[Specialties · 03]
Neurovascular Surgery
Procedures on the blood vessels of the brain. Clipping, endovascular and hybrid approaches for aneurysms and arteriovenous malformations.
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Which Conditions Are Treated?
- Brain aneurysm (a balloon-like bulge in a vessel)
- Arteriovenous malformation (AVM), dural arteriovenous fistula (DAVF)
- Intracranial haemorrhage (SAH / parenchymal)
- Carotid artery narrowing / blockage
- Moyamoya, cavernoma and other vascular conditions
Diagnostic Methods
- CT/MR angiography
- DSA (the gold standard)
- Assessment of associated lesions with MRI/CT
- Neurological examination
Treatment Methods
- Microvascular surgery: clipping the aneurysm neck, AVM resection
- Endovascular: closure with coils, stents or embolic agents
- Hybrid: open surgery + endovascular combined
- Intraoperative neuromonitoring, neuronavigation, angiography support
After Surgery
- Close intensive care monitoring
- Monitoring of neurological function
- Discharge in 1–2 days after endovascular treatment; 4–7 days after open surgery
- Rehabilitation when needed
Frequently asked questions
- 01How dangerous is an aneurysm?
- Even when it has not ruptured, it carries a risk of bleeding; early treatment can be life-saving.
- 02Endovascular or open surgery?
- The decision is made case by case, according to age, anatomy, bleeding risk and lesion type.
- 03Can it come back?
- There may be a risk of recurrence after endovascular treatment; regular imaging follow-up is recommended.
- 04Is access through the groin painful?
- It is usually performed under local anaesthesia/sedation and without an incision; recovery is quick.