The NeuroInterventional program at Miami Valley Hospital (MVH) is a 24:7 high acuity neuro intensive care unit. Our neurointerventional specialists use minimally invasive technologies to treat patients with vascular problems due to brain, spinal cord, head or neck disorders. Our comprehensive services are prepared for neuro emergencies related to strokes, aneurysms, and more.
NeuroInterventional Program at MVH
What is a NeuroInterventionalist?
A NeuroInterventionalist is a neuroradiologist with special training in minimally invasive procedures. By inserting a microcatheter in the patient’s groin area and using advanced imaging for guidance, a NeuroInterventionalist is able to thread the microcatheter through the blood vessels leading into the brain. NeuroInterventionalists use this minimally invasive technology to treat many complex disorders—including all types of strokes—with a lower risk of complications, shorter hospital stays and faster recovery.
NeuroInterventional Conditions Treated & Services
- CNS Arteriovenous Malformations
- Embolization of abnormal vasculature
- Thromboembolic Cerebral Ischemia
- Chemical clot degradation
- Clot retrieval/disruption/destruction
- Intracranial Aneurysm
- Embolization of aneurysmal sac
- Intra/Extra-cranial occlusive disease
- Using angioplasty or stent assisted angioplasty to fully recanalize or improve arterial flow
- Arterial Rupture/Bleeding
- Hemastasis achieved with particle embolization or sacrifice.
- Arterial Dissections
- Stent Reconstructed with self expanding stents
- Cerebral Venous Thrombosis
- Recanalization with IV medication and mechanical clot manipulation as well as clot retrieval:
- Intra/Extra-cranial Tumor Therapy
- Embolization of Vascular supply using glue, coils or particles.
- Administration of Intra-arterial chemotherapeutic agents
- Back Pain and Spinal Neuropathic Pain
- Decreasing Inflammation and Nerve Irritation with steroid injections.
- Spinal Vertebral body compression / Fractures
- Cement to increase stability and volume of damaged vertebral body
- Balloon test occlusion
- Pre-surgical resection planning.
- WADA testing
- Pre-surgical evaluation prior to brain tissue resection
- ETOH direct puncture therapy for head and neck venous anomalies
Frequently Asked Questions
Q: Is NeuroInterventional medicine new? I’ve never heard of it!
A: Interventional neuroradiology (INR), or endovascular neurosurgery, is a specialty dedicated to the diagnosis and treatment of vascular disease involving the central nervous system, using the latest minimally invasive technologies. Interventional procedures have been used for more than 20 years to treat heart conditions. Now that knowledge and some of the techniques can be used to treat blood vessels feeding the brain. Originally developed in the 1980’s by radiologists and neurological surgeons, INR has advanced rapidly along with computer technology and equipment.
Q: What is an angiogram?
A: In many NeuroInterventional cases, an initial diagnostic angiogram is performed to detect and characterize the abnormality to be treated. A small catheter is inserted into the femoral artery and then moved into the aorta, then into the vessels of the neck. Multiple images are taken of the vessels in the neck and head while the
contrast is injected. These images—the angiogram—are then analyzed.
Q: How would you perform an interventional therapy—to treat a stroke, for example?
A: When an interventional therapy is performed, a slightly larger guide catheter is advanced from the femoral artery into the vessels of the neck. A smaller microcatheter is advanced through this guide catheter to the vascular abnormality, and the intervention is performed. In the case of a stroke, the catheter delivers drugs designed to break up the clot directly at the site of the blockage.
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