New York Spine Institute Spine Services

What Is Interventional Neuroradilogy?

What is interventional neuroadilogy

What Is Interventional Neuroradilogy?

By: Nicholas Post, M.D. FAANS

Nicholas Post, M.D. FAANS, a board-certified neurosurgeon has joined the NY Spine Institute medical staff. NYSI is now the only private practice on Long Island to offer true comprehensive spinal care spanning spine-specific and general orthopedics, neurosurgery, physical therapy, and pain management subspecialties for patients with acute, chronic, or debilitating orthopedic or complex spine and brain conditions.

Interventional neuroradilogy (or endovascular neurosurgery) is a hybrid specialty that has recently evolved to diagnose and treat a range of neurological diseases. Using x-ray guidance small catheters are guided into the blood vessels of the neck and brain enabling a range of diagnostic and therapeutic interventions.

What Conditions Are Treatable with Interventional Neuroradiology (or endovascular neurosurgery)?

Interventional neuroradilogy (or endovascular neurosurgery )uses cerebral angiography to diagnose a variety of pathologies, including:

  • Tumors of the brain and spinal column
  • Cerebral aneurysms
  • Vascular malformations
  • Carotid stenosis
  • Occlusions of intracranial vessels leading to impaired cerebral blood flow and stroke.

Once these conditions are diagnosed they may be treated using a variety of techniques, for example:

  • Tumors of the brain spinal column can be devascularized by embolization procedures.
  • Aneurysms can be occluded using detachable coils and stents when appropriate.
  • The blood supply to vascular malformations can be reduced with embolization.
  • Stents can be deployed to treat stenosis of the carotid arteries.
  • Lastly intravascular thrombolysis can be used to dissolve blood clots in the major cerebral vessels that are causing stroke.

Frequently neurointerventional procedures are employed as part of a larger treatment plan that incorporates traditional open surgical methods. For example, a brain tumor may be devascularized using neurointerventional techniques prior to surgical resection.