Journal of Neurosciences in Rural Practice
Year : 2016  |  Volume : 7  |  Issue : 5  |  Page : 13-17

Successful endovascular neurosurgical practice in resource-poor exclusive rural neuro-hospital setup

Department of Endovascular Neurosurgery, Indo American Hospital, Brain and Spine Centre, Vaikom, Kerala, India

Correspondence Address:
Kamble Jayaprakash Harsha
Department of Endovascular Neurosurgery, Indo American Hospital and Brain and Spine Centre, Chemmanakary, Vaikom - 686 143, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0976-3147.196459

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Aim: The aim of this study to evaluate the feasibility of establishing endovascular neurosurgery in remote resource-poor neuro-hospital setup and evaluate its outcome. Materials and Methods: Retrospective analysis of diagnostic and therapeutic endovascular neurosurgical procedures performed during September 2013–June 2016. Results: A total of 174 diagnostic cerebral and spinal digital subtraction angiograms and 70 major endovascular neurosurgeries were performed during the period. The endovascular neurosurgical procedures included 54 aneurysms coiled, 4 cerebral arteriovenous malformation embolization, 2 dural arteriovenous fistulas embolization, 2 cerebral tumor embolizations, 2 intracranial stentings, 5 extracranial carotid stentings, 1 transverse sinus stenting. No complications were seen during diagnostic procedures. Operation related morbidity of 1.4% and mortality of 1.4% seen, with a procedural success rate of 97.2%. Conclusion: Endovascular neurosurgery is feasible in resource-poor remote rural exclusive neuro-hospital setup with procedural success rate and outcomes comparable to existing literature.

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