An endovascular neurosurgeon is a highly specialized medical professional focused on diagnosing and treating complex neurological conditions using minimally invasive techniques. This modern approach to neurosurgery involves accessing the brain, spine, or other parts of the nervous system through the blood vessels, allowing for precise interventions without the need for traditional open surgery. By using small catheters, wires, and stents, these procedures are performed with less risk, shorter recovery times, and minimal scarring compared to traditional surgeries.
Endovascular neurosurgeons are uniquely trained in both the neurosurgical and interventional radiology fields. This combination allows them to master intricate techniques for treating conditions such as brain aneurysms, strokes, carotid artery disease, arteriovenous malformations (AVMs), and other cerebrovascular disorders. Many endovascular procedures are performed through a small incision, often in the groin or wrist, where a catheter is threaded through the blood vessels to the affected area. Through live imaging technology such as fluoroscopy, the surgeon can visualize the blood flow and target precise locations for treatment.
One of the most common and critical conditions treated by endovascular neurosurgeons is stroke, particularly ischemic stroke, which occurs when a blood clot blocks a vessel in the brain. In these cases, the endovascular neurosurgeon may perform a mechanical thrombectomy, where a catheter is used to physically remove the clot and restore blood flow, often preventing further brain damage. For brain aneurysms, the surgeon may use coil embolization or flow diversion stents to prevent the aneurysm from rupturing by blocking off the affected blood vessel.
Endovascular neurosurgeons also play a vital role in stroke prevention by treating conditions like carotid artery stenosis, a narrowing of the arteries in the neck that can increase the risk of stroke. Treatments such as carotid artery stenting help improve blood flow and reduce the likelihood of future neurological events.
