Neurosurgery is a branch of surgery that treats conditions and diseases of the brain and nervous system. Radiology is a medical specialty that helps diagnose and treat conditions and diseases using various radiology techniques. Endovascular neurosurgery is a subspecialty within neurosurgery that uses catheters and radiology to diagnose and treat various conditions and diseases of the central nervous system. The central nervous system is made up of the brain and the spinal cord. This medical specialty is also called Neurointerventional Surgery.
Interventional neuroradiology is a subspecialty within radiology that also involves catheters and radiology to diagnose and treat neurological conditions and diseases. The term endovascular means “inside a blood vessel.” Endovascular neurosurgery uses tools that pass through the blood vessels to diagnose and treat diseases and conditions rather than using open surgery. The surgeon often uses radiology images to help him or her to see the part of the body involved in the procedure.
Doctors in these specialties may also diagnose and treat conditions of the spinal cord using similar techniques, although not through a blood vessel. These types of procedures are called “minimally invasive” because they generally require only a tiny incision instead of a larger incision necessary for open surgery.
1. Intracranial Aneurysms
When the blood vessels are countered with focal swelling, the corresponding condition is called Aneurysms. These swollen blood vessels may burst and would result to bleeding in the brain. Such disease can be treated without the need of the open surgery. The treatment recommended for the Aneurysms, is endovascular coiling. The studies and statistics that show better outcomes of this treatment, recommend this treatment
2. Stroke or Brain attack that include Intra-arterial Thrombolysis
When there are any blockages of arteries present in the brain, it would result in the acute stroke attack or brain attack. Patients suffering from this disease would find the placement of the micro-catheter in the affected areas in the brain as an effective treatment. Post treatment, further the thrombolytic drugs administration would help the patient to dissolve the material that causes the block. However, it is also possible to remove the mechanical clot from the brain of the patients, who approach the hospital after strokes.
3. Spinal or Cerebral Angiogaphy
The diseases that are related to the blood vessels are generally investigated and diagnosed with the DSA or Digital Subtraction Angiography. This diagnostic method is detected when the doctors suspect the vascular disease. And this DSA is generally understood and considered as a gold standard investigation.
4. Tumour Embolisation
During the process of the intracranial tumour removal, the major problem occurs is the bleeding. In such cases, the preoperative endovascular occlusion done by the interventional Neuroradiologist could help the surgeon. The bleeding will then be reduced and the surgery could be well facilitated.
5. Percutaneous Sclerotherapy
There are many of the superficial vascular malformations exist like Lymphangiomas or Haemangioma, etc. lymphangiomas is the malformation of the lymphs, whereas Hameangioma is the malformation of the affected blood vessels. These diseases can be treated with the help of puncturing over them using a needle. Immediately the process is followed by ‘sclerosant material’ to be injected so that the obliteration of the malformation will be resulted.
6. Arteriovenous Malformation
Sometimes the blood vessels are malformed and swollen causing the AVMs or Arteriovenous Malformation. The result of this disease is to cause the headache, seizures from the bleeding happening in the brain. These AVMs find the solution through the treatment by injecting onyx or glue that would be placed in the specified abnormal blood vessels. The placement of the glue is done through the microcatheters.
7. Vertebroplasty and Kyphoplasty
Elder age people are usually suffering from the severe back pain that could be caused either from the bone that become weak from the age or from the collapse or vertebrae of the bones present in the spine. This condition is well treated using bone cement that is injected into the bones with the help of the needles. The needles are placed in bone that is broken so that the vertebra will be stabilized and the pain caused from it would be reduced.
8. Stent Replacement or Angioplasty
Stent replacement or Angioplasty is usually needed for treating the stenosis that are present in the arteries of the brain. This stenosis present in arteries that would lead to the brain cause many of the strokes. These conditions find solutions by non-invasive methods like endovascular route by adopting the same procedure of angioplasty or stenting. These procedures are performed not in very complex ways by giving the local anesthesia.
Thrombolytic therapy. This procedure uses “clot-busting” medication to dissolve a clot in a blood vessel in the brain or elsewhere in the body.
Endovascular coiling. A surgeon inserts a very thin metal wire that forms a coil inside a brain aneurysm to block blood flow. A brain aneurysm is a bulging, weakened area in the wall of an artery in the brain, resulting in an abnormal widening or ballooning. Because the artery wall has a weakened spot, the aneurysm is at risk for bursting if blood flow isn’t blocked.
Minimally invasive spine surgery. This procedure is used to treat spinal disorders such as fractures, tumors, compressed nerves, and other conditions that put pressure on the spinal cord.
Cerebral angiography. This is a radiology procedure that looks at how well blood is flowing in the brain.
Carotid artery angioplasty/stenting. This procedure uses a small balloon and/or a tiny metal scaffold called a stent to open a narrowed carotid artery. The carotid arteries supply blood to the brain.
• Indian doctors are known all over the world for their skill and knowledge and have the experience of studying and working at the best neuro surgery hospitals in the world.
• Neurosurgery Hospitals in India are equipped with the latest and high end technology.
• Advanced Dyna CT capability enhances the ability of Endovascular surgeon to perform most accurately in delicate vascular areas like brain
• Minimal incision similar to cardiac treatment, such as angioplasty or stent placement
• Diagnostic (Cerebral or Spinal Angiography) or Therapeutic procedures for Intracranial Aneurysms, Arterial Stenosis, Stroke (Brain attack), Arteriovenous Malformations, Vertebroplasty and Percutaneous Sclerotherapy
You may want to ask some questions before your treatment begins: