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Neurovascular Surgery

Expertise in rare and intricate neurological procedures

The  neurovascular surgical team at Macquarie Neurosurgery is internationally renowned for the treatment of brain aneurysms, brain and spine vascular malformations and disorders of the brain that require bypass surgery. 

The surgeons manage a high volume of patients and perform more than 100 neurovascular surgical procedures annually.

With specific expertise in rare neurovascular conditions, our neurosurgeons operate within state-of-the-art facilities using cutting-edge surgical equipment.

Patients who are cared for by Macquarie Neurosurgery’s medical team receive a comprehensive, multi-disciplinary care approach - as well as ongoing treatment and support following their surgery.  

The neurovascular surgical team are committed to the mission of demonstrable excellence, being at the forefront of knowledge and educating the next generation of neurovascular surgeons.

About Neurovascular Conditions

The accomplished neurovascular surgeons at Macquarie Neurosurgery treat a range of neurological conditions, including:

  • Aneurysms of the brain

  • Vascular malformations of the brain and spine

  • Vascular stenosis or blockage

  • Stroke prevention surgery or bypass surgery

Procedures for Neurovascular Conditions

Neurovascular surgery is intricate surgery. It can take many hours, depending on the type of procedure required. All neurovascular surgical procedures are performed using miniaturised instruments and a microscope. This is known as microsurgery.

While the surgeons apply similar skillsets to each procedure, the approach and decision-making about every single case is personalised. This is just one of the ways the team works together to ensure the best possible patient outcomes.

Contact Us Today

If you have a question about neurovascular surgery at Macquarie Neurosurgery or if you would like to request an appointment, phone us on 02 9812 3900 or contact us online.

Expertise in Neurovascular Sub-Specialities

Certain surgical procedures that Macquarie Neurosurgery’s medical team perform aren’t available in other departments around the country. 

Patients from interstate and overseas often visit the practice because the surgeons are able to treat rare and complex neurological conditions.

Treating intracranial aneurysms 

Members of the Macquarie Neurosurgery team have treated more than 6,000 aneurysms by surgery. Treatment is available by microsurgery (including clipping and bypass) and endovascular treatment (blocking the aneurysms by coils or stents delivered from a tube inserted in the artery).

As there is great variation of complexities in aneurysms and surgical best practices, our multidisciplinary team approach ensures that the treatment recommended is personalised.  

If an aneurysm is discovered after it has burst, leading to a bleed in or around the brain (subarachnoid haemorrhage), our well-developed protocols and integrated team approach ensures quick care for seriously ill patients.

If surgery or endovascular treatment is not necessary, our surgeons will monitor aneurysm growth and provide recommendations on modifying risk factors to avoid rupture.

Treating Arteriovenous Malformations (AVM) of the brain

AVM of the brain – A tangle of fragile arteries and veins resembling a small ball of string – is responsible for bleeding into the brain. Approximately 200 Australians are diagnosed with this condition each year.

The Macquarie Neurosurgery team has treated more brain AVMs than any other Australian group. 

With three modes of treatment available, including microsurgery, radiosurgery (by Gamma Knife) and embolisation (blocking the vessels of the AVM by glue delivered from a tube inserted in the artery), the options for treatment are as comprehensive as anywhere in the world.  

Our experts contribute significantly to the current debate amongst the world’s leading neurosurgeons on the best way to manage brain AVMs. We also partake in research that looks to future new ways of preventing brain AVMs from bleeding.

Bypass surgery 

Brain bypass surgery is sometimes necessary to treat conditions that reduce the blood flow to the brain (such as Moyamoya – see below).

It may also be necessary if blood vessels need to be replaced in the management of aneurysms or tumours of the skull base. Because of the varied indications for bypass surgery, there are different types of bypass that might need to be performed. These bypass types are divided into high-flow bypass techniques and augmentation bypass techniques.

Bypass surgery is rarely needed and performed. However, our experts have performed more than 400 bypass surgeries and have published their results in leading journals.

Treating Moyamoya disease

Moyamoya – which means ‘puff of smoke’ in Japanese – is a rare, progressive disease characterised by blocked arteries at the base of the brain.

In patients who have this condition, bypass surgery is generally indicated in order to provide additional blood flow to the brain.

Macquarie Neurosurgery’s neurosurgical team have a high level of skill and experience in the treatment of children and adults with Moyamoya disease. Members of the surgical team have trained at Stanford University, which is considered the world’s foremost authority on this uncommon disease. The surgeons have looked after more than 50 patients with Moyamoya disease, making them some of the country’s leading specialists trained in this condition.

What Makes Us Unique?

Macquarie Neurosurgery is one of Australia’s most advanced neurosurgery practices with the ability to treat both routine and complex cases. Part of an academic environment, our neurosurgeons are also actively engaged in research and training, and work collaboratively with each other to bring patients excellent care. 

This multidisciplinary approach in an academic environment, combined with access to the most advanced technology and outstanding post-operative care and management sets us apart. Find out more about What Makes Us Unique.

Contact Us Today

If you have a question about neurovascular surgery at Macquarie Neurosurgery or if you would like to request an appointment, phone us on 02 9812 3900 or contact us online.