Intracranial Angioplasty for Vasospasm Treatment in India
About Intracranial Angioplasty for Vasospasm
Key Highlights
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Minimally invasive procedure performed through a small catheter insertion, often in the groin.Directly treats vasospasm to restore blood flow and prevent stroke.Can be performed urgently to address deteriorating neurological symptoms.Often combined with intra-arterial vasodilator medication (chemical angioplasty) for enhanced effect.Helps prevent long-term disability associated with delayed cerebral ischemia.
Who is this surgery for?
- Symptomatic cerebral vasospasm following a subarachnoid hemorrhage (SAH), typically detected by transcranial Doppler or angiography.
- Neurological deterioration (e.g., new weakness, speech difficulty, decreased consciousness) attributable to vasospasm despite maximal medical therapy (Triple-H therapy: Hypertension, Hypervolemia, Hemodilution).
- Significant vessel narrowing (>50% stenosis) on diagnostic cerebral angiography that correlates with clinical symptoms or perfusion deficits.
- Prophylactic or rescue therapy in high-risk patients with severe SAH to prevent ischemic stroke.
How to prepare
- Urgent neurological assessment and imaging confirmation via CT angiography or digital subtraction angiography (DSA).
- Optimization of medical management, including blood pressure control and nimodipine administration.
- Informed consent process explaining the urgent nature, risks, and benefits of the procedure.
- Pre-procedure blood tests and coagulation profile assessment.
- Fasting for several hours prior to the procedure. An intravenous (IV) line will be established for fluids and medications.
Risks & possible complications
- Vessel dissection or perforation, which can lead to bleeding in the brain (hemorrhage).
- Blood clot formation at the treatment site, potentially causing a new stroke.
- Failure to adequately open the vessel or recurrence of vasospasm.
- Reaction to contrast dye used during angiography.
- Infection or bleeding at the catheter insertion site in the groin.
- Rarely, the balloon inflation can cause vessel rupture.
Recovery & hospital stay
- Immediate post-procedure monitoring in a Neuro-ICU for close observation of neurological status and vital signs.
- Strict bed rest for several hours to prevent bleeding from the catheter access site.
- Continued medical management for vasospasm, including blood pressure support and medications.
- Follow-up imaging may be performed to assess vessel patency and blood flow.
- Gradual mobilization and initiation of rehabilitation therapies (physical, occupational, speech) as the patient's condition stabilizes from the initial hemorrhage.
- Long-term follow-up with a neurologist or neurosurgeon is essential.
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Typical hospital stay:
7-14 days (highly variable, depends on the severity of the initial hemorrhage and clinical course)
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Expected recovery time:
Several weeks to months (recovery is primarily from the underlying subarachnoid hemorrhage; the angioplasty itself aims to prevent further injury)
Frequently Asked Questions
If you are considering intracranial angioplasty for vasospasm in India, these questions and answers can help you make a confident, informed decision.
Popular choices for intracranial angioplasty for vasospasm in India include Miot Hospital Chennai, Cytecare Hospital, Kamineni Hospital LB Nagar, Kamineni Hospital, King Koti, Manipal Hospital Old Airport Road, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform intracranial angioplasty for vasospasm. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for intracranial angioplasty for vasospasm compare across other countries where we have data.
| Country | Estimated cost range | Typical stay | Recovery time | View details |
|---|---|---|---|---|
| India | INR 250 Thousand – 600 Thousand | 7-14 days (highly variable, depends on the severity of the initial hemorrhage and clinical course) | ~ Several weeks to months (recovery is primarily from the underlying subarachnoid hemorrhage; the angioplasty itself aims to prevent further injury) | Know More |
| Turkey | TRY 875 Thousand – 2.1 Million | 7-14 days (highly variable, depends on the severity of the initial hemorrhage and clinical course) | ~ Several weeks to months (recovery is primarily from the underlying subarachnoid hemorrhage; the angioplasty itself aims to prevent further injury) | Know More |
Top hospitals for Intracranial Angioplasty for Vasospasm in India
These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing intracranial angioplasty for vasospasm.
Hyderabad, India
67 Doctors
Pari Patel, a 42-year-old high school...
Pari Patel, a 42-year-old high school biology teacher and mother of two, was an otherwise healthy woman until she suffered a ruptured brain aneurysm three weeks ago. She survived the emergency clipping surgery, but a week into her recovery, she developed a severe, thunderclap headache and began to slur her words. A CT angiogram confirmed what her neurosurgeon feared: vasospasm, a dangerous narrowing of blood vessels in her brain, was causing a delayed stroke. The doctor explained that without intervention, she could lose significant cognitive function. Terrified of not being able to recognize her children or return to her classroom, Pari consented to an intracranial angioplasty. During the procedure, a tiny balloon was threaded through her arteries to the spasm site and gently inflated, reopening the vessel. Waking up in the Neuro-ICU, the crushing headache was gone. Over the next few days, her speech cleared completely. Her emotional journey was one of profound terror, fearing she would be a burden to her family, to immense relief and cautious optimism. Six months later, after intensive cognitive therapy, she is back teaching part-time, cherishing every moment with a renewed sense of gratitude for her second chance.
Neurosurgeons for Intracranial Angioplasty for Vasospasm
Explore experienced neurosurgeons who regularly perform intracranial angioplasty for vasospasm and provide pre- and post-operative care in India.
- 18 Years Experience
- Neurosurgeon
Miot Hospital Chennai, Chennai
- 22 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 10 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Yeshwanthpur, Bangalore
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 9 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 8 Years Experience
- Neurosurgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Whitefield, Bangalore
- 29 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 20 Years Experience
- Neurosurgeon
Manipal Hospital Old Airport Road, Bangalore
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Patiala, Patiala
- 17 Years Experience
- Neurosurgeon
Manipal Hospital Mysore, Mysore
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Vijayawada, vijayawada