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Interventional Neuroradiology

Acute Stroke Treatment, Thrombolysis Kyphoplasty
Balloon Occlusion of CC Fistula Lumbar Drain
Celiac Ganglion Block Lumbar Epidural Injection
Cervical Epidural Steroid Injection Nerve Root Blocks
Coil Embolization of Aneurysm Petrosal Sinus Sampling
CT, Ultrasound, and Fluoroscopically Guided Biopsies Preoperative Embolization of Head, Neck, and Cranial Tumors
Disc Aspiration and Abscess Drainage Pudendal Nerve Block
Embolization of Nosebleed Sacroplasty
Embolization of Vertebral Body
Epidural Blood Patch for Spinal Headache Salivary Gland: Removal of Stone and Duct Dilatation
Glue Embolization SI and Facet Joint Injection
Intraarterial Chemotherapy of Tumors Superior Hypogastric Block
Intrathecal Chemotherapy Temporary Test Occlusion
Intracranial Angioplasty for Stenosis or Vasospasm Thrombectomy for Acute Stroke
Intra- and Extra-cranial Stent Placement (in collaboration with general angiography) Vertebroplasty
WADA Test for Brain Function

General Information

Interventional neuroradiology involves the treatment of cerebrovascular disorders by endovascular methods. That is, the pathological condition is assessed and treated through blood vessels, most often through a tiny incision in the groin. There are many diseases which may be treated in this fashion, such as cerebral aneurysms, vascular malformations and stroke. Typically, the site of pathology in the brain is reached by advancing a skinny long tube (microcatheter) from the groin into the head utilizing special digital fluoroscopic guidance technique. Once the site of pathology is reached, various different types of treatment may be administered through the microcatheter, depending on the disease process.

For aneurysms, small metallic coils are placed into the aneurysmal sac sealing it off from the inside and preventing further bleeding.

For acute strokes, clot dissolving medicine can be injected directly into a blood clot which is occluding an artery and thereby reestablishing blood flow to the brain. The damage to the brain and the surrounding area can be limited.

Vascular malformations, which are abnormal connections of blood vessels that are prone to bleed, can be closed off using a variety of materials, including coils, plastic particles or acrylic polymers.
Interventional neuroradiology is sometimes referred to as endovascular neurosurgery and there are many procedures done by the neuroradiologist that can achieve results similar to traditional neurosurgical operations. However, the recovery time after endovascular surgery is usually shorter than surgical treatment. There are risks of complications, but in general the morbidity is less with endovascular than with open surgical procedures. It should be noted that not all patients can be treated with endovascular methods and the optimal treatment for a particular patient requires a close working relationship between the neurosurgeon and the interventional neuroradiologist in order to select the most appropriate treatment.