Neurointervention – Treating complex brain pathologies in a minimally invasive manner
Neurointervention, also known as interventional neuroradiology or endovascular neurosurgery, is a medical speciality that involves using minimally invasive techniques and fluoroscopic guidance to diagnose and treat various neurological conditions and vascular disorders of the brain, spine, and head and neck.
It is similar to interventional cardiology; in this, the treatment is done using specialized catheters, which reach the complex areas of brain, spine, head and neck and treat the disease directly without need for open surgery. It is a truly stitch-less surgery for complex pathologies. Over traditionally open surgeries, Neurointervention offers several advantages, it is certainly better in terms of individual patient factors and outcomes.
Common diseases and conditions treated with neurointerventional techniques include:
Cerebral Aneurysms: Neurointervention is often used to treat both ruptured and unruptured brain aneurysms. Procedures like coiling and stent-assisted coiling are used to block the blood flow into the aneurysm, thus reducing the risks of rupture.
Ischemic Stroke: In some cases, endovascular thrombectomy can be used to remove blood clots that are causing stroke. This procedure involves threading a catheter through blood vessels to access the clot and remove it.
Arteriovenous Malformations (AVMs): AVMs are abnormal tangles of blood vessels that can be treated with embolization, where a substance is injected into the AVM to block the blood flow and reduce the risk of bleeding.
Carotid Artery Disease: Stenting or angioplasty can be performed to open narrowed or blocked carotid arteries, thus reducing the risk of stroke.
Intracranial Stenosis: Narrowing of blood vessels in the brain can be treated with angioplasty and stenting to improve the blood flow.
Vertebrobasilar Disease: Procedures such as vertebral artery angioplasty and stenting can be used to treat stenosis in the arteries supplying blood to the posterior part of the brain.
Dural Arteriovenous Fistulas (DAVF): These abnormal connections between arteries and veins in the dura mater (the brain’s outermost membrane) can be treated with embolization or other endovascular techniques.
Advantages of Neurointervention over open surgeries:
- Minimally Invasive: Neurointerventional procedures typically involve smaller incisions or catheter-based approaches, thus reducing the need for large surgical openings and resulting in lesser trauma to the surrounding tissues.
- Faster Recovery: This leads to shorter hospital stays and quicker recovery times as compared to traditional open surgery.
- Reduced Risk of Infection: A minimally invasive procedure, Neurointervention carries a lower risk of surgical site infections.
- Less Blood Loss: These procedures typically involve lesser blood loss as compared to open surgeries.
However, whether Neurointervention is “better” than open surgery or not, depends on specific patients, condition being treated, and other factors such as location and complexity of the problem. In some cases, open surgery may still be the preferred option. It is essential for patients to consult with a healthcare provider who can evaluate their individual circumstances and recommend the most appropriate treatment approach. In many cases, a multidisciplinary team of endovascular neurosurgeons / interventional neuroradiologists, and other specialists may collaborate to determine the best treatment strategy.
Consult the best doctors or specialists for Neurointervention in Delhi NCR:
Neurointervention is performed by only a few centres in the country, with The Centre for Neurosciences at Yashoda Hospital & Research Centre, Ghaziabad being one of them.
Dr. Shishir Kumar, DrNB, who is one of the select few neurosurgeons in the country with fellowship training in Neurointervention and endovascular surgery specializes in Neurointervention. He has experience of more than 10 years of experience in endovascular neurosurgery. Being a neurosurgeon, he gives an unbiased opinion regarding treatment, keeping the best interest of patients in mind. He works along with the Cath lab team, Neuro ICU team and Neurologists to provide the best treatment and outcome for patients.
Highly reputed and extremely trained, these are the best doctors to treat you. Come to Yashoda today and get the best treatment.
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