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Neuroendovascular Therapies

An increasing number of cerebrovascular conditions that once required open brain surgery can now be treated using a minimally invasive technique known as neuroendovascular therapy. NewYork-Presbyterian Hospital is one of the leading institutions in the clinical practice of this relatively new set of techniques for the treatment of neurological conditions.

In this approach, made possible by recent developments in both computer and micro-catheter technologies, an interventional neuro-radiologist uses computer imagery to guide a surgical micro-instrument through the blood vessels. These neuroendovascular therapies are used to deliver drugs or restorative equipment, such as vascular stents, via small catheters measuring only a millimeter or less in diameter. For most patients, this procedure is performed through a tiny incision at the crease of the leg. Because the procedure is minimally invasive, it offers an alternative for patients unable to undergo traditional surgery using a craniotomy, and generally allows rapid recovery.

Collaborating with many specialists in the treatment of neurological diseases, interventional neuro-radiologists at NewYork-Presbyterian Hospital provide unparalleled care in the treatment of conditions such as

  • Carotid stenting
  • Arterial stenosis in the brain and neck
  • Acute strokes
  • Cerebral aneurysms
  • Brain tumors
  • Arteriovenous fistulas
  • Arteriovenous malformations (AVMs) of the brain and spine

After treatment for an acute cerebrovascular event, whether a stroke or hemorrhage, patient outcome may totally depend on the resources, monitoring and intensive medical care in the first hours to days after intervention. NewYork-Presbyterian Hospital has the only multidisciplinary, academic, neurocritical care facilities in the greater New York area.

Consulting with neurologists, intensivists, and rehabilitative physicians, our interventional neuro-radiologists maximize the Hospital's extensive facilities and state-of-the-art operating rooms. The Neurological Intensive Care Unit at NewYork-Presbyterian Hospital/Columbia University Medical Center brings together specially trained personnel, sophisticated monitoring techniques, and specialized treatment modalities in a 24-hour monitored setting that was one of the first in the nation. The Stroke Center at Weill Medical College of Cornell University is a ground-breaking program focusing on stroke prevention and the treatment of cerebrovascular accidents. The College's Irving Sherwood Wright Center, associated with the Vascular Care Centers, is devoted to the management of elderly patients who are most susceptible to vascular disease.

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