Neurointerventional Radiology - San Francisco VA Health Care System
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San Francisco VA Health Care System


Neurointerventional Radiology

About Our Department

Neurointerventional Radiology treats conditions that occur in blood vessels of the brain, head, neck, and spine. Neurointerventional procedures are minimally invasive, performed through tiny incisions (usually no larger than the diameter of a pencil) at the top of the thigh. Under advanced live X-ray imaging, miniature surgical tools can be placed through long narrow tubes (catheters) from the thigh to almost any part of the body, including the brain. Recovery times from these procedures are usually much faster than for open surgical procedures. Many patients and health care providers may not be aware that minimally invasive neurointerventional procedures are available to treat complex disorders of the blood vessels in the brain, spine, head, and neck.

Neurointerventional Treatments

Neurointerventionalists perform many beneficial procedures. Here are just a few:

Treatment of Brain Aneurysms:  Block off an aneurysm thus preventing bleeding into the brain (hemorrhagic stroke).

•  Treatment of Brain and Spine Vascular Malformations: Block off abnormal connections between arteries and veins in arteriovenous malformations (AVMS) and dural arteriovenous fistulas (DAVFs).

•  Treatment of Acute Stroke: Remove blood clots from blocked brain blood vessels.

•  Treatment of Tumors: Help patients by injecting medication or a dose of radiation treatment into a tumor of the brain, head, neck, or spine in order to shrink it prior to surgery or, in some cases, instead of surgery.

Overall, the benefits for patients are often life-saving in addition to causing less patient discomfort, fewer complications, and faster recovery as compared to open surgery.

Many neurointerventional treatments are now the highest standard of care and are performed at centers of excellence around the world, including at the San Francisco VA Medical Center. Ask your doctor if there is a neurointerventional specialist with whom you or your doctor can discuss your treatment. At SFVAMC, in addition to treating patients from the West Coast, Rocky Mountains, and Pacific Basin, we also serve patients from as far away as Oklahoma and Georgia, and are happy to serve We are a team of dedicated subspecialty radiologists, technologists and nurses, and managers who provide exemplary care to our patients Veterans from across the country and around the world.

About the Team

Neurointerventional Specialists:

SFVAMC's specialist team (from left), Daniel Cooke, MD, and Steven Hetts, MD, operate at the SFVAMC and are affiliated with the University of California San Francisco Medical Center. Their colleague, Danny Langston, NP, coordinates care for the neurointerventional service at SFVAMC.

Information for scheduling an appointment or a consult:

Physicians Outside the VISN 21 may call Danny Langston at (415) 221-4810, ext. 2-3058 or Email: to set up a consultation and to make a patient’s travel plans.

Physicians inside the VISN may use the CPRS menu and click on Neurointerventional Radiology to forward a consult. Physician specialists will make a plan of care and work with the referring physician team to set up the procedures.

Click here for Frequently Asked Questions about Neurointerventional Radiology.

Contact Info


  • 4150 Clement Street
    San Francisco CA 94121

Contact Number(s)

  • 415-221-4810 Ext. 2-2668

Hours of Operation

  • Thursdays (surgery by appointment)