorter hospital stays, fewer possible complications, less pain, and a quicker recovery period. Some patients even return to work the day after surgery, as opposed to weeks or even months with traditional surgery.

Typically, neuroendovascular procedures begin with angiography of the brain, face or spine. This is to confirm the diagnosis and generate a “road map” of the vessels associated with the area of abnormality. Neuroendovascular surgery requires only a small nick in the leg to gain access to a blood vessel, usually an artery. From this point of entry, the lesion is reached by navigating a catheter through blood vessels using X-ray guidance. With these minimally invasive procedures, potentially life-threatening conditions can now be treated without opening the skull, neck or back.

The methods used to treat these pathologies continue to evolve, and the technological advances are making it safer and easier for the patient. As a group, Carolina Neurosurgery & Spine Associates is committed to the comprehensive care of all vascular pathology related to the brain and spinal cord - from aneurysms, AVMs, and atherosclerosis as well as acute stroke treatment.




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