At Sydney Aneurysm we are always ready and willing to organize a consultation with you and your family.

We consider it our duty to patients to make sure they receive all the information they need, that they have their questions answered, and their concerns addressed. By being fully informed about your condition and your treatment, you can take control of a confronting situation and make decisions about what treatment you want based on your individual needs in life. You will always get a recommendation from us that takes into account your individual circumstances.

Please bring you’re a family member or loved one with you for your consultation, so they can ask questions you might forget or not think of, and so they are better able to support you throughout your treatment. You don’t have to face your condition alone – you have your family and loved ones, your GP, and us at Sydney Aneurysm to support you through your journey.

Pre-operative care is essential to getting the best outcome for you. This involves detailed consultation and getting the best imaging possible – including in many cases the need to get a high-quality cerebral angiogram performed by Dr Bhatia. In addition, some endovascular treatments require the use of tablet blood-thinners starting 5-7 days prior to your procedure and continuing for several months afterwards. We can help you to co-ordinate these medications and ensure you have the correct scripts and information.

Post-operative care is also essential in avoiding complications and making a strong recovery. This includes in-hospital care to make sure we minimize the bleeding risk from your wrist or thigh, optimizing your medications to prevent clot formation, and giving you the right advice before you leave the hospital. After you get home, we want you to know what you can expect over the coming days to weeks, how we will follow you up, and how to contact us with any concerns or questions.

Appointments

CONSULTATIONS

At Sydney Aneurysm our initial consultations are 30 minutes long to make sure we have plenty of time to find out what your journey so far has been like, to review your imaging with you and your family, perform risk assessments, discuss treatment options, and answer all your questions. If you ever find you need more time to think or want to ask more questions, we encourage you to have time to think about your concerns, to write them down, and to come back and see us again.

Follow-up consultations after your treatment will range from 15 – 30 minutes depending on how you are doing and the type of treatment you had. Many times, if you are doing well and your follow-up MRI is stable, you may not have many questions to ask us but we are happy to receive any that you do have.

At our consultations at Sydney Aneurysm you can expect:

  • Dr Bhatia will listen to you to learn about how your condition is affecting you
  • He will ask you questions to help assess your individual risks
  • He will examine the functions of your brain, spinal cord, and nerves to see what effect your condition is having on you
  • He will review your imaging with you live on a screen – usually with an iPad that you can hold on to and look at whilst he scrolls through your images mirrored on his computer – so you can see everything in detail and ask questions as you go
  • A discussion of treatment options and their various pros and cons
  • A recommendation on treatment based on Dr Bhatia’s opinion
  • Time to ask any questions you or your loved ones have
  • The ability to make appointments for any family members who would like to discuss the option of screening for brain aneurysms if appropriate
  • A detailed individual risk assessment for your condition using the PHASES and UIATS scoring systems for brain aneurysms

WHAT TO BRING TO THE FIRST APPOINTMENT

Fees & Billings

  • Initial consultation
  • Follow-up consultation
  • MRI’s
  • Cerebral angiography
  • Endovascular treatment

You can expect to pay a total cost of $200 - $300 on the day, depending on the complexity of your case, and you can then seek reimbursement of approximately $110 from your health fund or approximately $90 from Medicare.

Please chat to our reception staff if you have any concerns about payment. In certain circumstances a no-gap arrangement may be available. The most important thing to us is to make sure you get high-quality care.

For a follow-up consultation, which are shorter than initial consults, you can expect to pay $150 - $250 on the day – depending on the length and complexity of your situation. Your health insurance company will then reimburse you approximately $50 in most cases or Medicare will reimburse approximately $40.

Again, please chat to our reception staff if you have any concerns about payment – don’t avoid follow-up because of financial distress. Your long-term health and care are important to us.

It is common for us to organize MRI scans for our patients for initial assessment or follow-up. We refer all our MRI scans to St Vincent’s Public Hospital if you live in Sydney, because we know we can rely on the quality of imaging and the standard of reporting.

For the assessment of your condition, Dr Bhatia will often need to organize a cerebral angiogram for you, to be performed by Dr Bhatia as a day procedure at St Vincent’s Private Hospital. Your insurance company will cover most of the cost of the procedure, with a small gap to pay to Sydney Aneurysm and to the anaesthetist. This is usually in the order of several hundred dollars. For children, Dr Bhatia will perform all cerebral angiograms at the Children’s Hospital at Westmead.

You will receive an informed financial consent from Sydney Aneurysm before your angiogram to ensure you are aware and happy with the costs involved before you proceed.

If you do not have health insurance, you can choose to pay out of pocket for the procedure at St Vincent’s Private Hospital or we can also arrange to perform your procedure at St Vincent’s Public Hospital. St Vincent’s Public Hospital is a teaching hospital, so it is Dr Bhatia's duty as a senior doctor to teach radiology trainees during your procedure and allow them to participate in your case. However, Dr Bhatia will always be present to supervise.

As with cerebral angiography, you will receive a detailed informed financial consent from Sydney Aneurysm before your treatment to ensure you are aware and happy with costs involved. Your health insurance company will usually reimburse approximately three quarters of the cost of the procedure for most of the treatments we offer. You will also receive a small gap fee from your anaesthetist.

In some instances, we may elect to undertake your procedure at Macquarie University Hospital or Westmead Private Hospital, because of different equipment that is available there – we will inform you of this well ahead of time if we think this applies to you.

For children, we undertake all procedures at the Children’s Hospital at Westmead, and your child will be cared for in the paediatric ICU, Close Observation Unit, or in one of our other wards afterwards depending on the nature of the procedure.

International/Interstate Patients

Sydney Aneurysm welcomes patients from interstate and overseas, subject of course to any COVID restrictions that are in place. We are happy to undertake TeleHealth consultations pre-operatively and post-operatively to minimize the number of trips you need to make to Sydney. Your radiology studies may have been performed where you live – please liaise with us so we can view your imaging electronically on-line or in some cases via DropBox as required.

If you have a complex brain aneurysm, brain AVM, dural fistula, or other vascular malformation, and you want the advice and skills of a true expert in the field – we are here to support you and offer you the highest level of treatment available.

BILLING

Some overseas patients will pay for their hospital stay and treatment out of their own pocket, whilst others will have an appropriate overseas health fund willing to pay for their treatment. Please contact our staff for an estimate of costs.

ACCOMMODATION

For a list of local accommodation available near St Vincent’s Private Hospital, please use this link:
https://www.svphs.org.au/patients-visitors/visiting/accommodation-for-visitors

For information on accommodation near the Children’s Hospital at Westmead, please use this link:
https://www.schn.health.nsw.gov.au/find-a-service/health-medical-services/accommodation/chw

Patient Resource Hub

Watch Dr Bhatia present on the treatment of a complex dural fistula at the prestigious LINNC conference in Paris in 2019:

Watch Dr Bhatia present on a randomized clinical trial he designed and lead in Toronto comparing wrist artery access with thigh artery access for cerebral angiograms at the prestigious American Society of Neuroradiology Conference in 2020:

CCINR – The committee that recognizes practitioners who have achieved the stringent criteria required to practise independently as an interventional neuroradiologist in Australia. For your own assurance you can find Dr Bhatia’s name on the register.

NeuroAngio – This is an excellent resource that provides patients with detailed information on conditions treated by interventional neuroradiologists, created by Dr Maksim Shapiro in New York.

  1. Bhatia K. Transverse sinus dural fistula embolization with balloon sinus protection. In: Case-Based Interventional Neuroradiology, 2nd Editor: Krings T, Thieme Medical Publishers – in press.
  2. Bhatia K. Transvenous embolization of a petrous dural fistula. In: Case-Based Interventional Neuroradiology, 2nd Editor: Krings T, Thieme Medical Publishers – in press.
  1. Bhatia K, Mendes Pereira V, Krings T, et al. Major neurological complications from vein of Galen malformation embolization: Cohort study, lessons learnt and impact on modern practise. JAMA Neurology 2020: Apr 27 – Online ahead of print.
  2. Kortman H, Navaei E, Raybaud C, Bhatia K, Shroff M, ter Brugge K, Armstrong D, Mendes Pereira V, Dirks P, Krings T, Muthusami P. Deep venous communication in vein of Galen malformations: Incidence, imaging, and implications for treatment. Journal of NeuroInterventional Surgery (JNIS) 2020: Accepted – in press.
  3. Dmytriw A, Alehaideb A, Ha W, Bickford S, Bhatia K, Amirabadi A, Mohanta A, Chavhan G. Can children be considered for transradial interventions? Prospective study of sonographic radial artery diameters. Circulation: Cardiovascular Interventions 2020: Accepted – in press.
  4. Bhatia K, Kortman H, Lee H, et al. Facial nerve arterial arcade supply in dural arteriovenous fistulae: Anatomy and treatment strategies. American Journal of Neuroradiology (AJNR) 2020; 41(4): 687-692.
  5. Orru E, Rice H, De Villiers L, Klostranec JM, Wakhloo AK, Coon AL, Radovanovic I, Kortman H, Bhatia KD, Krings T, Pereira VM. First clinical experience with the new Surpass Evolve flow diverter: technical and clinical considerations. Journal of NeuroInterventional Surgery (JNIS) 2020; Feb 12: Online ahead of print.
  6. Bhatia K, Kortman H, Waelchli T, Radovanovic I, Mendes Pereira V, Krings T. Artery of Davidoff and Schechter supply in dural arteriovenous fistulae. American Journal of Neuroradiology (AJNR) 2020; 41(2): 300-304.
  7. Bhatia K, Krishnan P, Kortman H, Klostranec J, Krings T. Acute cortical lesions in MELAS syndrome: Anatomical distribution, symmetry, and evolution. American Journal of Neuroradiology (AJNR) 2020; 41(1): 167-173.
  8. Bhatia K, Kortman H, Blair C, Parker G, Brunacci D, Ang T, Worthington J, Muthusami P, Shoirah H, Mocco J, Krings T. Mechanical thrombectomy in pediatric stroke: systematic review, individual patient-data meta-analysis, and case series. Journal of Neurosurgery: Pediatrics 2019; 24(5): 558 - 571.
  9. Bhatia K, Kortman H, Orru E, Klostranec J, Pereira V, Krings T. Periprocedural complications of second-generation flow diverter treatment using Pipeline Flex for unruptured intracranial aneurysms: a systematic review and meta-analysis. Journal of NeuroInterventional Surgery 2019; 11(8): 817-824.
  10. Jaroenngarmsamer T, Bhatia K, Kortman H, Orru E, Krings T. Procedural success with radial access for carotid artery stenting: systematic review and meta-analysis. Journal of NeuroInterventional Surgery 2019; June 14: 1-8 - Epub ahead of print.
  11. Bhatia K, Henderson L, Hsu E, Yim M. Reduced integrity of the uncinate fasciculus and cingulum in depression: A stem-by-stem analysis. Journal of Affective Disorders 2018; 235: 220-228.
  12. Bhatia K, Henderson L, Hsu E, Yim M. Subcaudate tractotomy white matter anatomy and variability: A diffusion tensor imaging study. Stereotactic and Functional Neurosurgery 2018; 96(2): 71-82.
  13. Bhatia K, Henderson L, Yim M, Hsu E, Dhaliwal R. Diffusion tensor imaging investigation of uncinate fasciculus anatomy in healthy controls: Description of a subgenual stem. Neuropsychobiology 2018: 75(3): 132-140.
  14. Bhatia K, Ambati C, Dhaliwal R, et al. SPECT-CT/VQ versus CTPA for diagnosing pulmonary embolism and other lung pathology: Pre-existing lung disease should not be a contraindication. Journal of Medical Imaging & Radiation Oncology 2016: 60(4): 492-497.
  15. Bhatia K, Henderson L, Ramsey-Stewart G, May J. Diffusion tensor imaging to aid subgenual cingulum target selection for deep brain stimulation in depression. Journal of Stereotactic and Functional Neurosurgery 2012; 90(4): 225-232.
  16. Bhatia K, Frydenberg E, Steel T, Ow-Yang M. The use of anterior expandable cages in mycobacterium avium vertebral osteomyelitis: a case report. Journal of Clinical Neuroscience 2011; 18(3): 431-434.
  17. Bhatia K, Frydenberg E, Steel T, Ow-Yang M, Ho K, Granger E. Spinal epidural lipomatosis due to a bronchial ACTH-secreting carcinoid tumour. Journal of Clinical Neuroscience 2010; 17(11): 1461-1462.
  18. Bhatia KD, Wang L, Parkinson RJ, Wenderoth JD. Successful treatment of six cases of indirect carotid-cavernous fistula with ethylene-vinyl alcohol copolymer (Onyx) transvenous embolization. Journal of Neuro-Ophthalmology 2009; 29(1): 3-8.
  19. Byard R, Bhatia K, Reilly P, Vink R. How rapidly does cerebral swelling follow trauma? Observations using an animal model and possible implications in infancy. Legal Medicine 2009; 11: 128-131.
  20. Vink R, Bhatia KD, Reilly PL. The relationship between intracranial pressure and brain oxygenation following traumatic brain injury in sheep. Acta Neurochirurgica Supplementum 2008; 102: 189-192.
  21. Bhatia K, Ghabriel MN, Henneberg M. Anatomical variations in the branches of the human aortic arch: a recent study of a South Australian population. Folia Morphologica 2005; 64(3): 217-224.