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Neurovascular Surgery

Neurovascular surgery is a subspecialty of neurosurgery that aims to treat and manage almost all vascular diseases and disorders of the brain and spinal cord. These are generally complex procedures that can be performed by minimally invasive or open techniques.

Indications for Neurovascular surgery

  • Intracerebral aneurysm

  • Stroke

  • Arteriovenous malformation

  • Carotid artery stenosis

  • Carotid and intracranial atherosclerosis

  • Cavernous malformations

  • Moya Moya disease

Procedures under Neurovascular surgery

  • Endovascular procedures:
    Endovascular procedures are minimally invasive techniques that blends the complex neurosurgery with radiology. The procedures are performed using thin catheters under the guidance of advanced image-guidance technology. The catheters are introduced into the vascular system through a vessel in the groin, arm or neck. Endovascular procedures include:

    • Diagnostic angiography

    • Balloon angioplasty

    • Stent placement

    • Embolization

    • Coiling

  • Cerebrovascular Surgery:
    These include open cerebrovascular surgeries in which brain is opened. The operations include:

    • Craniotomy for aneurysm clipping

    • Craniotomy for arteriovenous malformation excision

    • Craniotomy for EC-IC bypass and carotid endarterectomy

Typically neurovascular surgery procedures offer better outcomes and a faster recovery for patients as compared to other modes of intervention.

Authored By Dr. Manish Vaish

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