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Chapter 16 - Endovascular Technology: Exploitation of Endovascular Corridors in the Broad Catalog of Challenges

from Section IV - The Surgeon’s Armamentarium

Published online by Cambridge University Press:  aN Invalid Date NaN

Benjamin Hartley
Affiliation:
Weill Cornell Medical Center
Philip E. Stieg
Affiliation:
Weill Cornell Medical College
Rohan Ramakrishna
Affiliation:
Weill Cornell Medical College
Michael L. J. Apuzzo
Affiliation:
Adjunct of Yale Medical School and Weill Cornell Medical College
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Summary

Advancements in the field of endovascular neurosurgery have resulted in unprecedented shifts in treatment paradigms and practice patterns. Novel implantable devices, improved catheter constructions, and new insights into disease pathomechanisms have encouraged providers to expand the indications for endovascular interventions and offer new treatment options for lesions that were previously thought to be inoperable or surgically high-risk. These include flow modifying devices for the treatment of ruptured and unruptured intracranial aneurysms, as well as super-selective embolizations and infusions for the treatment of numerous cerebrovascular and oncologic diseases. The existing evidence for the safety and efficacy of these therapies is encouraging, however, continued evaluation with rigorous, prospective trials is warranted to better understand their durability and long-term benefits.

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Neurosurgery
Beyond the Cutting Edge
, pp. 351 - 362
Publisher: Cambridge University Press
Print publication year: 2025

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