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Neurovascular Surgery

Overview

Damaged, injured or malformed blood vessels can cause bleeding or circulation problems that can result in strokes, headaches and other symptoms.

Neurovascular surgery uses open or minimally invasive surgical techniques to treat problems with the blood vessels of the brain or spine and spinal cord.


Citi Neuro Centre is a widely recognized referral center for the treatment of neurovascular disorders. Our team of neurosurgeons, neurologists, diagnostic and interventional neuroradiologists, neurointensivists and neuroanesthesiologists provides highly specialized care from outpatient evaluation, diagnosis and treatment for these disorders.

Conditions that neurovascular surgery evaluates and treats include:

  • Arteriovenous malformations of the brain and spine
  • Atherosclerotic disease of the blood vessels of the neck and brain
  • Brain hemorrhage
  • Carotid dissection
  • Carotid stenosis
  • Cavernous vascular malformations (cavernomas)
  • Cerebral aneurysm
  • Dural arteriovenous fistulae
  • Idiopathic intracranial hypertension
  • Intracerebral hemorrhage
  • Pseudotumor cerebri
  • Spinal aneurysm
  • Stroke
  • Subarachnoid hemorrhage
  • Vasospasm

Our neurovascular surgeons are skilled at managing a variety of complex conditions, including aneurysms, hemorrhagic strokes, vascular malformations of the brain and skull base tumors. Our surgeons have access to the latest technologies and perform the most advanced surgical procedures, to give patients the best care possible. Our specialists believe in multidisciplinary discussion of each patient’s case and to develop a treatment plan based on individual needs. Whenever possible, our surgeons choose minimally-invasive surgery.


Endovascular Therapy

Sometimes called neurointerventional neurosurgery or interventional neuroradiology, endovascular therapy relies on minimally invasive treatment procedures coupled with advanced imaging techniques to deliver care to the nervous system. Typically catheter-based, these procedures treat aneurysms, stroke and other blood vessel conditions in the head, neck and spine. This minimally invasive approach often offers faster recovery times and lesser risks when compared to open surgery, but it is only appropriate for some conditions.

Endovascular procedures include:

  • Coiling and/or stenting for cerebral aneurysms/li>
  • Flow diversion/li>
  • Endovascular embolization of aneurysms, fistulas or tumors/li>
  • Embolization of vascular malformations/li>
  • Carotid stenting with angioplasty/li>
  • Thrombectomy for acute stroke/li>
  • Balloon angioplasty/li>
  • Intraarterial therapy for vasospasm/li>
  • Embolization for nose bleeds

Open Neurovascular Surgery

Some diseases, including some aneurysms or vascular malformations, require an open surgical approach that allows the surgeon to directly repair the problem. In these cases, open surgery is a safer and more effective method compared to the minimally invasive alternatives.

Common conditions treated with open neurovascular surgery include:

  • Aneurysm clipping
  • AVM or fistula resection
  • Cavernoma resection
  • EC-IC bypass surgery
  • Microvascular decompression
  • Moyamoya
  • Cerebral revascularization for tumors