Referrers

Emergencies

  • NIISwa provides a 24 hour emergency on-call service. Access for discussion is initially through SCGH switchboard (08 6457 3333) and they will put you through to the on call Fellow or Consultant as appropriate
  • Outpatient Referrals
    All elective neurovascular conditions, including incidental brain aneurysms, craniocervical or neuraxial vascular malformations, craniocervical vascular stenotic diseases, can be directly referred to NIISwa

  • For referrals from outside the public hospital system (General Practitioner or Specialist), please fax a referral letter to 08 6457 3710
  • For referrals from within the public hospital system, please send the referral via the eReferrals system (Under “Referral To”, choose Site: Sir Charles Gairdner Hospital, Unit: Neuro Intervention (NIISWA) [NIIS], regardless of site, for central triaging)
  • The patient will then be triaged according to urgency. The Department can be contacted on 08 6457 4455 during working hours (further contact details available on the Home Page)
  • The Neurological Intervention & Imaging Service of WA (NIISwa) provides:

    Neurointerventional:

  • State-wide neurointervention service including outpatient clinic consultation, inpatient admission and aftercare
  • State-wide hyperacute intracranial mechanical thrombectomy service for acute large vessel occlusion ischemic stroke for all WA patients, both metropolitan and rural, based at SCGH and FSH
  • State-wide service for acute and elective intracranial aneurysm assessment and endovascular treatment, based at SCGH
  • State-wide service for intracranial vascular malformation assessment and endovascular treatment, based at SCGH
  • Emergency neurovascular operative support for craniocervical traumatic vascular injuries to the WA State Trauma Unit, based at RPH
  • Adjunctive pre-resection transcatheter tumour devascularization for cerebral, cranial, spinal and cervical lesions, based at SCGH
  • Assessment and neurointerventional treatment of paediatric neurovascular conditions, based at PCH
  • Assessment and treatment of craniocervical vascular stenotic and occlusive diseases, including carotid and vertebral revascularisation (stenting) procedures
  • Assessment and treatment of dural venous sinus stenosis causing intracranial hypertension, by dural sinus stenting
  • Assessment and treatment of spinal and intracranial vascular pathologies, based at SCGH
  • Endovascular treatment of epistaxis (nosebleeds)
  • Treatment of chronic subdural haematoma by middle meningeal artery embolization
  • Outpatient consultation with dedicated Interventional Neuroradiologists for neurovascular diseases
  • Liaison and consultative service to other related departments
  • Neurodiagnostic:

  • Specialist expertise in tertiary and quaternary level neurological imaging and diagnosis for brain, head and neck and spinal disease at SCGH, RPH, PCH and KEMH
  • Neurovascular perfusion imaging
  • Comprehensive Transcranial Doppler (TCD) service, including transcranial Doppler right to left shunt studies
  • Functional MR imaging especially in tumour and epilepsy evaluation
  • Advanced Neuro Imaging techniques in MR and CT
  • Percutaneous/Spinal:

  • Comprehensive CSF leak management service (imaging workup, targeted patching and follow-up)
  • Provides full range of percutaneous spinal procedures including vertebral augmentation (vertebroplasty), biopsy, lumbar punctures, facet and nerve root sleeve injections, epidural injections and myelography
  • Provides full range of percutaneous head and neck procedures including complex biopsy
  • Assessment and treatment of peripheral vascular anomalies and treatment of pulmonary AVMs