Neurovascular surgery and intervention

 

The neurovascular surgery and intervention service treats intracranial conditions involving diseases of cerebral blood vessels. The team predominantly treats acute patients but also treats elective patients. The greatest proportion of the service is treating patients with acute sub-arachnoid haemorrhages from ruptured aneurysms.

Other conditions treated include arteriovenous malformations, dural arteriovenous fistulas, incidental and symptomatic aneurysms, intracerebral haemorrhage, subarachnoid haemorrhage without a cause being found and cavernoma.

Support is also provided to Alder Hey Children’s Hospital (such conditions are very rare in children).

The service consists of neurosurgeons, neuro-interventional neuroradiology consultants, neurovascular secretary, specialist radiographers, Theatres Department, an advanced nurse practitioner and nurse specialists.

Patient management and care is a multidisciplinary approach with a weekly multidisciplinary team (MDT) meeting, which can be requested/accessed by discussing with the medical team.

The neurovascular neurology service can also be closely involved in cases where surgery isn’t required.

Inpatient and ongoing care is supported by a multidisciplinary team of therapists and the Cheshire and Merseyside Rehabilitation Network.

A ‘Road to Recovery Programme’, with input from the medical, nursing and therapy team and support from the Brain Haemorrhage Support Group, aims to support patients following aneurysmal subarachnoid haemorrhage.

 

Research

The service participates in a variety of national trials, including ARUBA, STASH, HELPS, TEAM, carotid artery stenting vs endarterectomy and CARE studies in hyponatraemia in sub-arachnoid haemorrhage.

 

Referral information

Emergency inter-hospital referrals can be made via the neurosurgical registrar via The Walton Centre switchboard or via https://orion.net 

Routine and urgent referrals can be made via GP surgeries.

 

Contact information

  • 0151 556 3352
  • Neurovascular Nurse Specialist telephone (answer phone) offers a daily non-urgent call back service and can be contacted on 0151 556 3325. (Calls are not always answered the same day)
  • Neurovascular secretary to consultants 0151 556 3352
     

Useful links

Cavernoma Alliance UK

Brain Haemorrhage Support Group

Access to work

 

Patient leaflets

Brain aneurysms and screening

Brain arteriovenous malformation (AVM)

Carotid and vertebral artery stenting

Cerebral cavernomas

Cranioplasty

Dural Arteriovenous Fistula of the Brain (DAVF)

Elective endovascular occlusion of brain aneurysm

Intracerebral haematoma

Intraventricular haemorrhage

Mechanical thrombectomy for acute ischaemic stroke

Reversible cerebral vasoconstriction syndrome (RCVS)

Subarachnoid haemorrhage

Subarachnoid haemorrhage no cause found

Surgery to remove a brain cavernoma

Surgical clipping of a brain aneurysm