Traditionally, to reach the blood vessels in the brain and neck and their abnormalities, the neurosurgeon needed to open the skull (craniotomy) or neck using highly technical microsurgical techniques and an operating microscope. Obvioius disadvantages of this approach included the time required for the patient to recover and return to work. Yet this remains the best option for particularly difficult vascular problems in some instances.
Catheter techniques, fluoroscopy (X-ray) and computer-assisted guidance enable a neurosurgeon trained in endovascular techniques to direct catheters through an incision (measuring a single centimeter) over the femoral artery, up through the aorta and into the vessel of interest in the brain or neck. Although just as time-consuming as traditional surgery, this procedure is far less invasive, and the allure for the patient and surgeon is obvious: the treatment of vessel abnormalities without opening the head or neck, possible discharge of the patient from the hospital as early as the day following the procedure (provided no difficulties arise) and the patient’s earlier return to work. Endovascular techniques and available technology are constantly improving.
New Surgical Suite Treats Brain, Spinal Conditions Under One 'Roof'
Ohio State’s neurosurgeons now have all the tools at hand to successfully treat patients with brain and spinal conditions quickly and safely through our new minimally invasive endovascular and vascular surgical suite.
Endovascular treatments are routinely performed in an angiography suite within a hospital’s radiology department; however, if it is determined a patient needs surgery, he or she will immediately be transported from the angiography suite to an operating suite. The delay caused by having to move the patient from room to room, could result in a poor outcome for the patient and is less efficient for staff.
Ohio State’s new surgical suite offers the advanced imaging capabilities and sophisticated neurosurgical techniques in one room so that we speed up life-saving treatments for patients in the safest environment.