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Endovascular and Cerebrovascular Neurosurgery

Endovascular Neurosurgery is a subspecialty of neurosurgery in which neurosurgical procedures are performed within blood vessels under fluoroscopic guidance. Performing a surgery within a blood vessel requires only a very small incision to access the artery, which allows for faster recovery and lower morbidity when compared to open surgery.

VCU has the regions only Neurosurgical Hybrid Operating Suite. As well as being equipped for both endovascular and open neurosurgical cases, this room allows surgeons to combine the two techniques or use them simultaneously. State-of-the-art fluoroscopy and 3D rotational angiography can now be incorporated into open surgery such as craniotomy for clipping of intracranial aneurysm or obliteration of AV fistulae to confirm the procedure is complete before the patient leaves the operating room. Endovascular techniques such as angioplasty and stenting can now be offered to patients in whom complicated anatomy or occlusion requires an operative approach to arteries. In addition, the hybrid operating suite offers the ability to perform intraoperative CT Scan which further enhances patient safety during minimally invasive procedures.

Dr. John Reavey-Cantwell and Dennis Rivet fall into the elite category of dual-trained neurosurgeons in the U.S. This special training in cerebrovascular and endovascular neurosurgery allows them to maximize the potential of the Neurosurgical Hybrid Operating Suite and offer patients the latest in neurovascular treatments.