[7-year experience in endovascular surgery]

A total of 800 operations were carried out by employing Serbinenko's method. Access route via carotid or via femoralis. Sinus carvenosus fistulae (40 patients) respond very well. Arterio-venous angiomas (47 patients) are treated in stages. Bag-shaped aneurysms (14 patients) can only in exceptional cases be treated reconstructively, i.e. by keeping the main vessel open. In eight patients, a profuse epistaxis was well controlled, in 3 cases reconstructively. The method permits the true separate examination of various cerebral vascular regions (chemical, physical, angiographic, flow examinations, vital staining of cerebral tumours). A controlled supply of cytostatics is also possible.