Working group for vascular neurosurgery and neuro intensive care
The working group for vascular neurosurgery is intensively dedicated to the research and treatment of acute and chronic diseases of the vascular system in the brain and spinal cord. The focus is on aneurysms, arteriovenous malformations and fistulas, cavernomas and steno-occlusive vascular diseases.
The hybrid procedure combines classical microsurgical techniques with the innovative possibilities of endovascular intervention, particularly in the case of complex and large aneurysms. The endovascular technique involves the use of catheters to treat pathologies under X-ray radiation directly through the vascular system, while the microsurgical techniques rely on open surgery under a microscope. The combination of these two techniques makes it possible to develop tailor-made treatment approaches.
The Working Group for Neuronintensive Care Medicine deals with the investigation of the underlying pathophysiological processes of neurosurgical disorders and their diagnosis and treatment. The relationship between cerebral and extracerebral organ dysfunction and their mutual effects is a central topic. The focus is on cerebral perfusion and metabolism as well as cerebral electrophysiology. A comprehensive multimodal neuromonitoring including conventional brain pressure measurement, cerebral oxygen partial pressure measurement and cerebral microdialysis serves as the basis.
The close link between vascular neurosurgery and neurointensive care is of decisive importance, as the interdisciplinary collaboration between neurosurgeons and intensive care physicians has a decisive influence on the neurological outcome of patients, especially in acute cases following a haemorrhage of cerebrovascular diseases. In elective surgery, neurointensive medicine plays a key role in post-operative monitoring and treatment in order to avoid potential complications and best support the recovery of patients.
The research efforts of the Vascular Working Group and Neurotensive Medicine focus on the continuous improvement of the methods and treatment strategies used. The close collaboration with other disciplines such as anaesthesiology, neuroradiology, neurology and neuropathology enables comprehensive research and treatment of cerebral and spinal vascular pathologies.