Hybrid (combined endovascular and microsurgical) treatments for cerebrovascular diseases

Download or read book Hybrid (combined endovascular and microsurgical) treatments for cerebrovascular diseases written by and published by Frontiers Media SA. This book was released on 2024-03-19 with total page 79 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most cerebrovascular diseases such as intracranial aneurysms (IA), arterio-venous malformations (AVM) or dural fistulas (AVF) can effectively be treated with microsurgical techniques (i.e. clipping) or with endovascular procedures (i.e. coiling). In certain patients, also gamma-knife (radiation) treatment may play a role. Sometimes, the treatment strategy may consist of a staged approach that combines some of the above-mentioned techniques in a serial manner. Likewise, also spinal vascular pathologies (i.e. spinal vascular malformations, spinal dural AV-fistulas or spinal cavernomas) may often be approached with a single treatment modality or, more rare with a staged approach. In selected cases however, simultaneous treatment combining open (micro-)surgical and endovascular procedures in one single hybrid operation may be favorable. So far only few series reported indications, potential benefits, or pitfalls with hybrid approaches in cerebrovascular surgery. This collection aims to summarise reported experiences with hybrid approaches that combine simultaneous endovascular and microsurgical interventions in a setting of vascular diseases in the brain and in the spine. It will put an emphasis on indication, benefits and potential harms of combined diagnostic-therapeutic procedures (i.e. intraoperative control DSA after clipping), advanced endovascular strategies enabled through surgical access (i.e. direct arterial punctuation after previous surgical vessel exposure) or combined therapeutic operations (i.e. proximal control through balloon occlusion during clipping).