Cerebrovascular diseases affect blood vessels that provide circulation to the brain, such as arteries, veins, and capillaries. Cerebrovascular disorders include strokes, brain aneurysms, arteriovenous malformations (AVMs), stenosis, and cavernous malformations. Many cerebrovascular disorders can be successfully treated with surgery, minimizing the risk of stroke and bleeding.
Cerebrovascular surgery is a distinct specialty practiced by neurosurgeons who are specially trained to provide medical and surgical vascular treatment of the brain. These treatments include newer, less invasive endovascular techniques used for peripheral and cerebrovascular conditions such as brain aneurysms.
An alternative to traditional open surgery, endovascular surgery is a state-of-the-art, less invasive procedure used to treat disorders of the blood vessels providing circulation to the brain, such as an aneurysm. Through endovascular surgery, a small incision is made near each hip to access the blood vessels. An endovascular graft is inserted through the arteries in a catheter. The graft expands and seals off the aneurysm, preventing blood from flowing into the aneurysm.
NYU Winthrop’s Director of Cerebrovascular and Endovascular Surgery, Dr. Brisman, is one of fewer than 100 neurosurgeons nationwide — and the first on Long island — with dual training in endovascular and microneurosurgery techniques, including aneurysm clipping and endovascular coiling, as well as advanced procedures to treat arteriovenous malformations (AVM), carotid stenosis and acute stroke.
Dr. John Pile-Spellman is a world-renowned expert in endovascular management of cerebrovascular disorders.