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Neurovascular Biplane Cath lab

SPS Centre Institute of Neuroscience has added a significant advancement in the diagnosis and treatment of stroke, brain aneurysms, brain and spinal AVMs and tumours, and other complex neurovascular conditions with the acquisition of a state-of-the-art neuro interventional biplane Cath Lab.

The current global trend is that neuro endovascular procedure are replacing an open surgical procedure, particularly in brain haemorrhage, aneurysm management, AVM treatments and rescue of brain vessels blockage in acute stroke. Neuro intervention is a minimally invasive approach to repair brain vascular diseases resulting in a shorter hospital stay, quicker recovery time, reduced pain, and less risk of complications.

Neuro interventional biplane system produces three-dimensional views of blood vessels leading to the surface and deep portions of brain and their relationship to the tissues of the head and neck. The Biplane system is an integral part of a comprehensive stroke service, which reportedly harbours a dedicated well-equipped interventional stroke care unit (ISCU) with dedicated specially trained staff. “The biplane technology represents a big leap in visualisation of the brain arterial network for quick and better understanding for a safe intervention.”

Minimally invasive neuroendovascular procedures require a precise deployment of sophisticated endovascular devices in the brain arteries to repair the defects in the vessels. Keeping balance between image quality and X-ray dose is a continuing challenge with the increase number of high risk patients, and more complex procedures. One hand, you need to reduce the amount of contrast concentration and X-ray dose which affects the image quality, and on the other hand for more complex procedures, there is a need to increase radiation dose to get the image quality needed. Complexity increases procedure time, hence higher accumulative dose. Evidence has been shown proving dose reduction levels in the range of 50 to 83 per cent compared to conventional systems.

Advantages of Biplane Neuro Vascular Cath Lab

  • SPS biplane neuroendovascular system produces images simultaneously from two regions of the patient’s head, in combination of any of frontal view, lateral view and oblique views. This reduces the amount of contrast material required, improves visualisation for diagnostic and therapeutic procedures, and shortens the time it takes to complete a cerebral angiogram.
  • It has two-dimensional and three-dimensional capabilities that allow the interventional neurologist to view the brain, arteries and spine with one single injection of X-ray dye. In addition to being safer and faster than current technology, the biplane can reduce risk, length of stay and burden to a patient and family for many neurological disorders.
  • Other advantages of a Biplane Neuroendovascular Cath Lab is that a CT scan can be obtained in a minute during procedure without shifting patient to the neuroradiology department thus saving a significant time which is very crucial in stroke intervention.
  • The images produced by the biplane system aid interventional neurologist in performing neurointerventional procedures such as aneurysm repair by detachable coils and intracranial stents, treatment of brain and spinal arterio-venous malformations, clot removal in acute stroke case and opening blocked brain arteries by carotid artery angioplasty and stenting. It also helps physicians for dealing with complex highly vascular tumours of brain and neck specially in skull base region, intracranial haemorrhages, spinal compression fractures, trauma to the brain arteries in poly trauma patients and refractory epistaxis (severe nose bleed).

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