Successful Endovascular Neurosurgical Practice in Resource-poor Exclusive Rural Neuro-hospital Setup

Area of Science:

• Neurosurgery
• Endovascular Procedures
• Healthcare Access

Background:

• Establishing advanced neurosurgical services in remote, resource-limited areas presents significant challenges.
• Previous literature often focuses on well-resourced urban centers, leaving a gap in understanding feasibility in underserved regions.

Purpose of the Study:

• To assess the feasibility of implementing endovascular neurosurgery in a remote, resource-poor neuro-hospital.
• To evaluate the clinical outcomes and procedural success rates of endovascular neurosurgery in this setting.

Main Methods:

• Retrospective analysis of diagnostic and therapeutic endovascular neurosurgical procedures.
• Data collected from September 2013 to June 2016.
• Inclusion of cerebral and spinal digital subtraction angiograms and major endovascular interventions.

Main Results:

• 174 diagnostic angiograms and 70 major endovascular procedures were performed.
• Procedures included aneurysm coiling, arteriovenous malformation embolization, tumor embolization, and stenting.
• Procedural success rate was 97.2% with low morbidity (1.4%) and mortality (1.4%).

Conclusions:

• Endovascular neurosurgery is feasible and safe in remote, resource-poor rural neuro-hospitals.
• Outcomes achieved are comparable to those reported in the existing literature from better-resourced settings.
• This demonstrates a viable model for expanding access to advanced neurosurgical care.