Tel: 08 6457 1316
Sir Charles Gairdner Hospital:
Tel: 08 6457 4455
Fax: 08 6457 3710
Fiona Stanley Hospital:
Tel: 08 6152 5098
Fax: 08 6152 8058
After hours patient emergencies:
Tel: 08 6457 3333
Welcome to NIISwa
The first endovascular procedure for treatment of brain AVM was performed in the Royal Perth Hospital Radiology Department in 1979. The interventional service was one of two to receive Federal funding as a Specialist Interventional Unit in Australia to formally evaluate the efficacy of endovascular treatment of neurovascular diseases. Endovascular treatment of intracranial aneurysms has been provided by the interventional neuroradiology service since 1992.
The Neurological Intervention & Imaging Service of WA (NIISwa) was commenced on July 1 2007 as the first specialist Neuroradiology Department in Australasia. NIISwa provides a statewide service for both tertiary and quaternary diagnostic and therapeutic neuroradiology. It is headquartered at Sir Charles Gairdner Hospital but services are provided at both SCGH and RPH campuses with a staff of nine full time Neuroradiologists.
Greater than 80% of intracranial aneurysms are treated endovascularly today. The service provides a Transcranial Doppler (TCD) service for vasospasm in subarachnoid haemorrhages and has performed balloon angioplasty for the treatment of intracranial spasm since 1995.
As of March 2008 the treatment of acute subarachnoid haemorrhage is based at SCGH. A state of the art biplane flat panel angiographic machine was opened at SCGH in 2008 with on-table CT capabilities, and a second unit was commissioned for mid 2010 with on-table perfusion capabilities. A dedicated Transcranial Doppler (TCD) and acute Carotid Doppler service is also available.
Carotid stenting has been pioneered and provided as a service to all public hospital and private patients since 1996 with a cooperative and holistic assessment and treatment of patients in cooperation with neurology and the stroke service.
A variety of other spinal and intracranial vascular pathologies are treated as well as treatment of traumatic vascular injuries, epistaxis and tumour embolisation.
The service also provides a statewide collaborative assessment and treatment of peripheral vascular anomalies and treatment of pulmonary AVMs.
The full range of interventional neuroradiological head, neck and carotid procedures continue to be offered at RPH with its biplane unit. Additionally, NIISwa will be responsible for the reporting of tertiary neurological and ENT imaging across both campuses
Advanced diagnostic imaging includes MR Spectroscopy, MR Perfusion, DTI, MR Functional, Arterial Spin Labeling, CT Perfusion and CT Angiography, performed on SCGH 3T and 1.5T MR Scanners, RPH 1.5T magnet and SCGH and RPH (4) 64 slice CT Scanners. Carotid Doppler services are provided at RPH and SCGH.
The department has forged very strong links with other departments and holds many regular interdisciplinary meetings, some involving videoconferencing across both campuses. A fortnightly intra-department CME meeting is held. Regular rotation of radiology registrars enrolled in the state training scheme is held and there are four radiology fellowships for advanced neuroradiology training.
Patients with neurovascular problems are assessed at NIISwa outpatient clinics based at both RPH and SCGH.
Consultants are available for personal consultation at both RPH and SCGH.