Cerebrovascular (Carotid) Disease
Cerebrovascular (Carotid) Disease
What is cerebrovascular (carotid) disease?
Cerebrovascular disease refers to a group of conditions that affect blood flow and the blood vessels in the brain. Problems with blood flow may occur from blood vessels narrowing (stenosis), clot formation (thrombosis), artery blockage (embolism), or blood vessel rupture (hemorrhage). Lack of sufficient blood flow (also referred to as ischemia) affects brain tissue and may cause a stroke.
Cerebrovascular conditions include:
- Aneurysms
- Arteriovenous malformations (AVM)
- Cerebral Cavernous Malformations (CCM)
- Arteriovenous Fistula (AVF)
- Carotid-Cavernous Fistula
- Carotid Stenosis
- TIA and Stroke
- Moyamoya Disease
Our Approach
University of Michigan Health is the only hospital in the state with two neurosurgeons dually-trained in neuroendovascular surgery and open cerebrovascular surgery. Moreover, our dual trained neurosurgeons work shoulder to shoulder with two superb interventional neuroradiologists to create an interdisciplinary team of 4 specialists with advanced training in the minimally invasive endovascular techniques.
This truly collaborative team of specialists - who leverage their combined talents for the benefit of their patients by discussing their most challenging cases in a weekly interdisciplinary cerebrovascular conference - makes U-M Health one of only a handful of hospitals in the entire country with such a large team of highly trained specialists. Our team approach creates an environment of collegiality and innovation from which our patients can glean the most carefully considered and cutting edge treatments by some of the most experienced and highly trained physicians in the field.
Our patients are also privy to our NeuroInterventional Radiology suite – a first of its kind in the nation –which allows us to both detect and repair aneurysms, strokes and other cerebrovascular conditions all in the same room. The suite reduces the wait time between diagnosis and treatment in both urgent and elective cases, and gives our physicians the necessary information to safely and quickly plan minimally invasive treatment, when indicated. The suite allows U-M physicians to perform both CT and CT angiography scans that are needed before an interventional procedure, and then to perform the procedure without moving the patient.
Appointment Information
To learn more or make an appointment, call our general Neurology Clinic phone number at 734-936-9020.
What are the symptoms of cerebrovascular disease?
Individuals with cerebrovascular disease may experience symptoms that include:
- Physical weakness and loss of balance
- Forgetfulness, confusion and difficulty carrying out activities that require planning and organization
- Difficulty following and engaging in conversation
- Difficulty reading, writing or speaking
How is cerebrovascular disease diagnosed?
Testing for cerebrovascular disease includes:
- Doppler ultrasound: A noninvasive test in which ultrasound waves are used to reconstruct an image of the carotid arteries and the status of blood flow through the artery.
- MRI/MRA: Magnetic resonance imaging (MRI) and magnetic resonance angiogram (MRA) use magnetic fields to generate an image of the head and neck. These imaging techniques can reveal blockages.
- CTA-Angiography by CT: A type of imaging that helps determine the degree of narrowing and the amount of calcium in the vessel.
- Angiography: Performed using X-ray. Pictures are taken while medication is injected directly into the artery. The resulting angiogram is the most accurate way of looking at arteries in the neck, head and brain.
How is cerebrovascular disease treated?
Our team of neurosurgeons and interventional neuroradiologists treat patients who require urgent care for a stroke or bleeding in the brain. We also consult upon patients who are considered stable, but require diagnosis and treatment for a condition like a cerebral aneurysm or a cerebral arteriovenous malformation (AVM).
Surgical & endovascular procedures
- Endovascular treatment of intracranial aneurysms
- Microsurgical treatment of intracranial aneurysms
- Endovascular treatment of Arteriovenous Malformations (AVMs and AVFs)
- Radiosurgery of AVMs
- Microsurgical treatment of AVMs and AVFs
- Endovascular treatment of carotid stenosis
- Microsurgical treatment of carotid stenosis (Carotid Endarterectomy)
The U-M Cerebrovascular Program has performed minimally invasive and complex cranial Cerebrovascular procedures for nearly 15 years, offering patients a high level of experience and access to new options.
Locations
-
Neurointerventional Radiology Clinic | Taubman Center 1500 E Medical Center Dr
Floor 2 Reception G
Ann Arbor, MI 48109-5338Get Directions -
Vascular Surgery Clinic | Brighton Center for Specialty Care 7500 Challis Rd
Entrance 1, Level 2
Brighton, MI 48116-9416Get Directions -
Vascular Surgery Clinic | Frankel Cardiovascular Center 1425 E Ann St
Floor 3 Reception B
Ann Arbor, MI 48109-5856Get Directions
Doctors
Robert John Beaulieu, MD
Clinical Associate Professor
Vascular Surgery
Craig Stanton Brown, MD
Clinical Assistant Professor
Vascular Surgery
Frank Michael Davis, MD
Assistant Professor
Vascular Surgery
Jonathan Lee Eliason, MD
Professor
Vascular Surgery, Surgery
Peter Kerr Henke, MD
Professor
Vascular Surgery, Surgery
Nicholas Harold Osborne, MD
Associate Professor
Vascular Surgery, Surgery
Nimesh Anantlal Patel, MD
Clinical Assistant Professor
Vascular Surgery, Surgery
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