Neurovascular Surgery — Anoki

Neurovascular Surgery

Surgical treatment for the blood vessels of the brain

From clipping an aneurysm to removing an abnormal tangle of vessels, Dr. Rajesh Pathi performs neurovascular surgery with precision — and explains exactly why a procedure is being recommended for your specific case.

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If you're here because of sudden stroke symptoms or a suspected brain bleed — call emergency services (108) immediately rather than reading further.

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For non-emergency findings, there's usually time to plan carefully

This page is about planned neurovascular surgery — most often for an unruptured aneurysm, an AVM found on imaging, or a related condition that's being carefully evaluated rather than treated as an emergency. That gives time for proper evaluation, a clear explanation, and if you'd like one, a second opinion.

MCh

Neurosurgery Super-Specialization

Neurovascular

Surgery Focus

10+ Yrs

Neurosurgical Experience

2nd Opinion

Consultations Welcomed

Procedures

What neurovascular surgery can involve

Aneurysm clipping

Placing a small clip across the base of an aneurysm to seal it off from normal blood flow.

AVM resection

Surgical removal of an abnormal tangle of blood vessels, where appropriate.

Cerebral bypass

Rerouting blood flow around a blocked or narrowed vessel in select cases.

Cavernoma removal

Removing a cluster of abnormal, thin-walled blood vessels when it's causing symptoms or bleeding.

Understanding the choice

Surgical clipping vs. endovascular treatment

Both are established approaches for some vascular conditions. Which applies depends on your specific anatomy.

Surgical clipping (open surgery)

A craniotomy is performed to directly access and clip the abnormal vessel or aneurysm.

Direct, permanent closure of the targeted vessel
Often preferred for certain shapes, sizes or locations

Endovascular treatment (coiling / embolization)

A catheter-based technique performed through the blood vessels, typically by an interventional neuroradiology team.

No open incision, accessed through the groin or wrist
Suitable for certain aneurysm shapes and locations

Dr. Pathi will discuss which option is appropriate for your specific vessel anatomy, and coordinate with interventional colleagues where an endovascular approach is the better fit.

What to expect

Your surgical journey, stage by stage

Step 1

Detailed vascular imaging

Careful mapping of the affected vessel and surrounding anatomy.

Step 2

Approach discussion

Surgical versus endovascular options explained honestly for your case.

Step 3

Preparation

Clear instructions on medication, fasting, and what to expect.

Step 1

Anesthesia & positioning

Careful setup with continuous monitoring throughout.

Step 2

The procedure

Performed with precision, often supported by intraoperative imaging.

Step 3

Post-op monitoring

Close observation, often including a period in intensive care as a precaution.

Step 1

Hospital recovery

Duration depends on the specific procedure and your individual recovery.

Step 2

Follow-up imaging

Confirming the vessel has been treated successfully.

Step 3

Ongoing monitoring

Periodic reviews, as recommended for your specific condition.

Considering a second opinion before surgery?

For a vascular finding — especially an incidental one — wanting an independent review is completely reasonable, and welcomed here.

Learn About Second Opinion Services

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Your Neurovascular Surgeon

Dr. Rajesh Pathi

MBBS, MS, MCh, FMISS — Skull Base & Neurovascular Surgeon

Dr. Pathi's neurosurgical training includes a focus on neurovascular conditions. He believes patients facing a vascular diagnosis — urgent or incidental — deserve a clear, honest explanation of their actual risk and options.

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Common questions

Questions patients often have

How do you decide between clipping and coiling?

It depends on the aneurysm's exact size, shape and location. Dr. Pathi reviews your specific imaging and discusses which approach — or combination of specialists — is most appropriate.

I have an unruptured aneurysm — does it need surgery right away?

Not necessarily. Many small, unruptured aneurysms are safely monitored. The decision depends on size, location and your individual risk factors.

What is an AVM, and does it always need to be removed?

An AVM is an abnormal tangle of blood vessels. Treatment depends on its size, location and whether it has bled — some are monitored rather than treated immediately.

Can I get a second opinion on my recommended procedure?

Yes — this is common and reasonable for neurovascular conditions. Bring your existing imaging and reports.

Have a neurovascular finding you'd like explained?

Book a consultation with Dr. Rajesh Pathi at our Pragathi Nagar clinic.

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