General Introduction
Interventional neuroradiology is a specialized field that deals with the treatment of brain and spinal cord vascular diseases under the guidance of high technology and imaging techniques, instead of classical open surgery.
The main technique used in the treatment is angiography.
Diseases Treated
-Atherosclerotic strictures
-Cerebral Vascular Aneurysm (bubble)
-Dural fistula – Caroticocavernous fistula
-Retinoblastoma and other tumor treatments
-Stroke (acute stroke), sudden onset of paralysis, GNR
– Arteriovenous malformation (tangle) in the brain vessel
Its most known application is the treatment of vascular bubbles that cause cerebral hemorrhage. This is followed by the treatment of cerebrovascular tangles and especially the stenosis developing in the carotid artery.
Other advantages are easy access to vascular areas that are difficult and risky to reach surgically by making an external incision; easier treatment in patients with critical general condition due to cerebral hemorrhage, allowing vessel dilation in patients who develop vasospasm (constriction of vessels) due to cerebral hemorrhage.
As a result of the international study published in the famous medical journal Lancet in 2002, it was shown that GNR application in patients with cerebral hemorrhage is more successful for the patient than open surgery. The most current issue in GNR applications is the administration of selective intra-arterial chemotherapy for retinoblastoma, which has emerged in the last few years. Retinoblastoma is the most common eye tumor in childhood and the classical treatment method is surgical removal of the eye. Selective intra-arterial chemotherapy, on the other hand, is the selective application of a high concentration of chemotherapy drug by entering the eye vein. In this way, increased efficacy is achieved and systemic effects of chemotherapy are avoided. The results obtained with this method are quite successful and constitute a serious alternative to surgical removal of the eyeball.