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Neurointerventional Surgery

Pediatric Neurointerventional

Procedures

What are pediatric neurovascular disorders?


Neurovascular disease encompasses a large group of conditions in which the arteries in the brain, spine, or those connected to the brain and spine are somehow defective. The spectrum of diseases that afflict the nervous system in children is different from that seen in adults. And conditions are much less common in children, with management often requiring the expertise of multiple specialists.

Our neurointerventional surgeons specialize in treating newborns, infants, and children with neurovascular problems and conditions affecting the blood vessels in the brain, spinal cord, and spinal column. We help determine the best type of treatment based on the diagnosis and your child's unique circumstances.

How are pediatric neurovascular disorders diagnosed?


We offer advanced tests to help diagnose conditions, with particular expertise in pediatric angiography. Pediatric anesthesiologists perform the sedation needed for pediatric imaging tests, enhancing the safety of the procedures. A pediatric neuroradiologist provides new patients with an initial comprehensive evaluation and coordinates diagnostic work-ups.

We evaluate, diagnose and treat the full range of challenging and complex cerebrovascular conditions, including:

  • Aneurysms
  • Arterial Dissection
  • Arteriovenous Fistula (AVF)
  • Arteriovenous Malformations (AVM)
  • Cavernous Malformation
  • Cerebral Venous Sinus Thrombosis
  • Intracerebral Hemorrhage
  • Moyamoya Disease
  • Stroke
  • Subarachnoid hemorrhage
  • Vein of Galen Malformations

How are pediatric neurovascular disorders treated?


We offer state-of-the-art techniques for the treatment of cerebrovascular diseases. Treatments may include combinations of traditional surgery, minimally invasive endovascular surgery, embolization, sclerotherapy, image-guided technology, pediatric interventional radiology, and medications. Some of the more common treatments include:

Embolization: Delivering clotting agents directly to an area that is bleeding to stop or block blood flow, which shrinks the malformation making it easier to remove.

Platinum coils: Implanting tiny coils to slow the blood flow through abnormal vessels. This can be combined with embolization for malformations that do not respond to coils alone.

Resection: Removing the venous malformation using imaging to carefully plan your child's procedure and lower the risk of complications.

Stenting: Implanting stents, mesh devices that attach to the walls of the artery, to hold it open so blood can flow through.

Stroke care: Using endovascular procedures to grab and remove blood clots that block blood flow to the brain.

Thrombolysis: Dissolving blood clots using anti-clotting agents.

Revascularization: Diverting blood to areas of the brain where the flow is restricted.