Lesions Previously Thought Inoperable Now Treated Locally With Neuroendovascular Surgery
Originally published Fall 2000

Neuroendovascular surgery is an emerging specialty combining the skills of neurosurgery and interventional neuroradiology. These minimally invasive techniques have proven effective in the diagnosis and treatment of strokes, brain aneurysms, tumors, arterial venous malformations (AVMs), intracranial atherosclerosis, blocked carotid, vertebral and subclavian arteries, from inside the blood vessel. Patients benefit because neuroendovascular surgery results shorter hospital stays, fewer possible complications, less pain, and a quicker recovery period. Some patients even return to work the day after surgery, as opposed to weeks or even months with traditional surgery.

Shown are pre and post operative pictures of a cervical carotid stent. Patient is a 58 year-old male with recurrent right carotid stenosis after endarterectomy. He is doing well one year after the procedure.
Thanks to the recent addition of Joe Bernard, M.D., Carolina Neurosurgery & Spine Associates now offers this innovative procedure. “Neuroendovascular surgery is very useful and effective in treating patients that have no other ‘low risk’ surgical alternative,” said Joe Bernard, M.D., of Carolina Neurosurgery & Spine Associates. “These procedures make it possible to help patients who, in the past, may have been considered untreatable.” Dr. Bernard is one of only six other neurosurgeons in the entire country who completed fellowship training in neuroendovascular surgery this year.

Typically, neuroendovascular procedures begin with angiography of the brain, face or spine. This is to confirm the diagnosis and generate a “road map” of the vessels associated with the area of abnormality. Neuroendovascular surgery requires only a small nick in the leg to gain access to a blood vessel, usually an artery. From this point of entry, the lesion is reached by navigating a catheter through blood vessels using X-ray guidance. With these minimally invasive procedures, potentially life-threatening conditions can now be treated without opening the skull, neck or back.

“It’s important to let patients and physicians know these options are available,” said Dr. Bernard. “These techniques reduce the risk and discomfort to patients, while helping to improve overall outcomes.”

For more information, call Carolina Neurosurgery & Spine Associates at 800-344-6716 or
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