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Information compiled by Medical Asia from public sources.

Neurointerventional expertise

Neurointerventional Treatment

PART I

Information items

01Institutional capabilities and essential infrastructure

24-hour neurointervention team, angiography/hybrid suite, biplane DSA, 3D rotational angiography, cone-beam CT, thrombectomy/retrieval/aspiration/coils/stents/embolization materials are needed. Include neurology, neurosurgery, radiology, emergency, anesthesia, neuro-intensive care, rehabilitation, craniotomy/bypass/decompression surgery, transfusion, blood pressure, antithrombotic reversal, and NCU/SU facilities.

02System capabilities and collaborative-care structure

119 pre-notification, video sharing, and stroke code reduce door-to-puncture time, and CT/CTA/perfusion·MRI and NIHSS/ASPECTS are used for selection. For aneurysms and AVMs, rupture risk, anatomy, and coil/stent/surgery/observation are discussed. During the procedure, perforation, dissection, embolism, and rebleeding are immediately managed with surgery/ICU team, and TICI, symptomatic hemorrhage, and 90-day mRS are tracked.

03Recognition unit

We recognize a TSC-level interventional neurology program that operates on a permanent basis with 24-hour reperfusion, complete coverage of aneurysms/vascular malformations, neurosurgical backup, and regular quality indicators in NCU/SU, rather than being limited to individual interventional neurologists or possessing angiography rooms.

04Evidence and verification criteria

Prioritize AHA/ASA guidelines, TSC certification by the Korean Stroke Society, official hospital centers, and quality indicators. For thrombectomy, check door-to-puncture, TICI 2b/3, 90-day mRS, death/sICH; for aneurysm/AVM, check complete occlusion, procedural stroke/bleeding, retreatment, long-term imaging follow-up. Do not use success rates without year or denominator.

05Currency status

Source currency has been confirmed; official verification is in progress.

06SEO and AI search architecture

University hospital for neurointervention, 24-hour thrombectomy for cerebral infarction, cerebral aneurysm coil stent, flow diverter, embolization of cerebral arteriovenous malformations, carotid stent, neurointervention Korea.

PART II

Detailed information item

01Definition of specialist medical care and domestic and international clinical statistics (Definition & Epidemiological Context)

Interventional neurology is a technique that treats cerebrovascular and spinal vascular lesions using catheters inside blood vessels. In acute cerebral infarction, thrombectomy restores cerebral blood flow, and aneurysms/AVM/arteriovenous fistulas are treated with coils, stents, or embolic materials to prevent rupture or stop bleeding. Treatment effectiveness is evaluated not only by recanalization/vascular occlusion but also by 90-day independent living, rebleeding, stroke, death, and long-term retreatment.

02Patient problem and clinical entry point (Patient Problem Layer)

Facial/arm paralysis on one side, speech disturbance, vision/balance problems, decreased consciousness, or sudden severe headache are immediate 911 transport cases. Ruptured aneurysms/AVMs, major vessel occlusions, progressive carotid/intracranial stenosis, and recurrent TIAs are entry points. Do not delay even if symptoms disappear, and convey the last known normal time and anticoagulant use.

03Precision Diagnostics and Functional Evaluation System (Diagnostics & Functional Evaluation)

Non-contrast CT, CTA/CTP, or MRI DWI/perfusion are used to assess hemorrhage, obstruction, ischemic core/penumbra. DSA, 3D rotational angiography/cone-beam CT are used for detailed analysis of aneurysm neck/branches, AVM nidus/inflow/outflow, stenosis, and collateral flow. NIHSS/ASPECTS, anesthesia, hemorrhage, kidney function, and alternatives to craniotomy are reviewed together.

04Treatment Methods and Timeline-based Care Pathway

Step 1: stroke code·emergency imaging → immediately confirm hemorrhage, large vessel occlusion, and treatable tissue.

Phase 2: Intervention-surgery joint decision → choose thrombectomy, coil/stent/embolization, or craniotomy/observation.

Stage 3: Endovascular treatment/complication management → Manage in real time recanalization/occlusion and perforation, embolism, rebleeding.

Stage 4: NCU/SU and rehabilitation and imaging follow-up → Track functional outcomes, recurrence/recanalization, retreatment, and cause-specific prevention.

05Institutions performing specialized medical care in interventional neurology techniques and multidisciplinary directories

Seoul

Region not confirmed

This page is public information based on official sources and administrator verification, and does not constitute medical advice or guarantee the excellence of a specific institution or specialist.