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Vascular neurosurgery involves the treatment of abnormalities of blood vessels of the brain and spinal cord. Some examples are brain aneurysms, arteriovenous malformations and spinal arteriovenous fistulas.

These patients are managed by neurosurgeons and interventional neuroradiologists.

For example, some brain aneurysms are treated by neuroradiologists with endovascular coiling and some are treated by neurosurgeons with craniotomy and clipping.

We use a variety of techniques to manage such patients including imaging (perfusion CT, Xenon-CT monitoring) and monitoring (trans-cranial Doppler, brain tissue oxygen) to manage vasospasm.

Indocyanine green and micro-Dopplers are routinely used intraoperatively.

We provide weekend treatment service for cerebral aneurysms including coiling and clipping.

Robert Iorga, Francis Johnston, Pawan Minhas and Marios Papadopoulos sub-specialise in vascular neurosurgery.

Mortality data

Consultant outcome publication (COP) is an NHS England initiative to increase transparency within the NHS and to provide the public with information on surgical outcomes. The Neurosurgical National Audit Programme (NNAP) has been mandated by NHS England to publish activity and mortality data for all neurosurgery units and consultant neurosurgeons practising in England.

The newly published mortality data shows that the St George’s Hospital neurosurgery unit has a lower than expected mortality rate.  You can read the NNAP report on St George’s and compare our performance with other neurosurgery units on the Neurosurgical National Audit Programme website.

Consultant Outcome Publication 2014

Read the mortality data and outcome report for each of our consultant neurosurgeons: