Endovascular and Cerebrovascular Surgery

Minimally invasive procedures for cerebral artery diseases.

MEDICAL FACULTY


Monday – Friday:


8:00 A.M. a 5:00 P.M.



At Hospital Auxilio Mutuo, we provide specialized attention to patients with cerebrovascular diseases.
Through minimally invasive techniques, we are able to diagnose and treat aneurysms, strokes and
other complex conditions with great precision and minor recovery time.



Endovascular surgery is a minimally invasive medical technique
that allows the treatment of blood vessel diseases from inside
the arteries or veins, while cerebrovascular or neurovascular
surgery addresses conditions affecting the nerves, blood
vessels, and brain.



Diagnosis
and Treatment


At our Neuroscience Center, we treat conditions such as:


  • Brain aneurysm
  • Ischemic Stroke
  • Arteriovenous malformations (AVMs)
  • Dural arteriovenous fistulas
  • Carotid artery stenosis
  • Moyamoya disease
  • Trigeminal neuralgia related to vascular loops
  • Cerebral venous thrombosis
  • Hypervascular tumors
Brain aneurysm

Occurs when a brain artery dilates or bulges abnormally, causing a possible rupture and possibly a serious brain hemorrhage.

Ischemic Stroke

This happens when a clot blocks the blood flow towards a part of the brain, preventing the brain cells from receiving oxygen and nutrients.

Arteriovenous malformations (AVMs)

Arteriovenous malformations are abnormal connections between brain arteries and veins that alter blood circulation and may increase the risk of brain hemorrhage.

Dural arteriovenous fistulas

Occurs when there are atypical connections between arteries and veins located in the dura mater, the membrane that surrounds the brain, and may cause neurological symptoms or bleeding.

Carotid artery stenosis

Thinning of the carotid arteries, which are responsible for carrying blood towards the brain, increasing the risk of stroke.

Moyamoya disease

Rare disorder in which cerebral arteries thin gradually, limiting blood flow to the brain.

Trigeminal neuralgia related to vascular loops

Intense facial pain caused by the trigeminal nerve being compressed by a nearby blood vessel.

Cerebral venous thrombosis

Occurs when a clot is formed in the veins that drains the blood from the brain, which can cause high blood pressure and damage to the brain.

Hypervascular tumors

Lesions with a great deal of blood vessels, by a large network of blood vessels, that may require interventions to control irrigation.



PROCEDURES


We are committed to our patients’ brain health, which is why we carry out minimally invasive procedures with tools that incorporate camera assistance and robots, thus avoiding major incisions. This way, there is less tissue damage, less pain, fewer risks and, primarily, a quicker recovery.

Some of the cerebrovascular procedures that
we carry out include:

  • Mechanical thrombectomy for acute stroke
  • Brain aneurysm embolization
  • Angioplasty
  • Intercranial stenting
  • Diagnostic cerebral angiography
  • Endovascular Treatment of Vasospasm
  • Embolization of AVMs and fistulas



FACULTAD MÉDICA


Dr. Juan Vicenty Padilla is a neurosurgeon trained at the Science Department
of the University of Puerto Rico, with a subspecialty in cerebrovascular and
endovascular management completed at Harvard.



Procedure
developments


Hospital Auxilio Mutuo made history by performing
its first cerebral thrombectomy, a specialized and
minimally invasive procedure that creates new options
for patients prone to ischemic stroke.

Through this surgery, the blood clot (thrombus), which
obstructs one of the brain’s main arteries, is extracted,
in order to correct blood flow. This innovation strengthens
the medical response to stroke, where every minute can
make a difference in a patient’s recovery, and cements
Auxilio Mutuo as a health center that prioritizes brain health.


AUXILIO TV



Diagnostic Cerebral Angiography
(Cerebral catheterization)

Dr. Juan Vicenty Padilla, Medical Director of the Neuroscience Center, talks to us about diagnostic cerebral angiography, also known as cerebral catheterization. (Video in spanish)