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Interventional Neuroradiology

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Centre for Medical Imaging and Endovascular Treatment of Brain and Spine Conditions

The Diagnostic and Interventional Neuroradiology Centre of Mediterranean Hospital of Cyprus is a specialised Centre of Excellence for the diagnosis and minimally invasive treatment of conditions affecting the brain, spinal cord, head, neck, and blood vessels of the central nervous system. Combining the expertise of its physicians with advanced endovascular techniques and state-of-the-art medical technology, the Centre provides comprehensive diagnostic and therapeutic solutions, with a focus on precision, safety, and individualised patient care.

With the support of the state-of-the-art Biplane Neuroangiography System, the angiography systems of the Hybrid Operating Theatres, as well as all the advanced imaging and hospital infrastructure of Mediterranean Hospital of Cyprus, the Centre is able to manage both scheduled and emergency neurovascular cases, applying the latest international guidelines and minimally invasive therapeutic techniques.

The operation of the Centre is based on close collaboration between Interventional Neuroradiologists, Interventional Radiologists, Neurologists, Neurosurgeons, Vascular Surgeons, Anaesthesiologists, Intensive Care Specialists, and specialised nursing staff, ensuring the comprehensive and coordinated management of even the most demanding neurovascular cases. Direct integration with the Accident & Emergency Department (A&E), the Trauma Centre, the Hybrid Operating Theatres, and the Intensive Care Unit (ICU) enables rapid decision-making and the immediate initiation of appropriate treatment when every minute is critical.

The Centre’s Services Include, Among Others:

Diagnostic Services

  • Diagnostic cerebral and spinal angiography (Digital Subtraction Angiography – DSA)
  • Investigation of cerebral aneurysms
  • Diagnosis of arteriovenous malformations (AVMs) and arteriovenous fistulas (AVFs)
  • Investigation of stenoses and occlusions of the carotid and intracranial vessels
  • Preoperative and postoperative neurovascular assessment
  • Specialised assessment of vascular conditions of the brain, head, neck, and spine

Interventional Therapeutic Services

  • Mechanical thrombectomy for the treatment of acute ischaemic stroke
  • Endovascular treatment of cerebral aneurysms (coiling, stent-assisted coiling, and flow diversion)
  • Embolisation of arteriovenous malformations (AVMs) and arteriovenous fistulas (AVFs)
  • Endovascular treatment of stenoses and occlusions of cerebral and cervical vessels
  • Preoperative embolisation of hypervascular tumours of the brain, head, and neck
  • Endovascular treatment of selected vascular conditions of the head, neck, and spine
  • Participation in the management of complex emergency neurovascular cases in collaboration with the specialised teams of Mediterranean Hospital of Cyprus

The Diagnostic and Interventional Neuroradiology Centre of Mediterranean Hospital of Cyprus is equipped with state-of-the-art medical technology, designed to support the diagnosis and minimally invasive treatment of complex conditions of the brain, spinal cord, and cerebral blood vessels with the highest level of precision.

At the heart of the Centre is a modern Biplane Neuroangiography System, which provides simultaneous imaging in two planes, exceptionally high resolution, and three-dimensional angiographic imaging (3D Rotational Angiography). This advanced technology enables the precise planning and safe performance of highly demanding endovascular procedures, reducing both procedure time and radiation exposure for the patient and the medical team.

The Centre is additionally supported by two advanced angiography systems located in the Hospital’s Hybrid Operating Rooms. The direct integration of these facilities enables a seamless transition from endovascular to open surgical techniques when required, as well as the management of extremely complex neurovascular and vascular cases by highly specialised multidisciplinary teams.

The Centre’s capabilities are complemented by the advanced imaging equipment of Mediterranean Hospital of Cyprus, including Computed Tomography (CT), Magnetic Resonance Imaging (MRI), CT Angiography (CTA), and Magnetic Resonance Angiography (MRA), providing a comprehensive diagnostic approach and enabling immediate therapeutic decision-making.

The Centre operates in full integration with the Accident & Emergency Department (A&E), the Trauma Centre, the Hybrid Operating Rooms, the Intensive Care Unit (ICU), and all specialised hospital services of Mediterranean Hospital of Cyprus, ensuring immediate access to comprehensive care even for the most demanding emergency neurovascular cases.

The combination of advanced technology, specialised equipment, and highly trained medical teams makes the Diagnostic and Interventional Neuroradiology Centre of Mediterranean Hospital of Cyprus one of the most comprehensive and technologically advanced centres in the region for the treatment of conditions affecting the central nervous system.

The Diagnostic and Interventional Neuroradiology Centre of Mediterranean Hospital of Cyprus is staffed by specialised Diagnostic and Interventional Neuroradiologists, with extensive experience in the diagnosis and minimally invasive treatment of complex conditions of the brain, cerebral blood vessels, and spine.

The medical team works closely on a daily basis with Neurologists, Neurosurgeons, Interventional Radiologists, Vascular Surgeons, Anaesthesiologists, Intensive Care Specialists, as well as specialised nursing and technical staff, ensuring comprehensive, safe, and individualised care for every patient.

Of particular importance is the presence of Interventional Radiologists, who, in close collaboration with the Interventional Neuroradiologists, contribute to the management of complex endovascular cases, making use of the advanced capabilities of the Hospital’s angiography systems and Hybrid Operating Theatres.

This multidisciplinary collaboration enables prompt therapeutic decision-making and the application of the latest endovascular techniques, in accordance with international quality and safety standards, providing patients with comprehensive care even for the most demanding neurovascular conditions.

Services

Diagnostic Neuroradiology Services

Diagnostic Neuroradiology covers the full spectrum of imaging of the brain, spine, spinal cord, head, and blood vessels of the central nervous system, using advanced protocols that provide high diagnostic accuracy.

Imaging examinations are performed using latest-generation systems for:

  • Magnetic Resonance Imaging (MRI)
  • Multislice Computed Tomography (CT)
  • CT Angiography (CTA)
  • Magnetic Resonance Angiography (MRA)
  • CT and MR Venography (CTV/MRV)
  • CT and MR Perfusion
  • MR Spectroscopy
  • Digital Subtraction Angiography (DSA)

These examinations are used for the investigation of the full spectrum of neurological and neurovascular conditions, including:

  • acute ischaemic and haemorrhagic stroke
  • transient ischaemic attacks
  • cerebral aneurysms
  • arteriovenous malformations and dural arteriovenous fistulas
  • carotid and vertebrobasilar disease
  • primary and secondary tumours of the brain and spinal cord
  • pituitary disorders
  • demyelinating diseases
  • epilepsy
  • neurodegenerative diseases and dementias
  • traumatic injuries of the head and spine
  • infections and inflammatory conditions of the central nervous system
  • cranial nerve disorders
  • disorders of cerebrospinal fluid circulation
  • conditions of the orbit and visual pathways

The application of specialised techniques, such as Diffusion and Diffusion Tensor Imaging (DTI), Susceptibility Weighted Imaging (SWI), Vessel Wall MRI, high-resolution three-dimensional sequences, dynamic contrast-enhanced studies, functional Magnetic Resonance Imaging (fMRI), perfusion imaging, and advanced vascular imaging protocols, enables the precise morphological and functional assessment of complex neurological conditions.

Neuroradiological MRI Examinations Under Sedation or General Anaesthesia

At the Diagnostic and Interventional Neuroradiology Centre of Mediterranean Hospital of Cyprus, specialised neuroradiological Magnetic Resonance Imaging (MRI) examinations under sedation or general anaesthesia are provided for children and adults who are unable to cooperate during the examination.

The examinations are performed in close collaboration with the Anaesthesiology Department, with continuous monitoring of vital functions and the use of equipment fully compatible with the MRI environment. This multidisciplinary collaboration ensures a high level of safety, excellent imaging quality, and individualised care for every patient.

Therapeutic Range of Interventional Neuroradiology Services

Interventional Neuroradiology is currently the most advanced and minimally invasive therapeutic approach for the treatment of vascular conditions of the brain, head, and spine.

Procedures are performed in a modern hybrid angiography suite using latest-generation digital angiography systems, three-dimensional angiographic reconstruction, image fusion technologies, and advanced endovascular navigation systems.

The therapeutic range includes:

Stroke

  • Mechanical thrombectomy
  • Intra-arterial thrombolysis in selected cases
  • Intracranial angioplasty and stent placement
  • Rescue stenting
  • Endovascular treatment of acute carotid artery occlusion

Cerebral Aneurysms

  • Coiling
  • Balloon-assisted coiling
  • Stent-assisted coiling
  • Flow diverter stents
  • Imaging follow-up after treatment

Vascular Malformations

  • AVM embolisation
  • Embolisation of dural arteriovenous fistulas
  • Preoperative embolisation of hypervascular tumours
  • Endovascular treatment of vascular malformations of the head and neck

Carotid Artery Disease

  • Carotid angioplasty
  • Carotid stent placement
  • Endovascular treatment of recurrent stenosis

Spine

  • Diagnostic spinal angiography
  • Selected endovascular treatments of vascular lesions of the spine
Multidisciplinary Approach

Patient management is based on the principles of organised multidisciplinary collaboration (Multidisciplinary Team – MDT), which is internationally recognised as the standard for the management of complex neurological and neurovascular conditions.

Each case is collectively assessed by specialised physicians from different medical specialties, including Neurology, Neurosurgery, Vascular Surgery, Cardiology, Anaesthesiology, Intensive Care, Oncology, and Radiology. The diagnostic and therapeutic strategy is individualised based on clinical, imaging, and laboratory data, ensuring the best possible outcome for each patient.

Quality, Innovation and Excellence

The Diagnostic and Interventional Neuroradiology Department of Mediterranean Hospital of Cyprus is committed to providing comprehensive, highly specialised services based on evidence-based medical practice, innovation, and continuous scientific advancement.

The Department operates according to the principles of:

  • timely and accurate diagnosis
  • application of internationally established evidence-based treatment protocols
  • maximum patient safety
  • continuous education and scientific development of staff
  • use of advanced medical technology
  • continuous improvement of the services provided in accordance with international quality standards

Through close collaboration between all medical specialties involved and the implementation of a comprehensive model of care, the Department provides modern, high-quality diagnostic and therapeutic services comparable to those offered by major specialised European neuroscience centres, with the aim of achieving the best possible clinical outcomes and improving patients’ quality of life.

FAQ

What Is Diagnostic and Interventional Neuroradiology?

Diagnostic and Interventional Neuroradiology is a specialised medical subspecialty concerned with the diagnosis and minimally invasive treatment of conditions affecting the brain, spine, spinal cord, and blood vessels of the nervous system, using advanced imaging techniques.

Which Conditions Are Treated at the Department?

The Department treats a wide range of neurovascular conditions, such as cerebral aneurysms, arteriovenous malformations (AVMs), arteriovenous fistulas, acute ischaemic stroke, stenoses of the cerebral blood vessels, and other complex vascular conditions of the brain and spine.

What Are Endovascular Procedures?

Endovascular procedures are performed using very small catheters that are usually inserted through an artery in the wrist or groin. In this way, many conditions can be treated without open surgery, resulting in less trauma, faster recovery, and a shorter hospital stay.

When Is Mechanical Thrombectomy Performed?

Mechanical thrombectomy is performed in selected patients with acute ischaemic stroke, with the aim of immediately restoring blood flow to the brain. Timely treatment can significantly reduce permanent neurological damage and improve the patient’s prognosis.

Are Neuroradiology Procedures Safe?

The procedures are performed by specialised Interventional Neuroradiologists in a modern angiography suite, using advanced technology and strict safety protocols. Each case is assessed individually in order to select the most appropriate therapeutic approach.

Does the Department Collaborate with Other Medical Specialties?

Yes. Patient management is carried out within the framework of multidisciplinary collaboration with Neurologists, Neurosurgeons, Interventional Radiologists, Vascular Surgeons, Anaesthesiologists, Intensive Care Specialists, and the Accident & Emergency Department (A&E), ensuring comprehensive and immediate care.

What Is the Advantage of Treatment at Mediterranean Hospital of Cyprus?

The Diagnostic and Interventional Neuroradiology Department is supported by the comprehensive infrastructure of Mediterranean Hospital of Cyprus, including the Imaging Department, Hybrid Operating Theatre, Intensive Care Unit (ICU), Trauma Centre, and the 24-hour on-call coverage of specialised medical teams. Immediate access to advanced technology and close collaboration between multiple medical specialties enable the rapid and effective management of even the most complex neurovascular cases.

Department Doctors

Tsinas Theodosios

Director

Radiology

Interventional Neuroradiology