Neurosurgery Medical Billing | XyberMed

Endovascular Neurosurgery and Interventional Neuroradiology.
If you have a problem affecting your brain or spinal cord, you may be treated by a doctor who specializes in the central nervous system. These doctors can perform minimally invasive procedures. This means that the procedure can be done with a tiny incision (cut). This is often better than a larger incision required for open surgery.

What is endovascular neurosurgery?
Neurosurgery is a type of surgery that treats problems of the brain and nerves. The word endovascular means “inside a blood vessel.” This type of surgery is also called neurointerventional surgery. It is done with thin tubes (neurosurgery Medical Billing) and small instruments. These are inserted into the blood vessels. This is done instead of surgery with a large incision (cut). The surgeon often uses radiological images at the same time. These help the surgeon see the part of the body to be treated.

These medical professionals are trained in both neurosurgery and radiology. They then complete a neurosurgery residency in a hospital. They then complete a fellowship program in endovascular neurosurgery. A neurosurgeon can become certified in neurosurgery through the American Board of Neurological Surgery. There is no residency for endovascular neurosurgery.

What is interventional neuroradiology?

Radiology is a specialty that helps diagnose and treat diseases with imaging techniques. Interventional neuroradiology is a special form of radiology. It uses catheters and imaging techniques to diagnose and treat diseases of the brain and spinal cord. 

These healthcare providers have training in radiology. They are also trained in neurology or neurosurgery. They then complete a residency in radiology at a hospital. After that, they complete a fellowship program in interventional neuroradiology. A radiologist can become board certified in neuroradiology. This is done through the American Board of Radiology.

What kinds of procedures are done by these specialists?

The procedures include:

  • Thrombolytic therapy. This uses medicine to dissolve a clot in a blood vessel in the brain.
  • Blood clot retrieval. This uses a small catheter to remove a blood clot that is blocking the blood flow in a brain artery.
  • Endovascular coiling. This is done to treat a brain aneurysm. A brain aneurysm is a bulge in a weak spot in the wall of an artery in the brain that fills with blood. The bulge is at risk of a tear (rupture). This would cause bleeding on the brain. To prevent this, a surgeon puts a very thin metal coil inside the aneurysm. It blocks blood flow into the bulging area. It may also be closed with a clip.
  • Minimally invasive spine surgery. This is done to treat spinal problems. These include fractures, tumors, compressed nerves, and other conditions that put pressure on the spinal cord.
  • Cerebral angiography. This is a radiology procedure. It looks at how blood is flowing in the brain.
  • Carotid artery angioplasty and stenting. The carotid arteries send blood and oxygen to the brain. This procedure uses a small balloon to open a carotid artery that has become too narrow. A tiny mesh tube called a stent is then put in place. It keeps the artery open. 

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