Cerebral aneurysm: Approach to Care
At the University of Florida, about 400 aneurysm patients are treated each year.
The University of Florida Neurovascular Center is one of the leading comprehensive cerebrovascular/endovascular neurosurgery services in the United States. All aspects of cerebrovascular neurosurgery are performed routinely, including aneurysm clipping, carotid endarterectomy, resection of intracranial arteriovenous malformations, resection of spinal arteriovenous malformations, EC-IC bypass procedures, and combination open cerebrovascular/endovascular procedures. Common Neuroendovascular procedures include coiling of aneurysms, embolization of arteriovenous malformations, endovascular treatment of acute strokes,embolization of tumors, intracranial and extracranial angioplasty and stent placement, obliteration of arteriovenous fistulae including carotid cavernous fistulae, embolization of vein of Galen malformations and other pediatric cerebrovascular disease, and vertebroplasty or kyphoplasty for spinal compression fractures.
The University of Florida is an active participating site for many cerebrovascular/endovascular clinical trials. The latest high technology devices are constantly being evaluated and perfected for improved patient care. We have an active research laboratory focused on prevention and treatment of stroke, intracranial aneurysms, and arteriovenous malformations. Our team performs more than 300 cerebrovascular/endovascular procedures every year.
Endovasular Neurosurgery (Interventional Neuroradiology) is a subspecialty of radiology and neurousurgery in which minimally invasive procedures are performed using image guidance. Some of these procedures are done for purely diagnostic purposes such as cerebral angiograms, while others are done for treatment purposes, such as cerebral coilings or embolizations. Fluoroscopy (x-rays) is used to direct these procedures, which are performed using thin tubes called catheters. The catheters are introduced into the vascular system either through the groin, the arm, or sometimes the neck.
At the University of Florida, a large volume of endovascular neurosurgical procedures are performed. Dr. Brian Hoh and Dr. J Mocco, of Neurosurgery, are the principal team members. They work together to determine which endovascular or open vascular treatments are best for each individual patient. Pediatric patients are treated by Dr. David Pincus.