Pediatric Neurovascular Surgery
Experts at Cedars-Sinai excel in treating children with problems affecting the brain's blood vessels. We are among a select few programs in the country using microvascular and endovascular techniques to treat pediatric stroke and cerebrovascular malformations. We also have one of the few doctors in the country who specializes in pediatric cerebrovascular disease.
Our neurosurgeons can operate near delicate areas of the brain while lowering the risk of complications. Children experience shorter recovery times and go home sooner.
What Are Microvascular and Endovascular Neurosurgery?
Microvascular and endovascular neurosurgery are types of minimally invasive procedures. We use sophisticated technologies and instruments to operate on tiny blood vessels.
We make an incision in the groin and insert surgical instruments through a vein up to the brain. This technique helps your child avoid an incision in their head, providing a safer procedure and quicker recovery. Our experts use imaging to view the surgical area during the procedure.
We make a small incision and use handheld instruments to access the surgical area. A sophisticated microscope shows us the blood vessels in vivid detail.
Neurovascular Surgery for Cerebrovascular Disease in Children
We use microsurgery and endovascular surgery to treat a broad range of problems affecting the blood vessels in the brain. The type of treatment that's best depends on the diagnosis and your child's circumstances.
Types of treatments we deliver with microsurgery and endovascular surgery include:
- Embolization: We inject a glue-like substance into the abnormal blood vessel to cut off blood flow. This treatment shrinks the malformation, so it's easier to remove during a separate procedure.
- Platinum coils: We implant tiny platinum coils to slow the rate of blood flow through the abnormal blood vessels. We may combine coils with embolization for stubborn malformations that do not respond to coils alone.
- Resection: We carefully remove the venous malformation. We use imaging studies to meticulously plan your child's procedure, lowering the risk of complications.
- Stents: We implant stents to widen narrowed arteries. Stents are mesh devices that attach to the walls of the artery, holding it open so blood can flow through.
- Stroke care: We use an endovascular procedure to grab and remove the blood clot that's blocking blood flow to the brain.
Pediatric Expertise Leads to Breakthrough in Adult Cerebrovascular Care
Our pediatric cerebrovascular disease research is also advancing adult care for certain conditions, including stroke. These efforts are a giant leap forward in preventing stroke in adults with atherosclerosis, which happens when fat builds up in the arteries of the brain.
Our experts found that a pediatric neurovascular surgery procedure, encephaloduroarteriosynangiosis or EDAS, significantly reduces stroke risk in adults. This procedure reroutes healthy arteries from the scalp to take over the work of arteries that have buildups.
Find out more about how we're using EDAS to reduce strokes in patients with atherosclerosis.