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Endovascular Surgery

What Is Endovascular Surgery?

Endovascular surgery is a procedure performed inside a blood vessel. Doctors create a small hole in a blood vessel in your arm, neck or leg to reach the problem area. Your surgeon then inserts a catheter and uses high-resolution x-rays to guide the catheter to the problem blood vessel to diagnose or treat your condition with tiny instruments passed through the same catheter.

Endovascular surgery is a minimally invasive alternative to open procedures, which involve large incisions. This procedure is preferred because it’s faster, has a shorter recovery time and fewer complications, and may only require regional instead of general anesthesia. Endovascular surgery requires the work of a team of specialists trained in neurosurgery and radiology.

The on-site ambulatory surgery center at Premier Brain & Spine is equipped with advanced technologies to deliver endovascular neurosurgeries, as well as other neurosurgical treatments and spinal care procedures you may need.

What Conditions Are Treated by Endovascular Surgery?

Endovascular surgery treats problems that affect blood vessels in your brain, spinal cord or heart. Conditions treated by endovascular surgery include:

Even in an emergency, like when a blood clot causes a stroke, endovascular surgery is a treatment option. To clear blood clots, doctors aim clot-dissolving medicine directly at the clot through the catheter. They can even insert a stent-retriever to open the blood vessel and remove the clot.
Neurosurgeons use an endovascular technique called embolization to treat aneurysms, blood vessel abnormalities and brain tumors. For this technique, doctors insert a tiny metal coil or adhesive into a blood vessel to block blood flow, preventing the problem from worsening.

How Will I Feel During Endovascular Surgery?

You may or may not be awake during your endovascular surgery. The sensations you feel may include:

  • A pinch from the IV needle and anesthetic injection
  • Sleepiness, relaxation and comfort from sedation
  • Pressure at the incision site
  • Pressure when the doctor inserts the catheter
  • Warm sensations within your body

Your doctor administers the proper local anesthesia and sedatives if you’re awake so you won’t feel any discomfort during the procedure.

What Is Recovery Like After Endovascular Surgery?

After surgery, you may spend a couple days in the hospital for monitoring, or you may be released after a monitoring period the same day. At home, you can eat and walk on the first day of recovery. Your doctor gives you care instructions that include:

  • Wait for the doctor’s approval to start driving
  • Don’t lift anything more than five to 10 pounds for four to six weeks
  • Take sponge baths, but don’t soak your incision wound

You may feel weakness and have a reduced appetite for two weeks after surgery. You have less scarring from endovascular surgery than from open surgeries. About four to six weeks after the procedure, you can return to normal activities.

You need the best care to treat and recover from any neurological condition. The Premier Brain & Spine neurosurgical team has earned an incredible reputation for treating patients with endovascular procedures. Contact Premier Brain & Spine to schedule an appointment today.

Updated on Oct 19, 2022 by Dr. David Wells-Roth (Neurosurgeon) of Premier Brain & Spine

Premier Brain & Spine
10 Parsonage Rd, Suite 208A
Edison, NJ 08837
(732) 258-0190