Neuroscience: Services: 

Neurointerventional Surgery



Walter Lesley, M.D.

Walter Lesley, M.D.

Chief, Neurointerventional Surgery

Rajesh Rangaswamy, M.D.

Rajesh Rangaswamy, M.D.

Neurointerventional Surgery

Neurointerventional Surgery, also referred to Interventional Neuroradiology, uses minimally invasive procedures to accomplish a wide variety of treatments including: stroke treatment by delivering clot-busting drugs directly to the site of the blockage; aneurysm therapy by inserting platinum coils into the aneurysm bulge to prevent clotting and rupture; and spinal treatments by injecting cement into a fractured vertebra in order to reinforce the bone.

Scott & White has two neurointerventional surgeons specially trained in minimally invasive treatments to treat a variety of cerebrovascular conditions.

neurointerventional surgery

Neurointerventional Surgery is a subspecialty discipline of radiology. Initially performing minimally invasive techniques utilizing x-ray fluoroscopy (“real-time” x-ray technology to monitor movement inside the body) and angiography (injection of x-ray contrast or “dye” to obtain pictures of blood vessel anatomy), radiologists have added ultrasound, computed tomography (CT), and even magnetic resonance imaging (MRI) to their arsenals. Such advanced technology allows the physician to visualize their operative procedures without making a skin incision to see inside the body.

Endovascular treatments often involve less risk and result in less pain and a faster recovery period.

The following is a list of diseases and conditions typically treated by neurointerventional surgeons:

  • brain aneurysms
  • brain arteriovenous malformations (AVMs)
  • carotid-cavernous fistulae
  • dural arteriovenous fistulae
  • extracranial (brachiocephalic) atherosclerosis
  • extracranial (head and neck) and paraspinal vascular malformations
  • vertebral body compression fractures
  • head and neck tumors
  • intracranial atherosclerosis
  • juvenile nasopharyngeal tumor
  • meningiomas
  • nosebleeds
  • paragangliomas
  • stroke
  • spinal vascular malformations
  • traumatic vascular lesions
  • vasospasm
  • vertebral body tumors

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