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Endovascular
Neurosurgery Dr. Nestor R. Gonzalez is refining
a procedure called encephalo-duro-
arteriosynangiosis (EDAS) surgery
to treat patients with progressive
narrowing of their brain arteries. EDAS
(right) reroutes vessels that feed the
scalp through a hole cut in the skull to
create new connections between them
and the brain tissue.
Specialists Use Surgical
and Endovascular Techniques
Surgeons can now combine conventional
surgical techniques with modern
endovascular intra-arterial and
intra-venous approaches to treat
challenging brain lesions.
Mechanical retrievers have improved
the treatment of stroke by enabling
physicians to open arteries from the
inside without medications or tools that
may potentially increase complications,
and have provided an expanded window
of time to treat patients.
UCLAHEALTH.ORG to Improve Care for Cerebrovascular Patients
In the past, cerebrovascular conditions such
as stroke and cerebral aneurysms were treated
almost exclusively with surgical techniques
that required a craniotomy. Today’s latest
neurovascular techniques, however, chart
smarter, and less risky, pathways to treat
problems in hard-to-reach areas of the brain.
“We are radically changing the history of how
we treat problems of the brain,” says UCLA
neurosurgeon Nestor R. Gonzalez, MD, who
was one of the first surgeons in the country to
receive complex training in neurosurgery and
interventional radiology that enables him to
perform both neurosurgery and endovascular
1-800-UCLA-888 (1-800-825-2888)
neurosurgery. “We now combine conventional
surgical techniques with modern endovascular
intra-arterial and intra-venous approaches
to effectively treat brain lesions that were
previously challenging and resulted in less
favorable outcomes.”
For example, endovascular coiling is a minimally
invasive catheter-based procedure that blocks
blood f low to a weakened artery wall in the
brain (cerebral aneurysm) to prevent the
aneurysm from rupturing. According to
Dr. Gonzalez, endovascular coiling is now the
dominant form of treatment for aneurysms
around the world.