Endovascular treatment of aneurysmal subarachnoid hemorrhage.
Aneurysmal subarachnoid hemorrhage is a deadly disease associated with high morbidity and mortality. Surgical clipping has been the gold standard treatment for more than 70 years. Endovascular therapy is now accepted as a valid alternative therapeutic modality. The authors' approach emphasizes collaboration between endovascular and surgical specialists. The array of new endovascular techniques has extended beyond the Guglielmi Detachable Coil to include new stents and flow-diverting devices. The future promises expansion of the number of types of aneurysms that are treatable with endovascular techniques.
Pearl
Monica
M
Division of Interventional Neuroradiology, The Johns Hopkins School of Medicine, 600 North Wolfe Street, Nelson Building, B-100, Baltimore, MD 21287, USA.
Gregg
Lydia
L
Gailloud
Philippe
P
D000328:Adult; D002560:Cerebrovascular Circulation / Q000502:physiology; D004621:Embolization, Therapeutic / Q000266:history / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D049673:History, 20th Century; D006801:Humans; D008297:Male; D008875:Middle Aged; D010348:Patient Care Team; D019736:Prostheses and Implants / Q000592:standards*; D011474:Prosthesis Design / Q000379:methods / Q000639:trends; D019919:Prosthesis Implantation / Q000379:methods*; D015607:Stents / Q000639:trends; D013345:Subarachnoid Hemorrhage / Q000473:pathology / Q000503:physiopathology / Q000628:therapy*; D014656:Vascular Surgical Procedures / Q000379:methods / Q000639:trends