Neuroendovascular Program

Neuroendovascular therapy is a subspecialty within the fields of interventional radiology and neurosurgery that treats complex conditions of the brain such as stroke, aneurysm and arteriovenous malformations (AVMs). With the availability of this advanced capability in Portland, patients have 24/7 access to time sensitive treatments. Our team of fellowship-trained neuroendovascular specialists provides responsive, sophisticated care that consistently saves lives and dramatically minimizes disability.

Program Highlights

Maine Medical Center’s neuroendovascular team is distinguished by numerous attributes, including:

  • Around-the-clock access to life-saving neuroendovascular care for acute cerebrovascular conditions
  • A team of fellowship-trained subspecialists with neuroendovascular expertise, providing the best treatment options available, close to home
  • Leading-edge minimally invasive technology and techniques for treating cerebrovascular conditions such as stroke, aneurysms and arteriovenous malformations (AVMs)
  • A full range of treatment options, so care can be tailored to the unique needs of the individual patient
  • A coordinated, multidisciplinary approach to care in a collaborative, patient and family-focused environment
  • A full array of the latest, most advanced imaging technology for fast, accurate planning and treatment
  • A growing complement of neuro-certified nurses who deliver exceptional care to this complex patient population
    Integrated rehabilitative care in partnership with New England Rehabilitation Hospital, giving patients coordinated recovery from neurological trauma and stroke
  • A Telestroke Network that uses videoconferencing and digital imaging technology to bring Maine Medical Center’s stroke expertise to community hospital emergency rooms 24/7, helping to identify stroke patients who can benefit from Maine Medical Center’s neuroendovascular expertise and expedite their transfer to Maine Medical Center

Conditions Treated

The neuroendovascular specialists at Maine Medical Center are experts at treating the following cerebrovascular conditions:

  • Stroke
  • Ischemic stroke
  • Hemorrhagic stroke
  • Transient ischemic attack (TIA)
  • Cerebral (brain) aneurysm
  • Arteriovenous malformation (AVM)
  • Arteriovenous fistula (AVF)
  • Cerebral artery stenosis
  • Vertebral artery stenosis
  • Carotid artery dissection

Quality Outcomes

Carotid Endarterectomy

Carotid endarterectomy is a surgery to remove fatty deposits (plaque) that are narrowing the arteries in your neck. These are called the carotid arteries. They supply blood and oxygen to the front part of our brain. If plaque and other fatty materials block an artery, it slows or blocks the blood flow, and you could have a stroke.

neuro carotid endarterectomy
Source: American Heart Association

Carotid Stenting

Our vascular specialists use a procedure called angioplasty to widen the carotid arteries and restore blood flow to the brain. A thin tube with a deflated balloon on the end is threaded through a blood vessel in your neck to the narrowed or blocked carotid artery. Once in place, the balloon is inflated to push the plaque outward against the wall of the artery. A stent (a small mesh tube) is then put in the artery to support the inner artery wall. The stent also helps prevent the artery from becoming narrowed our blocked again.

Source: National Heart, Lung, & Blood Institute

Our Commitment – Maine Medical Center

Maine Medical Center is dedicated to improving the health of the communities we serve. We value Patient Centered Care, Integrity, Ownership, Excellence, Respect and Innovation. Carotid artery stenting and endarterectomies are 2 examples of innovative procedures done at Maine Medical Center.

Maine Medical Center is included in the Vascular Quality Initiative, a nationwide prospective database used to collect and analyze outcomes of surgical and minimally invasive vascular procedures. Participation in the initiative allows collaboration with Maine Medical Center and with other institutions to enhance cerebrovascular treatment outcomes and maintain quality reporting.

Carotid Artery Stenting and Carotid Endarterectomy Procedures 2013 – 2017 Volumes

2013 - 2017 Volume Stroke (%) Hospital Mortality (%)
Carotid Stenting 158 0.70% 1.94%
Carotid Endarterectomy 754 0.67% 2.72%

Brandon's Story

When Brandon suffered a stroke following a major automobile accident in Presque Isle, he was transported to MMC. The neurosurgical team performed a mechanical thrombectomy to remove a clot and saved Brandon’s life, enabling him to make a remarkable recovery.