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Coil embolization of intracranial aneurysms
Bernard R Bendok1, Ricardo A Hanel, L Nelson Hopkins
1Department of Neurosurgery and Toshiba Stroke Research Center, School of Medicine and Biomedical Sciences, University at Buffalo, The State University of New York, Buffalo, New York, USA. bbendok@nmff.org
Neurosurgery
|April 18, 2003
Summary
Coiling techniques for intracranial aneurysms have advanced significantly with new technologies and neurosurgeon involvement. Refinements improve treatment for wide-necked aneurysms, enhancing patient outcomes.
Area of Science:
- Neurosurgery and Interventional Neuroradiology
- Endovascular Techniques
- Cerebrovascular Diseases
Background:
- The Guglielmi detachable coils have been a cornerstone in intracranial aneurysm treatment for over a decade.
- Significant technical and technological advancements have refined the coiling technique.
- Collaboration between neurosurgeons and neuroradiologists has been crucial in this evolution.
Observation:
- Stents and non-detachable balloons are valuable adjuncts for treating wide-necked intracranial aneurysms.
- There is a growing trend of neurosurgeons seeking specialized fellowship training in neuroendovascular procedures.
- Close collaboration between neurosurgeons and neurointerventionists is becoming increasingly common.
Findings:
- This communication summarizes technical preferences derived from extensive experience in intracranial aneurysm coiling.
- The evolution of coiling techniques reflects a multidisciplinary approach to aneurysm management.
- Advancements aim to improve the safety and efficacy of endovascular aneurysm repair.
Implications:
- Enhanced coiling techniques offer improved treatment options for complex intracranial aneurysms.
- The increasing expertise in neuroendovascular procedures broadens therapeutic possibilities.
- Continued innovation in neuroendovascular tools and techniques promises better patient outcomes.