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Comprehensive Endovascular and Open Surgical Management of Cerebral Arteriovenous Malformations
Published on: October 20, 2017
Clinical Management of Cerebral Aneurysms-Endoluminal
Maksim Shapiro1, Erez Nossek2, Vera Sharashidze1
1Department of Neurosurgery, NYU Langone Health, New York, NY, USA; Department of Radiology, NYU Langone Health, New York, NY, USA; Department of Neurology, NYU Langone Health, New York, NY, USA.
Abstract:
Definitive endoluminal reconstruction, widely known as flow diversion, revolutionized treatment of brain aneurysms. A range of targets, by location, size, etiology, and acuity, can be cured with an excellent risk/benefit profile. Requirement for effective antiplatelet state is balanced with superior treatment durability. Implant and delivery system technology continue to evolve. Some aneurysm types/locations remain undertreated. Maximizing efficacy while minimizing risks requires deep understanding of flow diversion principles, pathologic anatomy, endoluminal implants, delivery systems, and clinical management.
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