[Embolization in neurosurgery (author's transl)].
Based on the literature and own experiences the indications for embolization in neurosurgical diseases are presented. This procedure is used for the treatment of arteriovenous malformations and fistulas, preoperatively in richly vascularized neoplasm and non operable tumors. Modern techniques (super-selective angiography, double-lumen balloon-catheter and catheters with detachable balloons) enable to occlude the territory of A. carotis ext., the cavernous portion of A. carotis int., the cervical portion of A. vertebralis, and the dorsal spinal radicular arteries. Complications are rare. There is a limited indication for embolization of the intracerebral area and the territory of A. spinalis and the ventral radiscaular arteries because of additional damage of the central nervous system. Various techniques and possible complications are discussed and own cases are presented.
D001488:Basilar Artery; D001932:Brain Neoplasms / Q000601:surgery / Q000628:therapy; D002342:Carotid Artery, External; D002343:Carotid Artery, Internal; D004621:Embolization, Therapeutic; D006801:Humans; D002538:Intracranial Arteriovenous Malformations / Q000628:therapy; D011300:Preoperative Care; D014711:Vertebral Artery
Embolisation in der Neurochirurgie.