Endovascular Neurosurgery

Endovascular neurosurgery at UPMC—under the direction of Bradley Gross, MD—treats complex neurologic vascular lesions such as intracranial aneurysms, arteriovenous malformations, and arteriovenous fistulas of the brain and spine.

Endovascular neurosurgery is a subspecialty within the fields of neurosurgery, neurology and radiology that has as its goal the management and treatment of complex neurologic lesions using minimally invasive techniques. By threading small catheters through arteries and veins, the neurointerventionalist is able to treat lesions from within the blood vessel. The advantage of such therapy resides in the less invasive approach to the lesion which often translates into shorter recovery times and more effective therapy.

As a truly multi-disciplinary specialty, the members of this center work at the intersection of the fields of cerebrovascular surgery, interventional neuroradiology and stroke neurology to treat patients with ischemic and hemorrhagic stroke.

Below is a list of some of the endovascular treatments available.

  • Acute Stroke Thrombolysis
  • Aneurysm Coiling
  • Angioplasty and Intraarterial Vasodilator Infusion for Cerebral Vasospasm
  • Arteriovenous Fistula Embolization
  • AVM Embolization
  • Balloon Test Arterial Occlusions
  • Brain Tumor Embolization
  • Carotid Angioplasty and Stenting
  • Cavernous Carotid Fistulas (CCF)
  • Central Retinal Artery Thrombolysis
  • Covered Stent Placement
  • Diagnostic Arteriography
  • Dural Arteriovenous Fistulas
  • Embolization for Epistaxis
  • Embolization of Arteriovenous Malformations
  • Guglielmi Detachable Coils (GDC)
  • Intracranial Arterial Angioplasty and Stenting
  • Ischemic Stroke
  • Mechanical Thrombectomy for Stroke
  • NeurofloTM Device for Cerebral Vasospasm
  • Onyx Liquid Embolic Agent for Aneurysms
  • Permanent Vessel Sacrifice
  • Petrosal Sinus Sampling for Cushing's Disease Evaluation
  • Pipeline Embolization
  • Retrograde Venography with Pressure Measurements
  • Spine Tumor Embolization
  • Stenting of Arterial Dissection
  • Subclavian to Carotid and Vertebral Stenting
  • Thrombolysis
  • Transluminal Arterial Angioplasty (PTA) and Stenting
  • Tumor Embolization
  • Venous Sinus Stenting
  • Venous Sinus Thrombectomy
  • Vertebral Artery Angioplasty and Stenting
  • WADA Testing