In this section...

  1. Acute Physiotherapy
  2. Cheshire and Merseyside Rehabilitation Network (CMRN)
  3. Chiari malformation and syringomyella
  4. Cognitive neurology
  5. Complex regional pain syndrome (CRPS)
  6. Dietetic Services
  7. Electroencephalogram (EEG)
  8. Endoscopic (keyhole) spinal surgery
  9. Epilepsy
  10. Epilepsy specialist nurse service
  11. Epilepsy surgery
  12. Essential tremor - Ultrasound thalamotomy
  13. Evoked potentials (EP)
  14. Facial pain
  15. Fluroscopy
  16. Functional Neurological Disorders Service (FNDS)
  17. Headache service
  18. Hydrocephalus, CSF disorders and spina bifida
  19. Infection prevention and control
  20. Integrated Neurology Nurse Service
  21. Interventional Radiology
  22. Major Trauma service
  23. Motor neurone disease
  24. Multiple sclerosis
  25. Multiple sclerosis (MS) nurse service
  26. Nerve conduction studies (NCS) and Electromyography (EMG)
  27. Neuroanaesthesia and Critical Care
  28. Neurogenetic disorders
  29. Neurological long-term conditions OT service
  30. Neurological Long Term Conditions Physiotherapy Team (LTC)
  31. Neurology
  32. Neuromodulation for Pain and Pelvic Floor Instability
  33. Neuromuscular disorders
  34. Neuromyelitis optica
  35. Neuro-Oncology Department
  36. Neuropathic pain (nerve pain)
  37. Neurophysiology Department
  38. Neuropsychiatry
  39. Neuropsychology Department
  40. Neuropsychology inpatient service
  41. Neuroradiology
  42. Neuroscience Laboratories
  43. Neurosurgery
  44. Neurovascular surgery and intervention
  45. Pain Management Programme
  46. Pain medicine
  47. Palliative care pain
  48. Parkinson's disease Nurse Specialists
  49. Pre-operative Assessment Team
  50. Physiotherapy botulinum toxin service
  51. Rehabilitation
  52. Research
  53. Respiratory Physiotherapy Team
  54. Speech and Language Therapy
  55. Spinal surgery
  56. Surgical management of chronic pain
  57. Surgical, Medical, Acute Response Team (SMART)
  58. Theatres
  59. Therapies Department
  60. Tissue viability
  61. Trauma Therapy Team

Interventional Radiology

 

Angiography

Do I have to stay in hospital?

  • You will be admitted to a bed, but may not have to stay overnight
  • You will have to stay between five or six hours after the test, but most people can then go home

 What is the test for?

  • This test is used to look at your blood vessels in great detail
  • Most people are having the blood vessels of the brain looked at
  • We are sometimes looking at blood vessels in the neck or spine

 Will I be awake?

  • Yes, most brain angiograms are done awake
  • We can talk to you and make sure you are alright
  • We do not use sedation. Sedatives can make it look like something is not right, and can be dangerous
  • Some people ask their GP to prescribe them a tablet to take before the test if they are very nervous

 How long will it take?

  • Most brain angiograms take about an hour
  • Spinal angiograms can take one to two hours

 What are the risks?

  • The most common problem is bruising at the groin
  • Rarely people have a mini stroke (less than 1 in 100), which goes completely within 24 hours
  • Very rarely (less than 1 in 1000) people have a stroke
  • Allergic reaction to the X-ray dye is very uncommon in angiography

     Please call 0151 556 3680, to let us know if:

  • You are diabetic
  • You have kidney problems
  • You have had a reaction to X-ray dye in the past
  • You are on drugs to thin your blood e.g. warfarin, clopidogrel
  • You could be pregnant                                                                                                                      

               

Arteriovenous malformation (AVM) treatment

An arteriovenous malformation (AVM) is an abnormal connection between the high pressure arteries and the low pressure veins. This can be found accidentally when a patient has a scan for another reason. Some AVMs present with brain haemorrhage, epilepsy, or other symptoms. Planning treatment is very complex, as it can involve surgery, radiotherapy, and something called embolisation. Embolisation is performed in the Neuroradiology Department.

                                                                                           

Cerebral aneurysm treatment

Aneurysms are bulges in the walls of blood vessels. They can be associated with problems such as brain haemorrhage, and pressure on the brain or nerves. If it is felt they need treatment, this is usually done in the Neuroradiology Department.

                    

Mechanical thrombectomy treatment of acute stroke

A stroke is caused by a blockage in one of the arteries that supply blood to the brain. When the blood supply to the brain has been blocked it does not receive the oxygen and nutrients it needs and can become irreversibly damaged.

Mechanical thrombectomy is an emergency procedure to remove the blood clot and return the blood flow to your brain. This procedure ideally needs to be done within 6 hours of stroke onset although this may be longer in some people.

The procedure is performed by an Interventional Neuroradiologist who uses special equipment, such as a small wire mesh (stent retriever) or a small suction device, to remove the clot and return the blood flow to the brain. The procedure usually takes 12-15 minutes but, in some cases, can take longer.

 

Service contact information

 

Consultants

Dr Arun Chandran

Dr Mani Puthuran

Dr Oluwafeyiseye Babatola

Dr Gilbert Gravino

Dr Daniel Borg

Dr Richard Pullicino

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