Interventional Neuroradiology (INR)

The Tertiary Neurovascular Interventional Neuroradiology Unit at North Bristol NHS Trust (NBT) is a leading centre of excellence, specialising in advanced neurovascular interventions to diagnose and treat both adult and paediatric complex conditions of the brain and spine. Our mission is to deliver cutting-edge, patient-centred care through innovative neurovascular interventions. We strive to be at the forefront of medical advancements, improving patient outcomes and quality of life.

The Neurovascular Interventional Radiology (INR) service provides the largest 24/7 Mechanical Stroke Thrombectomy service in the UK, performing over 430 Mechanical Thrombectomy's (MT) for South West England and South Wales between 2023 and 2024. 

The unit offers a comprehensive range of services, including the treatment of cerebral aneurysms, arteriovenous malformations, and acute stroke interventions. NBT was awarded neurovascular (level 5) gamma knife commission for South West England in June 2024. Our INR department covers all paediatric neurovascular intervention at Bristol Children’s Hospital. Our team is proficient in minimally invasive endovascular procedures, ensuring the highest standards of care. Our team comprises highly skilled interventional neuroradiologists, neuro intensive care and neuro anaesthesia, neurosurgeons, and specialized nursing staff, all dedicated to providing exceptional care. Each team member brings extensive experience and expertise in neurovascular interventions.

Other procedures such as cerebral angiography, myelography, carotid stenting, lumbar punctures, spinal biopsies and cement augmentation procedures are also performed. We monitor closely international developments in the published scientific literature and adopt new techniques where appropriate; one such example being the emergence of middle meningeal artery embolization for chronic subdural haemorrhage, in carefully selected patients and in collaboration with our neurosurgical colleagues. There is an increasing demand for spinal injections and other related interventions. 

The unit is actively involved in groundbreaking research and clinical trials, contributing to the advancement of neurovascular medicine. Our commitment to innovation ensures that we employ the latest techniques and technologies in patient care. There is an active academic department with close link with Bristol University Medical school. The INRs teach undergraduate medical students from Bristol Medical School, Severn Deanery radiology registrars, has pioneered an INR FY2 program and is involved in neuroscience clinical research programs. The group has collaborated on several published studies in recent years. NBT INR also trains international INR fellows, credentialing from allied specialities (neurosurgery and neurology) from USA and Australia.