The interventional neuroradiology (NRI) is a radiology subspecialty, or special attention area, focussed in central nervous system, spinal cord, backbone, and neck and head diseases diagnosis and treatment.
It is comprehended into the Imaging Diagnosis Service in our hospital and working together, both make more effective in its daily practice, optimizing the professional and technological high levels in the whole service. However, the their autonomy is kept up in execution and development of both activities and specifically in the services portfolio.
Most of the procedures performed by interventional neuroradiologists are done with small micro catheters from the groin. Previously, femoral artery or other artery or peripheral vein was pierced, and that allows us to sail along brain, neck and medulla blood vessels to where the pathology to be treated is located.
Moreover, we carry on techniques called percutaneous (getting into structures as vertebrae, intervertebral discs, etc.), made by direct skin piercing.
The activity is comprised in the techniques called “minimally invasive,” being comparable, and in many cases, substituting it, to the conventional surgery. Therefore, this is also known as “endovascular surgery”.
Interventional neuroradiology techniques are performed in the above mentioned digital radiology rooms, equipped with sophisticated and highly precised radiology devices.On the other hand, they have anaesthetic equipment as a conventional OT.
They must be performed by neuroradiologists, conveniently trained and having achieved the knowledge according to the criteria and protocols settled by medical societies involved (SERAM, SENR; GENI, SENC and SENL).
Compared with conventional surgery, endovascular treatments are less risked and the convalescence times are lower.
• Cerebral aneurysms
• Abnormatities and brain arteriovenous fistulas (MAV),
• Abnormalities, arteriovenous medullar fistulas, of head and neck.
• Abnormalities, head and neck arteriovenous fistulas.
• Wada testing (together with the neurology service for the epilepsy control)
• Vertebral and carotid stenosis
• Ischemic stroke
• Vascularized tumors
• Vertebral compression due to osteoporotic fractures, tumor or traumatic.
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