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Interventional Neuroradiology

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Neurosurgery

Part of the book series: Springer Specialist Surgery Series ((SPECIALIST))

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Abstract

Endovascular neuroradiological techniques may be used to treat a wide range of vascular diseases, either in isolation, or as an adjunct to surgery or stereotactic radiosurgery. Techniques include balloon occlusion, embolization using Guglielmi detachable coils, liquid agents or particles, angioplasty and stenting. Rapid technological advancement in the field constantly expands the indications for endovascular treatment. Such treatment should only be undertaken in a neuroscience center, as part of a multidisciplinary team approach. Guidelines for treatment of the acutely ruptured aneurysm vary widely, but coil embolization is increasingly used as an alternative to surgical clipping to prevent early rebleeding. The long term efficacy is as yet unproven, and close follow up is advised. Carotid angioplasty, with or without stenting, is a promising alternative to carotid endarterectomy, but further trials are needed. The value of stents in the treatment of vertebral artery stenosis is uncertain.

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Author information

Authors and Affiliations

  1. Neuroradiology Atkinson Morley Wing, St. George’s Hospital, London, UK

    Andrew G. Clifton MA (Oxon), MRCP, FRCR

Authors
  1. Andrew G. Clifton MA (Oxon), MRCP, FRCR
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Editor information

Editors and Affiliations

  1. South West Neurosurgery Centre, Derriford Hospital, Plymouth, UK

    Anne J. Moore MB BS, BSc, FRCS

  2. Department of Neurological Surgery, University of Washington Medical Center, Harborview Medical Center, Seattle, WA, USA

    David W. Newell

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© 2005 Springer-Verlag London Limited

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Clifton, A.G. (2005). Interventional Neuroradiology. In: Moore, A.J., Newell, D.W. (eds) Neurosurgery. Springer Specialist Surgery Series. Springer, London. https://doi.org/10.1007/1-84628-051-6_19

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  • DOI: https://doi.org/10.1007/1-84628-051-6_19

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-85233-522-9

  • Online ISBN: 978-1-84628-051-1

  • eBook Packages: MedicineMedicine (R0)

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