Neurosurgery in India's Best Hospitals

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Endovascular Neurosurgery in India
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What is Endovascular Neurosurgery?
Endovascular Neurosurgery or Interventional
Neuroradiology is a medical specialty in which
minimally invasive diagnostic and therapeutic
procedures for cerebrovascular disorders are
performed under radiological guidance. It is
somewhat similar to the treatment carried out in
the heart by cardiologists, such as angioplasty
or stent placement. In these procedures, very
thin catheters or wires are placed through blood
vessels in groin and navigated in the blood
vessels to the site of the abnormal vessels.
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How is the Interventional Neuroradiology/Endovascu
lar Neurosurgery is performed?

• Cerebral or Spinal Angiography DSA (Digital
  Subtraction Angiography) is considered as the
  'gold standard' investigation to diagnose
  diseases of blood vessels and is performed when a
  vascular disease is suspected.

• Intracranial Aneurysms  Introcranial Aneurysm
  is a weakness and ballooning of a blood vessel
  within the head which if left untreated, may get
  burst and causes its complications. Treatment is
  the passage of thread like platinum coils through
  blood vessels to the site of the aneurysm thus
  avoiding open surgery.

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• Arteriovenous Malformation An autriovenous
  malformation is a complex mass of abnormal
  arteries and veins located in the brain or spinal
  cord. During open surgery, it is often difficult
  to control bleeding from an arteriovenous
  malformation Endovascular treatment can be used
  to block blood flow to certain portions of the
  malformation that cannot be reached surgically.
  In such cases, patients may no longer need
  conventional surgery.

• Tumour Embolisation  One of the major problems
  in surgical removal of intracranial tumour is
  bleeding during the surgery. Interventional
  Neuroradiologist can help the surgeon by
  preoperative endovascular occlusion of the blood
  vessels supplying the tumour. This will reduce
  the bleeding and facilitate the surgery.

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• Vertebroplasty and Kyphoplasty With age, bones
  become weak and collapse of bones (vertebrae) in
  the spine is one of the major causes of severe
  back pain in the elderly. Vertebroplasty is a
  revolutionary treatment in which "bone cement" is
  injected through a needle placed into the broken
  bone so as to stabilize the vertebra and to
  reduce the pain. 

• Percutaneous Sclerotherapy   Many superficial
  vascular malformations such as Haemangioma
  (malformation of the blood vessels) or
  Lymphangiomas (malformation of lymphs) can be
  treated by puncturing through a needle, followed
  by injection of 'Sclerosant Material' which
  causes obliteration of the malformation.

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Advantages of Endovascular Neurosurgery/
Interventional Neuroradiology

• The endovascular approach ensures minimal injury
  to normal brain.
• It has fewer complications, better outcome and
  ensures shorter hospital stay.
• Enables treatment of diseases, which could be
  treated in the past.
• Acute stroke patients can be treated even many
  hours after the stroke.

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Why Endovascular NeuroSurgery at Top Hospital in
India

• Use of Bi-plane technology - visualization in 2
  planes simultaneously and 3D imaging of blood
  vessels
• 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
• Very thin catheters or wires placed through
  groin are navigated in to the blood vessels of
  the brain
• Diagnostic (Cerebral or Spinal Angiography) or
  Therapeutic procedures for Intracranial
  Aneurysms, Arterial Stenosis, Stroke (Brain
  attack), Arteriovenous Malformations,
  Vertebroplasty and Percutaneous Sclerotherapy
• Tumour Embolisation is done to reduce bleeding
  during surgery

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