Experiencing back pain? Understand your treatment options! This comprehensive guide explores various spinal surgeries and minimally invasive approaches.
Pin-Hole Neuro Endovascular Surgery: A Revolution in Brain Care (2025)
Brain and spine surgeries no longer need large incisions or long hospital stays.
At Neurowellness Bangalore, our neurosurgeons now perform pin-hole or neuro-endovascular procedures—minimally invasive treatments that repair blood vessels and aneurysms through a small artery puncture.
“Endovascular or pin-hole neurosurgery represents the biggest leap in patient safety since the microscope,”
— Dr. Ganesh Veerabhadraiah, Senior Neurosurgeon, Neurowellness Bangalore
What Is Pin-Hole / Neuro-Endovascular Surgery?
A catheter-based technique that treats brain or spine disorders through a 2–3 mm groin or wrist opening—no skull opening required.
| Condition Treated | Traditional Surgery | Pin-Hole / Endovascular |
|---|---|---|
| Brain Aneurysm | Craniotomy + clipping | Coiling / Flow Diversion |
| AVM (Arteriovenous Malformation) | Open Resection | Embolization |
| Stroke (Clot Removal) | Thrombolysis | Mechanical Thrombectomy |
| Spine Vascular Lesions | Laminectomy | Spinal Angioplasty |
Dr. Ganesh Veerabhadraiah
Consultant – Neurosurgeon, Neurointerventional Surgery, Spine Surgeon (Neuro)
23+ Years Experience Overall (17+ years as Neuro Specialist)
Available for Consultation: Jayanagar 9th Block & Kauvery Hospital, Electronic City
How the Procedure Works
1️⃣ Micro-catheter Insertion – A soft tube guided via X-ray imaging.
2️⃣ Navigation to Brain Vessels – Real-time 3D maps ensure precision.
3️⃣ Device Deployment – Coils, stents, or glue seal the abnormal vessel.
4️⃣ Monitoring & Recovery – Patients usually walk within 24–48 hours.
Benefits of Pin-Hole Neurosurgery
ㆍMinimal incision, no visible scar
ㆍ60 % shorter hospital stay
ㆍReduced infection risk
ㆍFaster return to work
ㆍLower blood loss and post-op pain
Conditions Treated with Endovascular Approach
ㆍBrain aneurysms & arterial ruptures
ㆍStroke (clot removal / thrombectomy)
ㆍAVMs and cavernous malformations
ㆍSpinal vascular lesions
ㆍCarotid artery stenosis
Recovery & After care
✅ Most patients discharged within 2 days
✅ Resume normal activity in 1 week
✅ Follow-up angiogram after 6 months
✅ Avoid heavy lifting for 10 days
✅ Continue prescribed blood thinners if indicated
When to Consider Pin-Hole Neurosurgery
ㆍDiagnosed brain aneurysm or blocked artery
ㆍRecurrent stroke symptoms despite medication
ㆍHigh surgical risk (age > 60 / comorbidities)
ㆍDesire for faster recovery with less pain
Conculsion
Advanced Endovascular Treatment at Neurowellness Bangalore
World-class equipment + AI navigation + expert neurosurgeons = faster, safer recovery.
FAQs
1. Is pin-hole neurosurgery safe?
Yes. It reduces blood loss and infection risk and is performed by specialists in advanced neuro centres.
2. Who is eligible for endovascular treatment?
Patients with aneurysms, AVMs, or blocked arteries detected on MRI / angiogram.
3. What is the recovery time?
Most patients return home within 48 hours and resume daily activities in a week.
4. How does AI help in these procedures?
AI software assists navigation and real-time decision-making to minimize error and improve outcomes.
About Author
Dr. Ganesh Veerabhadraiah
Dr. Ganesh Veerabhadraiah, leading neurosurgeon and neurologist in Bangalore, has over 20 years of expertise in managing back pain, migraines, headaches, neuro disorders, and spine problems. His clinical excellence and patient-first approach make him one of the most trusted neuro doctors in Bangalore.
At Neurowellness Brain & Spine Clinic in Jayanagar and Kavery Hospital Electronic City, Dr. Ganesh provides comprehensive treatments ranging from minimally invasive spine surgery to advanced neurological care. As a respected back pain specialist and migraine doctor, he continues to deliver reliable outcomes for patients.
👉 Connect with Dr. Ganesh on LinkedIn
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
Neuro Endovascular Coiling
In this blog, we are throwing some lights on “Neuro Endovascular Coiling”. You will get to know all those important details of Neuro Endovascular coiling that will help you take better decisions about discussing the risks and benefits of aneurysm coiling procedures with a Neurosurgeon in Bangalore.
What is Aneurysm?
An aneurysm in the brain is a weak area in an artery in the brain that bulges out and fills with blood. In some of the cases, it balloons out of the thinned vessel wall can lead to dangerous complications if ruptures.
Once brain aneurysm is diagnosed by neuroimaging DSA or CT angiogram, after discussing benefits and risks of coiling of aneurysm coiling procedures undertaken. One should discuss the risks and benefits with a doctor.
Usually coiling procedure is suitable for aneurysms in posterior circulation that is vessels supplying the brain stem and cerebellum, narrow neck of aneurysm. You should always discuss with neurosurgeons about the coiling and other approaches, benefits and risks.
Endovascular coiling is usually carried out under general anaesthesia in a cath lab.
It is usually done from an artery in the groin called the femoral artery. Other arteries can be radial or brachial arteries in hand. Here catheters and micro guide wires are used to reach the area of the aneurysm.
Platinum coils are used to fill the aneurysm and seal that prevent the rupture. Sometimes additionally balloons or stents are used to facilitate the filling of platinum coils.
How you should be prepared for an endovascular coiling?
- In order to do the procedure, you will be asked to read the consent form carefully and sign it as well
- Share all your information regarding your reactions or allergies to alternative dyes or iodine
- Do follow the advisories given by the doctor before surgery
- The news regarding pregnancy shall be shared
- Blood tests are necessary so as to see how much time does it take to clotting of blood
- Tell the doctor about the medicines and supplementary you have been taking
Endovascular Coiling Procedure:
A coiling procedure will require you to stay in the hospital. Procedures may differ depending on your situation and the procedures of your Neurosurgeon or practitioner.
- Any clothing, jewellery, hairpins, dentures or anything that could interfere with the treatment will be asked to remove but generally, a hospital gown will be provided to you
- Before the treatment begins, you will be given time to empty your bladder
- On the X-ray table, you will be positioned on your back
- In your hand or arm, an IV (intravenous) line will be started
- An electrocardiogram (ECG) monitor will be attached to you, which will record your heart’s electrical activity
- During the process, you will have your heart rate, blood pressure, breathing rate and nervous system indication checked
- To drain your bladder, a catheter may be inserted
- Your pulses may be checked below the groyne area where the catheter will be put by the radiologist or neurosurgeon
- A guide will be used to insert a catheter into the artery in your groyne
- Fluoroscopy will be used to guide the catheter through the blood artery into the brain
- This is a sort of X-ray that resembles an X-ray movie
- Contrast dye will be given after the catheter reaches the afflicted artery in the brain, allowing the aneurysm and surrounding blood vessels to be seen on X-ray
- The aneurysm will be measured and its shape and other characteristics will be recorded by the provider
- The initial catheter will be replaced with a smaller catheter by the physician
- The provider will insert the coil into the aneurysm once the catheter has reached it
- The coil is removed from the catheter once it has been entirely inserted into the aneurysm
- The doctor will insert as many coils as necessary to seal the aneurysm
- Inside the aneurysm, the coils will form a mesh-like structure
- The catheter will be removed once the aneurysm has sealed. In the end, the dressing will be done
There are certain risks present in this neurosurgical procedure so always consult the Best Neurosurgeon in Bangalore. There have been cases of bleeding in an aneurysm and recanalization. Endovascular coiling may not be a complete success in all the patients.
When the procedure is going on, complications such as aneurysm rupture or stroke may arise. Aneurysms can be prevented from rupturing by preventing blood flow into them.
Other risks involved are:
- Bleeding
- Blood clot
- Infection
- Rupture of aneurysm
- Loss of consciousness
- Paralysis on half of the body
- Transient ischemic attack
Endovascular coiling is a minimally invasive surgery, there no craniotomy or cutting of bone, no opening of the brain, no retraction of brain or handling of blood vessels, get discharged faster and going back to normal life is fast. At NeuroWellness you will get the best and cost-effective treatment for any brain or spine related problem from the Best Neurosurgeon in Bangalore.
Neuro endovascular coiling offers a safe, less invasive solution to treat brain aneurysms. Timely diagnosis and expert care can save lives.”
— Dr. Ganesh Veerabhadraiah
FAQs on Neuro Endovascular Coiling
Q1: What is neuro endovascular coiling?
It is a minimally invasive procedure used to treat brain aneurysms by placing coils inside the aneurysm to block blood flow.Q2: Is coiling better than open surgery for aneurysms?
Yes, for many patients, coiling is safer with quicker recovery, but eligibility depends on aneurysm type and location.Q3: How long does it take to recover from coiling?
Most patients recover within 1–2 weeks. Some may need longer observation depending on individual health.Q4: Is neuro coiling available in Bangalore?
Yes, advanced neuro centers like NeuroWellness offer expert coiling procedures by trained neuro-interventionists.
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.