Intra-arterial tPA: In the intra-arterial tPA procedure, the neurosurgeon inserts a thin, flexible catheter into an artery (femoral artery) and guides it up to the area of the clot then administers the tPA through the catheter. Patients can be treated for up to six hours when tPA is administered intra-arterially at the site of the blockage because the blood flow would begin immediately.
Mechanical Thrombectomy: The MERCI device and penumbra device are 2 tools that neurosurgeons at Saint Thomas Midtown Hospital use for this procedure.
Aneurysm Treatment: Saint Thomas Midtown Hospital is the only hospital in Middle Tennessee where physicians can treat patients with intracranial aneurysms using all 5 different techniques: clipping, coiling, liquid embolization, pipeline flow-diversion, and vascular bypass surgery.
Carotid Artery Stenting: This is an endovascular, catheter-based procedure which unblocks the narrowed carotid artery to prevent a stroke.
Balloon Test Occlusion Studies: Physicians can test the arteries with disease to determine importance.
Arteriovenous Malformation (AVM) Treatment: Vascular neurosurgeons treat AVMs using all 3 treatments: embolization, radiosurgery, and surgical resection.
Carotid-Cavernous Fistula (CCF): Similar to AVMs, except behind the eye.
Dural Arteriovenous Fistula (DAVF): Similar to AVMs, except on the dura (lining of the brain).
Kyphoplasty: This procedure is a minimally invasive surgical procedure performed to treat compression fractures as a result of osteoporosis.
Vertebroplasty: This procedure is minimally invasive surgical procedure performed to treat vertebral compression fractures.