Experiencing back pain? Understand your treatment options! This comprehensive guide explores various spinal surgeries and minimally invasive approaches.
Interventional Neurology in Bangalore: A Comprehensive Guide to Neuroendovascular Surgery
Modern advancements in neurosurgery have transformed the way brain and spine disorders are diagnosed and treated. Among these innovations, interventional neurology in Bangalore has emerged as a game-changer, offering minimally invasive treatments for various conditions. At the forefront of these procedures is neuroendovascular surgery, a technique that allows specialists to treat disorders from within blood vessels, avoiding the need for traditional open surgeries.
This article delves deep into the world of neuroendovascular surgery, its procedures, benefits, and why it’s revolutionizing brain and spine care.
What is Endovascular neurosurgery?
Let us know what are synonyms – Neuroendovascular surgery, Interventional neuro radiology ,interventional neurosurgery.
Endovascular neurosurgery is a branch of neurosurgery with the help of small thin tubes, wires and radiography is done to identify and treat numerous central nervous system disorders and diseases.
Endovascular refers to “within a blood vessel.” The surgeon employs radiological imaging to assist him or her in visualising the region of the body involved in the procedure.
These operations are referred to as “minimally invasive. Or pin hole surgery” This is due to the fact that they often require only puncture of the vessel with needle like an any other injection as opposed to the bigger incision required for open surgery.
Interventional neuroradiology specialists must have training in Endovascular procedures. Which is usually after superspecialty training either in neurosurgery , neurology or Radiology.
What techniques are used by these specialists?
Endovascular neurosurgery techniques include the following:
Cerebral angiography- This is a radiological procedure that study the vessels blood in the brain.
Endovascular coiling- Aneurysm coiling – A brain aneurysm is a weakened region in the wall of a cerebral artery. Common Aneurysm are Acom, ICA aneurysm, Pcom Aneurysm. To stop blood flow, a surgeon inserts a very thin metal wire that creates a coil loop inside a brain aneurysm.
Angioplasty/stenting of the carotid artery- To open a constricted carotid artery, a small balloon and/or a tiny metal scaffold known as a stent are used. The carotid arteries carry oxygenated blood to the brain.
Acute stroke- in which blood clot or cholesterol plaques within the brain vessel is removed through groin vessel.
AVM is a artery venous malformation, to treat this condition glue is used within the vessel.
Here are the few Endovascular procedures done by interventional neuroradiologist or Neuroendovascular surgeon:
- Mechanical Thrombectomy for Acute Stroke
- Carotid Stenting
- AVM Embolisation
- DAVF Embolisation
- Carotid Cavernous Fistula Management
- IPSS (Inferior Petrosal Sinus Sampling)
- Head and Neck Tumour Management
- Epistaxis Embolisation
- Spinal AVM,Dural Fistula Embolisation
- Spinal Tumour Embolisation
- Vertebral Tumour Embolisation
- Cerebral Angiogram
- Moya moya disease evaluation
- Wada Test.
Endovascular procedure are minimally invasive, with small pin hole can treat brain and spine disorders, no worry about blood loss, no opening of the skull and blood loss, less hospital stay, no scar over head. Disadvantages are groin site clot, contrast reaction, risk of blood clot landing in main areas etc.
Who Performs Neuroendovascular Surgery?
Specialists performing these procedures are highly trained in interventional neurology, usually with advanced training in:
- Neurosurgery
- Neurology
- Radiology
These experts, often referred to as endovascular surgeons, undergo additional super-specialty training to master the intricacies of these delicate procedures. If you’re searching for an endovascular surgeon near me, Neurowellness offers a team of skilled professionals who prioritize patient safety and precision.
What Conditions Can Neuroendovascular Surgery Treat?
Interventional neurology addresses a wide range of conditions, including:
- Brain aneurysms
- Acute ischemic stroke
- Arteriovenous malformations (AVMs)
- Carotid artery stenosis
- Carotid-cavernous fistulas (CCFs)
- Spinal vascular malformations
- Brain and spinal tumors
If you’re dealing with any of these conditions and searching for brain tumor surgery in Bangalore, consider consulting Neurowellness for cutting-edge care.
Advantages of Neuroendovascular Surgery
Neuroendovascular procedures are gaining popularity due to their numerous benefits:
- Minimally invasive: Only a small pinhole puncture is required.
- Reduced blood loss: Unlike open surgeries, there’s minimal bleeding.
- Shorter hospital stays: Most patients can return home within a few days.
- No visible scars: There’s no need for large incisions, especially on the scalp.
- Quicker recovery: Patients experience faster healing and can resume normal activities sooner.
Challenges and Risks of Neuroendovascular Surgery
While these procedures are generally safe, they are not without risks. Some potential complications include:
- Clot formation at the groin puncture site.
- Allergic reactions to contrast dye.
- Blood clots traveling to critical areas, potentially causing stroke.
Specialized centers like Neurowellness ensure these risks are minimized through expert care and state-of-the-art technology.
Why Choose Interventional Neurology in Bangalore?
Bangalore has emerged as a hub for advanced medical care, with facilities offering cutting-edge treatments for brain and spine disorders. Neurowellness, a leading brain and spine care center, stands out for its commitment to providing top-notch neuroendovascular treatments.
With a team of skilled specialists and access to advanced imaging and surgical tools, Neurowellness ensures personalized care for every patient.
When Should You Consult an Interventional Neurologist?
If you experience symptoms like:
- Sudden and severe headaches.
- Vision problems or loss of peripheral vision.
- Numbness or weakness in the limbs.
- Difficulty speaking or understanding speech.
- Frequent nosebleeds that are hard to control.
These could indicate an underlying condition requiring immediate attention.
Summary:
Endovascular neurosurgery, also known as interventional neuroradiology (INR) or Neuroendovascular surgery is a type of brain surgery that is conducted from within blood vessels. Doctors thread catheters through blood vessels, then pass tiny devices through the catheters to perform surgeries.
Neuro wellness is a brain and spine care centre. If you are suffering from brain aneurysm, AVM,AVF, carotid cavernous fistula, need of carotid Stenting – any such problem, do visit for a healthy tomorrow as we provide the best treatment!
Neurowellness – Your Partner in Brain and Spine Care
Are you searching for interventional neurology in Bangalore or need expert guidance on neuroendovascular surgery? At Neurowellness, we specialize in minimally invasive treatments for conditions like brain aneurysms, AVMs, carotid stenosis, and more.
Contact Neurowellness today to schedule a consultation with our expert team. Let us guide you towards a healthier tomorrow with advanced care and compassion.
Stenting For Major Brain Vessel Causing Cerebral Hypoperfusion Due To Stenosis
Preventing major stroke in high grade carotid artery stenosis: A case report
Dr. Ganesh Veerabhadraiah is a dedicated Neurosurgeon in Bangalore having 17 years of rich experience in the held of Brain, Spine and Neuroendovascular surgery. His passion is micro neurosurgery and cerebrovascular and endovascular. He is rigorously working round-the-clock with an intention to provide quality neuro care for all the needy through his excellence.
significant despite medical therapy. Early diagnosis plays a vital role in suffering from hypoperfusion.
Stenting plays an important role in re establishing the brain blood flow in case of high grade carotid stenosis refractory to medical treatment and preventing major stroke.
CASE REPORT
Introduction:
Celebral Hypoperfusion is a condition happens due to insufficient supply of blood and oxygen to the brain. Intracranial Atherosclerosis (ICAD) is a pathological condition where there is a narrowing of arteries due to accumulation of cholesterol plaque arterial wall. It causes reduced blood supply to brain which leads to cerebral hypoperfusion and stroke.
Case details:
A 65 year old man was brought to with chief complaints of weakness in the right side of the body along with frequent fainting attacks and he had a past history of diabetes and hypertension. He was diagnosed to have reduced blood supply to the left side of the brain. It was the result of the narrowing of the channels (arteries) that connect the heart to the brain.
MRI scan of the brain with perfusion scan showed that the patient had an inadequate flow of blood in the brain and narrowing of carotid artery at two places due to which he was at a high risk of getting major stroke and which should have caused even death. Owing to the severity of the condition, neurosurgeon recommended the patient to undergo intracranial stenting. The stenting helped in managing and normalising the blood flow to the brain. We did pinhole surgery / endovascular surgery to approach the brain vessels. through small puncture of femoral artery in the thigh. As he had narrow blood vessels in the neck and brain. Both these problems were addressed at the same time through stenting. The patient was suffering from cerebral hypoperfusion syndrome due to intracranial severe atherosclerosis.
The team of neurosurgeon, neurologist, endovascular surgeon successfully treated by intracranial stenting at two places of brain vessels at the same time on the patient to reduce the risk of major stroke. Fortunately, the patient. withstood the entire procedure and there were no complications post. procedure. The patient is doing well now.
Discussion:
Stroke is a leading cause of adult disability, Intracranial stenosis is the narrowing of
major Intracranial arteries due to the build-up of atherosclerotic plaque. The standard medical therapy for patients with intracranial stenosis includes the use of
antithrombotics, statins, antihypertensives and risk factor control .The risk of recurrent stroke in patients with high-grade intracranial stenosis.
Reference:
The American Journal of Medicine: https://www.amjmed.com/article/S0002-9343 (06)00186-0/abstract
NCBI- https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4640326/
AHA journal: https://www.ahajournals.org/doi/pdf/10.1161/01.STR.24.11.1691
Contact –
ಡಾ ಗಣೇಶ್ ವೀರಭದ್ರಯ್ಯ ಎಂಬಿಬಿಎಸ್, ಡಿಎನ್ಬಿ (ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ), ಎಫ್.ಐ.ಎನ್ಆರ್ .(ಫೆಲೋಶಿಪ್ ಇನ್ ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋ ರೇಡಿಯಾಲಜಿ /ಎಂಡೋ ವಾಸ್ಕ್ಯುಲರ್ -ಸ್ವಿಟ್ಜರ್ಲೆಂಡ್), ಸಲಹೆಗಾರರು – ನರಶಸ್ತ್ರಚಿಕಿತ್ಸಕರು – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು ಹುರಿ
ಡಾ ಗಣೇಶ್ ವೀರಭದ್ರಯ್ಯ
ಎಂಬಿಬಿಎಸ್, ಡಿಎನ್ಬಿ (ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ), ಎಫ್.ಐ.ಎನ್ಆರ್ .(ಫೆಲೋಶಿಪ್ ಇನ್ ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋ ರೇಡಿಯಾಲಜಿ /ಎಂಡೋ ವಾಸ್ಕ್ಯುಲರ್ –ಸ್ವಿಟ್ಜರ್ಲೆಂಡ್),
ಸಲಹೆಗಾರರು – ನರಶಸ್ತ್ರಚಿಕಿತ್ಸಕರು – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು ಹುರಿ
ಡಾ.ಗಣೇಶ್ ವೀರಭದ್ರಯ್ಯ ಪ್ರಸಿದ್ಧ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸಕ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು ಹುರಿ ಮತ್ತು ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋರಾಡಿಯಾಲಜಿ / ನ್ಯೂರೋಎಂಡೋವಾಸ್ಕುಲರ್ ತಜ್ಞ,
ಪ್ರಸ್ತುತ ಫೋರ್ಟಿಸ್ ಆಸ್ಪತ್ರೆ, ಕನ್ನಿಂಗ್ಹ್ಯಾಮ್ ರಸ್ತೆ, ಬೆಂಗಳೂರು.
ಅವರ ಚಿಕಿತ್ಸಾಲಯದಲ್ಲಿ – ಜಯನಗರ 9 ನೇ ಬ್ಲಾಕ್ , ಬೆಂಗಳೂರು -ನ್ಯೂರೋವೆಲ್ನೆಸ್ ಮೆದುಳು ಮತ್ತು ಬೆನ್ನುಮೂಳೆಯ ಚಿಕಿತ್ಸಾಲಯದಲ್ಲಿ ಸಲಹೆಗೆ ಸಿಗುತ್ತಾರೆ .
ಎಂಬಿಬಿಎಸ್ ಮುಗಿಸಿದ ನಂತರ, ಡಾ.ಗಣೇಶ್ ಅವರು ಬೆಂಗಳೂರಿನ ಓಲ್ಡ್ ಏರ್ಪೋರ್ಟ್ ರಸ್ತೆಯಲ್ಲಿರುವ ಪ್ರತಿಷ್ಠಿತ ಮಣಿಪಾಲ್ ಆಸ್ಪತ್ರೆಯಲ್ಲಿ ಸೂಪರ್ ಸ್ಪೆಷಾಲಿಟಿ ಸ್ನಾತಕೋತ್ತರ ಪದವಿ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆಯಲ್ಲಿ ಡಿಎನ್ಬಿಯೊಂದಿಗೆ ಮುಂದುವರೆದರು. ಸಂಕೀರ್ಣವಾದ ಬೆನ್ನು ಮತ್ತು ಮಿದುಳಿನ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು, ಸಾಮಾನ್ಯ ಸೂಕ್ಷ್ಮ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳಲ್ಲಿ ವ್ಯಾಪಕವಾಗಿ ತರಬೇತಿ ಪಡೆದ ಅವರು, ಸ್ವಿಟ್ಜರ್ಲ್ಯಾಂಡ್ನ ಜುರಿಚ್ ವಿಶ್ವವಿದ್ಯಾಲಯದ ಆಸ್ಪತ್ರೆಯಿಂದ ಇಂಟರ್ವೆನ್ಷನಲ್ ನ್ಯೂರೋರಾಡಿಯಾಲಜಿಯಲ್ಲಿ ಫೆಲೋಶಿಪ್ ಪಡೆಯುವ ಮೂಲಕ ಹೆಚ್ಚಿನ ಪರಿಣತಿಯನ್ನು ಬೆಳೆಸಿದರು. ಜುರಿಚ್ ವಿಶ್ವವಿದ್ಯಾಲಯವು ಅತ್ಯುತ್ತಮ ವಿಶ್ವವಿದ್ಯಾಲಯ ಪ್ರಪಂಚಗಳಲ್ಲಿ ಒಂದಾಗಿದೆ.
ಎಂಡೋವಾಸ್ಕುಲರ್ ಕಾರ್ಯವಿಧಾನಗಳಲ್ಲಿ ತರಬೇತಿ ಪಡೆದಿದ್ದಾರೆ – ಮೆದುಳಿನಲ್ಲಿ ರಕ್ತನಾಳಗಳ ಸುರುಳಿ, ಎವಿಎಂ(AVM ಎಂಬೋಲೈಸೇಶನ್ ಅಪಧಮನಿಯ ವಿರೂಪತೆ, ಗೆಡ್ಡೆಯ ಎಂಬೋಲೈಸೇಶನ್, ತೀವ್ರವಾದ ಪಾರ್ಶ್ವವಾಯುವಿಗೆ ಯಾಂತ್ರಿಕ ಥ್ರಂಬೆಕ್ಟೊಮಿಯಂತಹ ಸುಧಾರಿತ ಸ್ಟ್ರೋಕ್ ಆರೈಕೆ. , ಜಪಾನ್ ನಲ್ಲಿ ಸೆರೆಬ್ರೊ ನಾಳೀಯ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ ಮತ್ತು ಮೆದುಳಿನ ಬೈಪಾಸ್ ಕಾರ್ಯವಿಧಾನದ ಕ್ಲಿಪಿಂಗ್, ಸಂಕೀರ್ಣ ಅನ್ಯೂರಿಮ್ಸ್ ಮತ್ತು ಅಪಧಮನಿಯ ವಿರೂಪ ಮತ್ತು ಶೀರ್ಷಧಮನಿ ಎಂಡಾರ್ಟೆಕ್ಟೊಮಿ ಚಿಕಿತ್ಸೆ.
ನ್ಯೂರಾಲಜಿಕಲ್ ಕಂಡಿಶನ್ಸ್ ಸಲಹೆ ಮತ್ತು ಚಿಕೆತ್ಸೆ-
ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು ಹುರಿ
೧ ಸಾಮಾನ್ಯ ನರಶಸ್ತ್ರಚಿಕಿತ್ಸೆ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನು
೨ ಗರ್ಭಕಂಠ ಮತ್ತು ಸೊಂಟದ ಡಿಸ್ಕ್ ಪ್ರೋಲ್ಯಾಪ್ಸ್ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆ
೩ ಸೊಂಟದ – ಸ್ಲಿಪ್ ಬೆನ್ನು ಮೂಳೆ ಶಸ್ತ್ರ ಚಿಕೆತ್ಸೆ (TLIF, PLIF)
೪ ಮಿದುಳಿನ ಗೆಡ್ಡೆ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು
೫ ಅನ್ಯೂರಿಸಮ್ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು-ಕ್ಲಿಪಿಂಗ್
೬ ಕಪಾಲದ ಮತ್ತು ಬೆನ್ನುಮೂಳೆಯ ಆಘಾತ
೭ ಮೆದುಳಿನ ಬೈಪಾಸ್ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆ
೮ ಅಪಸ್ಮಾರ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆ
೯ ಸಂಕೀರ್ಣ ತಲೆಬುರುಡೆ ಮೂಲ ಶಸ್ತ್ರಚಿಕಿತ್ಸೆಗಳು
೧೦ ಮೈಕ್ರೊವಾಸ್ಕುಲರ್ ಡಿಕಂಪ್ರೆಷನ್.
೧೧ ಬೆನ್ನುಮೂಳೆಯ ಗೆಡ್ಡೆ ಹೊರಹಾಕುವಿಕೆ
೧೨ ಬೆನ್ನುಮೂಳೆಯ ಸೋಂಕು
೧೩ ಕೃತಕ ಡಿಸ್ಕ್ ಬದಲಿ
೧೪ ಸಿ.ವಿ ಜಂಕ್ಷನ್ ಅನಾಮೊಲಿಸ್ ಶಸ್ತ್ರ ಚಿಕಿತ್ಸೆ
ನ್ಯೂರೋ ವೆಲ್ನೆಸ್ – ಮಿದುಳು ಮತ್ತು ಬೆನ್ನುಮೂಳೆಯ ಆರೈಕೆ (ಜಯನಗರ 9 ನೇ ಬ್ಲಾಕ್)
1224, ಜಿ-ಮಹಡಿ, 26 ನೇ ಮುಖ್ಯ,
9 ನೇ ಬ್ಲಾಕ್, ಜಯನಗರ,
ರಾಗಿಗುಡ್ಡದ ಅಂಜನೇಯಸ್ವಾಮಿ ದೇವಾಲಯದ ಕಮಾನು ಎದುರು,
ಬೆಂಗಳೂರು, ಕರ್ನಾಟಕ 560069
ದೂರವಾಣಿ: 7259669911, 7349017701
4.30PM-6PM
ಫೋರ್ಟಿಸ್ ಆಸ್ಪತ್ರೆ, ಕನ್ನಿಂಗ್ಹ್ಯಾಮ್ ರಸ್ತೆ
14, ಕನ್ನಿಂಗ್ಹ್ಯಾಮ್ ಆರ್ಡಿ,
ಸಿಗ್ಮಾ ಸೆಂಟ್ರಲ್ ಮಾಲ್ ಹತ್ತಿರ,
ವಸಂತ್ ನಗರ,
ಬೆಂಗಳೂರು, ಕರ್ನಾಟಕ – 560052
ದೂರವಾಣಿ: 7349017701
ಸಮಯ: ಸೋಮದಿಂದ ಶನಿ – ಬೆಳಿಗ್ಗೆ 10 – ಸಂಜೆ 4
Website– www.neurowellness.in
E mail – neurowellnessinfo@gmail.com
Ph no 7259669911, 7349017701
You tube – Neurowellness India
Neuroendovascular Surgery
Endovascular Treatment Available – Mechanical Thrombectomy for Acute Stroke, Carotid Stenting, AVM Embolisation, DAVF Embolisation
Stroke – Risk factor, warning signs and latest treatments
Stroke happens when a clot or rupture of blood vessel interrupts blood flow to the brain., thereby reducing the oxygen supply and as a result the brain tissue dies.