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Updated: Jun 12, 2026

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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Intracranial aneurysms: endovascular treatment
1Mount Sinai School of Medicine, New York, NY, USA.
The Mount Sinai Journal of Medicine, New York
|May 28, 2010
Summary
Subarachnoid hemorrhage affects 5-10 per 100,000 annually. Neuroendovascular coil embolization is increasingly preferred over surgical clipping for aneurysm treatment due to its less-invasive nature.
Area of Science:
- Neurosurgery
- Vascular Neurology
Background:
- Subarachnoid hemorrhage (SAH) has an incidence of 5-10 per 100,000 individuals annually.
- Patients surviving SAH face a 15-20% risk of re-hemorrhage within two weeks, leading to severe outcomes.
Purpose of the Study:
- To describe the history, rationale, and key elements of neuroendovascular coil embolization for aneurysm treatment.
Main Methods:
- Review of historical data and procedural components of neuroendovascular coil embolization.
- Comparison with traditional surgical clipping methods.
Main Results:
- Neuroendovascular coil embolization has gained prominence as a less-invasive alternative to surgical clipping.
- While long-term safety and durability are debated, it is now the preferred aneurysm treatment.
Conclusions:
- Coil embolization represents a significant advancement in aneurysm treatment, aligning with trends toward minimally invasive procedures.
- Understanding the procedure's development is crucial for appreciating its current role in managing subarachnoid hemorrhage.
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