Treating your blood vessels from the inside

The intricate network of blood vessels running through your central nervous system sometimes develop structural problems that affect your body’s blood flow.

Problems that occur inside blood vessels are called endovascular.

For example, blood, which normally flows from arteries to veins via capillaries, may take a shortcut and go straight into the veins, over-burdening them and creating the risk of hemorrhage or rupture. Or, blood vessels can become irregular or enlarged, leading to balance problems, headaches, memory, attention or vision problems, seizures, weakness in arms or legs, or stroke. Additionally, weakened walls of the artery supplying blood to the brain may bulge or burst, releasing blood into the skull and causing a stroke.

These problems can exist for years without creating symptoms. Medical emergencies like a stroke or ruptured cerebral hemorrhage may be the first and only indication that you have an endovascular abnormality.

Minimally invasive diagnostics and surgery may offer shorter recovery time

Instead of open surgery, endovascular neurosurgery takes place inside the blood vessel. Using state-of-the-art imaging technology and catheters that pass through the blood vessels, our world-class team of specialists, including neurologists, neurointensivists, and neuroradiologists diagnose and treat conditions of the central nervous system.

doctor discussing brain scans with patient

To treat stroke, for example, which results from a disrupted blood flow to the brain, our endovascular experts insert a catheter into a groin artery and thread it through the body up to the brain to restore blood flow. Similarly, treatment of a brain aneurysm entails inserting a catheter into the femoral artery of the leg with x-ray guidance and using it to insert soft platinum coils directly into the aneurysm to prevent it from rupturing.

With its innovations in endovascular neurosurgery, Northwell Health’s Institute for Neurology and Neurosurgery takes a minimally invasive approach to the evaluation and repair of many other conditions, such as Moyamoya disease, carotid artery disease, acquired arteriovenous fistulas, arteriovenous malformations (AVMs) of the head and neck, and cavernous angiomas.

nurse talking to smiling female patient

Because endovascular neurosurgery is minimally invasive, it is safer and produces shorter recovery times than traditional surgery.

Our multidisciplinary endovascular neurosurgery team will design a treatment plan that meets your individual treatment needs and rehabilitation goals.

We use the most up-to-the-minute approaches to imaging including 3D angiography (examination by x-ray), CT (computerized tomography) angiography or scan, and MRI (magnetic resonance imaging), to view the specific part of the body involved in a diagnostic or surgical procedure.

Each person’s recovery from endovascular neurosurgery varies, depending on their condition and the complexity of their surgical procedure. Rehabilitation, which may include speech therapy, physical therapy or occupational therapy may vary as well.