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Interventional neuroradiology

D M Pelz1

  • 1Department of Diagnostic Radiology, University of Western Ontario, London, Canada.

Bailliere'S Clinical Neurology
|August 1, 1995
PubMed
Summary
This summary is machine-generated.

Interventional neuroradiology offers new treatments for neurological diseases, including brain AVMs and aneurysms. While endovascular techniques show promise, complete occlusion and clinical benefits require further validation for wider acceptance.

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Area of Science:

  • Interventional neuroradiology
  • Neurological disease treatment

Background:

  • Interventional neuroradiology is a rapidly evolving field with expanding applications in neurological disease management.
  • Current common uses include treating brain arteriovenous malformations (AVMs), aneurysms, and fistulae, often in conjunction with neurosurgical services.

Purpose of the Study:

  • To review the current applications and emerging techniques in interventional neuroradiology for neurological conditions.
  • To assess the efficacy and limitations of endovascular treatments for cerebrovascular diseases.

Main Methods:

  • Review of endovascular techniques for aneurysm occlusion using thrombogenic coils.
  • Discussion of pre-operative embolization for tumors and spinal lesions.
  • Evaluation of angioplasty and papaverine infusion for cerebral vasospasm.

Related Experiment Videos

  • Consideration of thrombolysis for acute stroke and angioplasty for cerebrovascular atherosclerosis.

    • Main Results:

    • Endovascular coiling for aneurysms is a low-morbidity technique, though complete occlusion and superiority over surgical clipping are not consistently achieved.
    • Angioplasty and papaverine for vasospasm show impressive angiographic results, but clinical improvement is variable, especially with delayed treatment.
    • Embolization for tumors and spinal lesions is a common practice in select centers.

    Conclusions:

    • Interventional neuroradiology provides valuable therapeutic options for neurological diseases.
    • Further scientific validation is needed for newer techniques like thrombolysis for stroke and angioplasty for atherosclerosis before they become standard therapies.
    • Optimizing treatment timing and achieving complete procedural success are crucial for maximizing clinical benefits.