Abstract
The technique of intra-aneurysmal electrothrombosis via an endovascular approach was conceived about a decade ago (Guglielmi et al. 1983), integrating the observations of Sawyer (Sawyer and Pate 1953a,b; Sawyer et al. 1953), Mullan (MuLLAN 1974; Mullan et al. 1964, 1965, 1969), and Piton (Piton et al. 1978). Not until recently, however, has the technology become available to produce microcatheters and microguidewires soft enough to navigate atraumatically into cerebral aneurysms. A novel device, consisting of a soft detachable platinum coil soldered to a stainless steel delivery wire, was developed and tested during animal experimental research performed at U.C.L.A. in 1989 (Guglielmi et al. 1991a). The goal was to find an endovascular occlusive agent that would adopt the shape of intracranial aneurysms without distorting their fragile walls.
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References
Abramson HA (1924) A possible relationship between the current of injury and the white-blood cell in inflammation. Am J Med Sci 167:702–710
Alksne JF, Smith RW (1980) Stereotaxic occlusion of 22 consecutive anterior communicating artery aneurysms. J Neurosurg 52:760–763
Araki C, Handa H, Yoshida K et al. (1966) Electrically induced thrombosis for the treatment of intracranial aneurysms and angiomas. In: de Vet AC (ed) Proceedings of the Third International Congress of Neurological Surgery, Copenhagen, 1965. Excerpta Medica, Amsterdam, vol 110, pp 651–654
Bigelow FS, De Foyes JF (1952) Cited by in reference Sawyer and Pate 1953a
Ciniselli L (1847) Sulla elettropuntura nella cura deglaneurismi. Gazz Med Ital Lomb Milano 6:9–14
Debrun GM, Varsos V, Liszczak TM et al. (1984) Obliteration of experimental aneurysms in dogs with isobutylcyanoacrylate. J Neurosurg 61:37–43
Guglielmi G, Guerrisi R, Guidetti B et al. (1983) L’elettrotrombosi intravasale nelle malformazioni vascolari sperimentalmente provocate. In: Carella A (ed) Proceedings of IIIrd Congress of the Italian Society of Neuroradiology. Associazione Italiana di Neuroradiologia, Bari, pp 139–146
Guglielmi G, Vinuela F, Sepetka I et al. (1991a) Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: Electrochemical basis, technique, and experimental results. J Neurosurg 75:1–7
Guglielmi G, Vinuela F, Dion J, Duckwiler G (1991b) Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: Preliminary clinical experience. J Neurosurg 75:8–14
Hieshima GB, Higashida RT, Wapenski J et al. (1986) Balloon embolization of a large distal basilar artery aneurysm. Case report. J Neurosurg 65:413–416
Higashida RT, Halbach VV, Barnwell SL et al. (1990) Treatment of intracranial aneurysms with preservation of the parent vessel: results of percutaneous balloon embolization in 84 patients. AJNR 11:633–640
Hunt WE, Hess RM (1968) Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg 28:14–20
Kassell NF, Torner JC, Haley EC Jr et al. (1990a) The International Cooperative Study on the Timing of Aneurysm Surgery. Part 1: Overall management results. J Neurosurg 73:18–36
Kassell NF, Torner JC, Jane JA et al. (1990b) The International Cooperative Study on the Timing of Aneurysm Surgery. Part 2: Surgical results. J Neurosurg 73:37–47
Miller MD, Johnsrude IS, Limberakis AJ et al. (1978) Clinical use of transcatheter electrocoagulation. Radiology 129:211–214
Moore CH, Murchison C (1864) On a new method of procuring the consolidation of fibrin in certain incurable aneurisms: with the report of a case in which an aneurism of the ascending aorta was treated by the insertion of wire. Proc R Med Chir Soc Lond 4:327–335
Mullan S (1974) Experiences with surgical thrombosis of intracranial berry aneurysms and carotid cavernous fistulas. J Neurosurg 41:657–670
Mullan S, Beckman F, Vailati G et al. (1964) An experimental approach to the problem of cerebral aneurysms. J Neurosurg 21:838–845
Mullan S, Raimondi AJ, Dobben G et al. (1965) Electrically induced thrombosis in intracranial aneurysms. J Neurosurg 22:539–547
Mullan S, Reyes C, Dawley J et al. (1969) Stereotactic copper electric thrombosis of intracranial aneurysms. Prog Neurol Surg 3:193–211
Phillips B (1832) A series of experiments performed for the purpose of showing that arteries may be obliterated without ligature, compression or the knife. Longman, London, p 66 (pamphlet)
Piton J, Billerey J, Constant P et al. (1978) Selective vascular thrombosis induced by a direct electrical current: animal experiments. J Neuroradiol 5:139–152
Potter EC (1956) Electrochemistry, principles and applications. Cleaver-Hume, London, pp 1–19, 124–165
Romodanov AP, Shcheglov VI (1982) Intravascular occlusion of saccular aneurysms of the cerebral arteries by means of a detachable balloon catheter. Adv Tech Stand Neurosurg 9:25–48
Salazar AE (1961) Experimental myocardial infarction. Induction of coronary thrombosis in the intact closed chest dog. Circ Res 9:1351–1356
Sawyer PN, Pate JW (1953a) Bio-electric phenomena as an etiologic factor in intravascular thrombosis. Am J Physiol 175:103–107
Sawyer PN, Pate JW (1953b) Electric potential differences across the normal aorta and aortic grafts of dogs. Am J Physiol 175:113–117
Sawyer PN, Pate JW, Weldon CS (1953) Relations of abnormal and injury electric potential differences to intravascular thrombosis. Am J Physiol 175:108–112
Serbinenko FA (1974) Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125–145
Velpeau A (1831) Mémoire sur la piqûre ou l’acupunture des artères dans le traitement des anévrismes. Gaz Med Paris 2:1–4
Weir B (1985) Intracranial aneurysms and subarachnoid hemorrhage: an overview. In: Wilkins RH, Rengachary SS (eds) Neurosurgery, vol 2. McGraw-Hill, New York, pp 1308–1329
Zanetti PH, Sherman FE (1972) Experimental evaluation of a tissue adhesive as an agent for the treatment of aneurysms and arteriovenous anomalies. J Neurosurg 36:72–79
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© 1993 Springer-Verlag Berlin Heidelberg
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Guglielmi, G. (1993). Endovascular Treatment of Intracranial Aneurysms with Detachable Coils and Electrothrombosis. In: Valavanis, A. (eds) Interventional Neuroradiology. Medical Radiology. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-84434-8_7
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DOI: https://doi.org/10.1007/978-3-642-84434-8_7
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