Department of Radiology / NeuroEndovascular Program

 

DEPARTMENTS OF NEUROSURGERY/RADIOLOGY

Services • Faculty • Diseases and Procedures • Research • Contact Us

 

At UTHSCSA, we offer advanced comprehensive care for the full spectrum of complex cerebro-vascular disorders by integrating multiple disciplines which include microneurosurgery, endovascular neurosurgery, stroke neurology, emergency medicine and rehabilitation. The UTHSCSA endovascular Neurosurgery / Interventional Neuroradiology Program mission is to provide comprehensive diagnostic and treatment services both to adult and children with cerebro-vascular diseases.


Endovascular Neurosurgery/Interventional Neuroradiology is a minimally invasive approach for the treatment of cerebrovascular diseases many of which in the past would have required surgery or even being considered untreatable.

 

This approach is made possible by recent developments in both imaging technology and endovascular devices. The neurointerventionalist uses real time digital images to guide instruments through the blood vessels to treat conditions such as:

  • Cerebral aneurysms Arteriovenous malformations (AVMs) of the brain and spine Steno-occlusive cerebrovascular disease Acute strokes Brain tumors Pediatric vascular lesion
  • Vascular lesions of head and neck.

SERVICES THAT WE OFFER AT UTHSCSA:

At UTHSCSA, we are committed to develop mutually beneficial relationships with our referring physicians and are open to discussing how we can help in the management of your patients. The collaboration options include:

 

  • Transferring patients to our center for endovascular and/or surgical treatment.
  • Transferring patients to our center for endovascular therapy (e.g. embolization of a vascular malformation), after which they can be sent back to your hospital for definitive surgery. Refer patients for Neuroimaging.
  • Consultation with the Neuroendovascular Service is available 24 hours a day. We have a weekly neurovascular conference to discuss the treatment options for the cases referred our Department.
  • Telephone consultations and/or electronic film reviews are also available. We invite you to send cases or question. Please contact our administrative assistant Mary Lee Cravey, 210-567-5623 to expedite the process use our e-mail (fernandezp@uthscsa.edu).

 

FACULTY:

Patrica M. Fernandez, M.D.
Email: fernandezp@uthscsa.edu
Phone: (210) 567-5623
Office: University Hospital Neurosurgery Clinic at 5th floor

 

 

DISEASES

PROCEDURES
CEREBROVASCULAR DISORDERS

Cerebral and spinal diagnostic angiogram with 3D rotational imaging
CEREBRAL ANEURYSMS

Coiling with biologically active platinum coils

Stents for wide neck aneurysms

Treatment of vasospasm associated to subarachnoid hemorrhage
STROKE - ACUTE STROKE

Thrombolysis

Mechanical clot removal
STENO-OCCLUSIVE CEREBROVASCULAR/ DISEASE /STROKE PREVENTION

Intracranial angioplasty and stenting

Carotid angioplasty and stenting
ARTERIOVENOUS MALFORMATIONS AND DURAL FISTULAS

AVM Embolization
PEDIATRIC VASCULAR DISORDERS

Embolization
SPINAL CORD AND SPINE VASCULAR LESIONS

Embolization and functional testing
TUMORS

Temporary balloon occlusion testing

Intra-arterial chemotherapy

Tumor devascularization
VASCULAR MALFORMATIONS OF FACE, HEAD AND NECK

Percutaneous Sclerotherapy

Transcatheter embolization
EPISTAXIS(NOSE BLEEDING)

AVM Embolization
SAGITAL SINUS TROMBOSIS

Thrombolysis
ENDOCRINOLOGICAL DISORDERS

Petrosal sinus sampling
EPILEPSY

Wada Test

 

 

RESEARCH:

The research effort are directed into advanced neuroimaging, vascular biology, management of aneurysms and interventional treatment of ischemic stroke.

 

HOW TO CONTACT US:

NEUROENDOVASCULAR SERVICE:
Phone number: 210-567-5623

Office visit:
Patricia Fernandez, M.D. at University Hospital Neurosurgery Clinic at 5th floor

 

EMERGENCIES:
Pager: 1-888-579-5017
Cell phone: 210-287-7311