Neurointerventional Surgery

Overview

The Department of Neurointerventional Surgery at  Sir H. N. Reliance Foundation Hospital specialises in diagnosing and treating complex brain, spine, and blood vessel disorders without the need for open surgery. We are equipped to perform various minimally invasive surgeries guided by advanced imaging and microcatheter-based techniques and, thus, offer notable benefits to our patients, such as reduced pain, fewer complications, and faster recovery.

The department is led by Dr. Vipul Gupta, a pioneer of neuro-interventional surgeries and one of India's most accomplished neuro-interventional specialists. With 28+ years of experience and having completed over 6000+ therapeutic neuro-interventional procedures, he brings unmatched clinical leadership and international expertise to our department.

The department has the following key features: fast-track stroke response (24/7 availability); multidisciplinary team coordination, i.e., our specialists collaborate with neurosurgery, neurology, neurocritical care, neuroanaesthesia, and neurorehabilitation experts to offer specialised care; pre- and post-procedure counselling & follow-up; international second-opinion access, i.e., our team contacts neurointerventional specialists from all over the world to ensure that our patients receive the best possible care; and customised rehabilitation support for recovery from debilitating conditions such as stroke.

Our Services
Technology & Infrastructure
Conditions We Treat

Our department offers comprehensive care, from consultations to diagnostic services, up until the surgery, and finally, guidance for post-surgical recovery. Some of our services include:

Initial Consultation: Our team performs a thorough evaluation of the patients and reviews the imaging results; subsequently, we discuss all suitable treatment options.
Diagnostic Angiography: We perform high-definition brain or spinal vascular imaging using minimally invasive catheter-based techniques to ascertain the issue.
Procedure and Recovery: Our specialists offer constant care before and during the surgical procedures, most of which involve 1–4 days of hospitalisation; for the entirety of this period, patients are provided regular post-operative care. We also provide tailored recovery plans to all our patients.

Further, we perform a wide range of minimally invasive, image-guided treatments for both diagnostic and treatment purposes:

Coil embolisation: Tiny metallic coils are placed via a catheter to block abnormal blood flow in a blood vessel.
General embolisation: Inserting a catheter into a targeted area within a blood vessel, followed by the delivery of embolic agents (agents that block the vessel) to stop bleeding/blood flow or the desired medication(s), e.g., delivery of chemotherapy medicines directly to tumours.
Flow diverter placement: The placement of a stent via a catheter into a blood vessel showing abnormal blood flow to reroute the blood and take pressure off the affected region in the vessel.
Intra-saccular device placement: The placement of a mesh-like structure (intra-saccular device) via a catheter to block abnormal blood flow in a blood vessel and promote clotting.
Stent-assisted coiling: The placement of a stent that acts as a supportive framework within a blood vessel, and then tiny metallic coils via a catheter to block abnormal blood flow in a blood vessel.
Mechanical thrombectomy: A catheter is inserted into a targeted area within a blocked artery under The X-ray guidance; then, the clot is dissolved or removed to restore blood flow.
Carotid and vertebral artery stenting: The placement of a mesh-like tube (stent) via a catheter in a targeted area within the carotid and/or vertebral arteries (blood vessels that pass through the neck and supply blood to the brain) to widen them and restore blood flow.
Intracranial stenting: Placing a mesh-like tube (stent) via a catheter in a targeted area within a blood vessel in the brain to widen it and restore blood flow.

Our dedicated neuro-interventional suite uses top-end technologies to perform all our specialised techniques. Our department boasts the following advanced equipment and facilities for assistance with precision treatment planning:

Artis Icono Biplane: This two-X-ray-source-equipped device is one of the best high-precision angiography systems available in the world. This subjects patients to 82% lower radiation doses and enables the acquisition of high-quality images.
Flat Panel Detectors: These provide high-resolution visuals of small cerebral arteries.
High-quality cone beam computed tomography (CT): An advanced diagnostic method for high-quality 3D image acquisition using reduced radiation exposure.
Syngo DynaCT: One of the best devices for performing high-quality cone beam CT.
Syngo Dyna4D: An advanced 3D angiography system helps visualise the anatomy of complex blood vessels and enables AVM treatment planning.
3D Rotational Angiography: For planning and executing precision treatment of small aneurysms.

Our specialists are trained to diagnose and treat a wide range of neurovascular conditions, including:

Brain aneurysms: The bulging/ballooning of blood vessels in the brain, which can compress the brain or nearby organs and/or rupture, causing internal bleeding.
Arteriovenous malformations (AVMs): The tangling of blood vessels, causing abnormal connections between arteries and veins, disrupting blood flow and preventing tissues from receiving oxygenated blood.
Dural arteriovenous fistulas: Irregular connections between arteries and veins in the dura mater, which is the thick, tough layer covering the brain and spinal cord and is the outermost layer of the meninges (thin, protective tissues surrounding the brain and spinal cord).
Acute ischemic stroke: The sudden loss of blood flow to the brain caused by a blockage of a blood vessel that supplies blood to the brain; this can cause brain damage and/or paralysis in one or more parts of the body and can be fatal.
Carotid and vertebral artery stenosis: Narrowing of the carotid and/or vertebral arteries.
Venous sinus thrombosis: A rare blood clot in the brain’s venous sinuses drain deoxygenated blood from the brain and cranium.
Intracranial vascular stenosis: Narrowing of one or more arteries in the brain.
Subarachnoid haemorrhage: A bleed occurring between the brain and the meninges.
Chronic subdural haematoma: A type of brain bleed in which blood and blood breakdown products are collected between the surface of the brain and the dura mater.
Vasospasm: The constriction (tightening) of an artery (lasting longer than a normal constriction), causing the nearby tissues to receive reduced oxygen levels.
Brain tumours