Health & Environmental Research Online (HERO)


Print Feedback Export to File
1546118 
Journal Article 
Cerebral endovascular neurosurgery 
Hopkins, LN; Ecker, RD 
2008 
Neurosurgery
ISSN: 0148-396X 
62 
1483-1501 
CEREBRAL ENDOVASCULAR NEUROSURGERY has evolved rapidly in
the past decade through advances in tools and techniques and as a result of the thrust toward
evidence-based medicine. More patients with diseases traditionally treated via microsurgical
approaches can now be treated with techniques that focus on encloluminal reconstruction. With the
introduction of intracranial clot retrievers and appropriately sized stents, stroke care is being
slowly revolutionized for those patients with salvageable brain tissue at the time of admission
to the hospital. In this article, the recent history, current state, and possible future of
cerebral endovascular neurosurgery are reviewed for the following diseases: stroke, intracranial
atherosclerotic disease, brachiocephalic occlusive disease, cerebral aneurysms, central nervous
system vascular malformations, and brain tumors. New concepts and applications for endovascular
treatment of epilepsy and multiple sclerosis are mentioned. The potential for nanotechnology in
this field and the future endovascular suite are envisioned. 
cerebrovascular disease; endovascular neurosurgery; future; stent