The evolution of endovascular treatment for intracranial arteriovenous malformations.
Neurosurg Focus
; 20(6): E6, 2006 Jun 15.
Article
em En
| MEDLINE
| ID: mdl-16819814
ABSTRACT
Endovascular therapy for arteriovenous malformations (AVMs) remains a relatively new approach. Beginning in the 1960s with the use of flow-directed techniques for selective embolization, hemodynamic alterations have been used to treat these lesions. In every aspect of treatment, technological advances, including catheters, embolic materials, angiography suites, and pharmacological agents, have improved outcomes while lowering the risk to patients. In this article, the authors review the technical evolution of endovascular AVM therapy. Developments in embolic materials, beginning with foreign bodies and autografts and continuing through to highly engineered contemporary substances, are discussed. Finally, changes in treatment paradigms that have occurred over the years are traced. Within neurosurgery, this specialty has shown some of the fastest growth and development in recent decades. As minimally invasive approaches are embraced in all areas of medicine, it is clear that this treatment modality will continue to be refined.
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Base de dados:
MEDLINE
Assunto principal:
Malformações Arteriovenosas Intracranianas
/
Embolização Terapêutica
Limite:
Humans
Idioma:
En
Revista:
Neurosurg Focus
Assunto da revista:
NEUROCIRURGIA
Ano de publicação:
2006
Tipo de documento:
Article
País de afiliação:
Estados Unidos