Minimally invasive vascular care

Endovascular Neurosurgery

Endovascular neurosurgery treats selected disorders of the brain, head, neck, and spine from within the blood vessels using specialized catheters, imaging, and devices.

What “endovascular” means

Instead of reaching a target through a traditional surgical opening, an endovascular procedure typically begins through an artery in the wrist or leg. Small catheters are guided under X-ray imaging to diagnose or treat a vascular problem.

Endovascular neurosurgery is also called neurointerventional surgery or interventional neuroradiology. Depending on the condition, it may be used alone, combined with open surgery, or considered alongside observation and medical management.

Conditions commonly evaluated

Brain aneurysms

Diagnostic angiography and treatment options that may include coiling, flow diversion, or open clipping.

Arteriovenous malformations

Embolization as part of a multidisciplinary plan that may include surgery or radiosurgery.

Acute stroke

Time-sensitive evaluation and catheter-based thrombectomy for selected large-vessel occlusions.

Carotid and intracranial disease

Diagnostic evaluation and selected stenting or surgical procedures.

Individualized decision-making: Open and endovascular approaches each have distinct advantages and risks. The recommended option depends on anatomy, symptoms, imaging, and the patient’s overall health.