Neuroendovascular Surgery
Our providers at North Carolina Neuroendovascular are neurologists who specialize in the use of minimally invasive neuroendovascular surgical procedures. They use these procedures to diagnose and treat conditions of the central nervous system including the brain, neck and spine.
What is neuroendovascular surgery?
Neuroendovascular surgery uses minimally invasive surgical techniques to treat life-threatening diseases in the central nervous system. Minimally invasive means the surgery can be performed without having to create a large opening in the body. Instead, our providers access diseased areas of the central nervous system by moving specialized devices through blood vessels.
Conditions We Treat
At North Carolina Neuroendovascular, you can receive treatment for:
- Brain aneurysm (a blood vessel in the brain that develops a bulge that fills with blood)
- Subarachnoid hemorrhage (bleeding between the brain and the surrounding membrane)
- Stroke
- Arteriovenous malformation (AVM) (brain or spinal) (a tangle of veins that disrupts blood flow)
- Arteriovenous fistula (DAVF) (brain or spinal) (an abnormal connection between a vein and an artery)
- Carotid stenosis (narrowing of the carotid artery)
- Carotid and vertebral artery dissection (tears in the artery)
- Head/neck arterial and venous stenosis (narrowing or blocking of the veins)
- Pulsatile tinnitus (rhythmic sound or whooshing as a symptom of blood flow changes)
- Chronic subdural hematoma (collection of blood on the surface of the brain)
- Treatment-resistant epistaxis (recurrent nosebleed)
- Certain brain and spinal tumors (preoperative embolization)
- Pseudotumor (idiopathic intracranial hypertension, high pressure around the brain)
Neuroendovascular Surgical Procedures We Use
Our providers use specialized procedures including:
- Spinal angiogram (a scan that shows blood flow in veins around the spinal cord)
- Cerebral angiogram (a scan that shows blood flow in the vessels of the brain)
- Aneurysm coiling and flow diversion (stopping or changing the direction of blood flow)
- Endovascular (mechanical) thrombectomy (surgery to remove a blood clot)
- Intravascular embolization (head, neck and spinal) (blocking blood supply to a tumor or abnormal tissue)
- Angioplasty (widening of arteries and veins with a balloon)
- Arterial and venous stenting (widening of arteries and veins with mesh tubing)
Why North Carolina Neuroendovascular in Raleigh?
Our neuroendovascular doctors are part of a subspecialty of neurology that combines multiple disciplines. Providers in this subspecialty are often called neurointerventionalists.
- Our neuroendovascular doctors combine expertise in neurology, neurosurgery, neurocritical care, interventional neurology and neuroradiology.
- Their specialized training and experience include techniques such as cerebral angiograms and endovascular coiling of brain aneurysms. They have experience with clinical trials and innovative technologies.
- Both of our neuroendovascular doctors are fellowship-trained and hold multiple board certifications. They have experience with clinical trials and innovative technologies.
Our clinic in Raleigh, North Carolina, is part of an innovative neuroscience program at UNC Rex.
- Our department has been a Joint Commission Certified Primary Stroke Center since 2011 and a Joint Commission-approved Thrombectomy-Capable Stroke Center since 2019.
- We offer 24/7 inpatient neurologists at the hospital.
- Our inpatient neurologists work in the emergency department, in the intensive care unit (ICU) and in the endovascular service (using minimally invasive techniques treating diseases of the vessels of the central nervous system).
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