[Interventional neuroradiology. Current status--future prospects].
First developed in the 1960s, interventional neuroradiology has vastly improved the management of patients with vascular diseases of the brain and spine, including vascular malformations and stroke. Gradually replacing open-skull neurosurgical approaches, endovascular occlusion of ruptured intracranial aneurysms has improved the post-bleed prognosis. With the increasing number of fortuitously discovered aneurysms, international randomized studies are being organized to determine whether preventive treatment is better than abstention. A wide range of therapeutic strategies are available for brain arteriovenous malformations, including hyperselective embolization, open-skull surgery, radiosurgery, and abstention. The choice depends on multiple parameters, including symptoms, clinical status, the angioarchitecture of the malformation, and the patient's psychology and wishes (...).
Picard
Luc
L
Neuroradiologie Diagnostique et Thérapeutique, Pôle Neuro tête et Cou. CHU, Hopital Neurologique, 29 Avenue Maréchal de Lattre de Tassigny, 54035 Nancy Cedex.
Bracard
Serge
S
Anxionnat
René
R
D005544:Forecasting; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D002538:Intracranial Arteriovenous Malformations / Q000601:surgery*; D009493:Neurosurgery / Q000379:methods*; D015642:Radiology, Interventional / Q000639:trends*