Fairfax Radiological Consultants

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Neurointerventional Surgery

What is Neurointerventional Surgery?

Neurointerventional Surgery, Interventional Neuroradiology, or Endovascular Neurosurgery, is a subspecialty combining minimally invasive techniques in Radiology and Neurosurgery to treat vascular conditions of the central nervous system — the brain, spinal cord, head and neck. Our experienced Neurointerventional Surgeons are certified by the American Board of Radiology and considered international experts in the field. They have performed thousands of minimally invasive procedures and collaborate to provide excellent patient care.

We are Northern Virginia’s leaders in Neurointerventional Surgery, offering new therapies and technologies to treat even the most complex cases. Our goal is to provide you with exceptional service and the most advanced, evidence-based medical care available – delivered in a welcoming, friendly environment. All procedures are performed in our state-of-the-art neurological suite located at Inova Fairfax Hospital in Fairfax, VA.

Your satisfaction is important to us. We treat every patient with dignity, respect and compassion. Our individualized approach means we work closely with you to develop a treatment plan that meets your goals and promotes healing and recovery.

Please call us at 703.776.3030 to schedule an appointment.

Common Questions

  • What are some of the most common conditions treated by our Neurointerventional Surgeons?

    The most common conditions treated by our Neurointerventional Surgeons are brain aneurysm, arteriovenous malformation (AVM), arteriovenous fistula (AVF), carotid artery disease, acute ischemic stroke, head and neck bleeding and vertebral compression fracture.

  • What are the most common procedures performed by our Neurointerventional Surgeons?

    The most common procedures performed by our Neurointerventional Surgeons are Endovascular Embolization, Carotid Artery Stenting, Cerebral Angiography, Spinal Angiography/Embolization, Tumor Embolization, Pre-Operative Wada Testing, Kyphoplasty and Vertebroplasty.

  • What do I need to bring to my appointment?

    Please bring the following to your appointment:

    • A completed patient history questionnaire
    • Any relevant medical records, including copies of previous CT and MRI scans
    • Insurance information
    • A referral/order from your doctor
  • What do I need to do before my procedure?

    Your insurance company may require pre-certification for your procedure. Contact your insurance company well in advance to ensure coverage.

    In addition, you may need to obtain medical clearance from your primary care doctor or cardiologist.

    Our office will help you arrange any required lab tests.

    Our nurse will be in touch with you to discuss special instructions, including medications.

    Let us know if you:

    • Are allergic to contrast dye
    • Have a fever or active infection
    • Take Coumadin, Glucophage, Lovenox, Heparin, or a class of medications called “direct thrombin inhibitors” such as Pradaxa.
    • Have diabetes

    NOTE: If you take insulin for diabetes, ask your primary care doctor how much to take, since you will be without food or liquid after midnight on the day of your surgery.

    If you take aspirin or Plavix, do not stop taking these medications unless we instruct you to do so. NOTE: If you take Plavix, you cannot take medications called proton pump inhibitors (PPIs). PPIs include Prevacid, Prilosec, Zegerid, Protonix and Aciphex. If you have been prescribed a PPI, please contact your primary care doctor to discuss alternatives.

    Be sure to make arrangements to have someone drive you back and forth to the hospital.

    On the day of your surgery:

    • Nothing to eat or drink after midnight
    • Unless instructed otherwise, take your normal medication with small sips of water in the morning.
  • What should I expect after my procedure?

    After your procedure, you will be asked to lie flat for about three hours and avoid moving your legs. This will help prevent bleeding at the puncture site in your groin area. If your procedure does not require an overnight stay, your total time from check-in to discharge will be approximately five to seven hours. You must make arrangements for a ride home from the hospital. Patients cannot take a taxi or public transportation home.

    If your procedure requires an overnight stay, you will most likely spend the night in the neuroscience intensive care unit (NSICU) and be discharged the following afternoon. When you are discharged, we will give you instructions that include limitations on activity. For example, you should not lift anything greater than 10 pounds for one week.

  • How do I get more information?

    If you have questions or concerns, please call 703.776.3030.