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Endoluminal Approaches to Intracranial Aneurysms

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Cerebrovascular Disorders

Part of the book series: Neuromethods ((NM,volume 170))

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Abstract

Treatment of intracranial aneurysms with complex morphology such as giant wide-necked or fusiform aneurysms is challenging. Stent-assisted coiling and balloon-assisted coiling are alternative treatment techniques, but studies have shown less than expected efficacy given their high rate of recanalization. Over the past few years, endoluminal techniques and flow-diverting devices (FDDs) have revolutionized the treatment of such complex aneurysms, for which the natural history of microsurgical or conventional neuroendovascular management has traditionally been poor. FDDs are implanted within the parent artery rather than the aneurysm sac. By modifying intra-aneurysmal and parent-vessel flow dynamics at the aneurysm/parent vessel interface, flow diversion triggers a cascade of gradual intra-aneurysmal thrombosis. As endothelialization of the FDD progresses, the parent vessel reconstructs while preserving the patency of normal perforators and side branch vessels. Herein we review FDDs, mechanisms of actions, current data and technical updates, complications and their management, and ongoing studies in relevance to the practicing neurointerventionalist.

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  • 26 September 2021

    The original version of this book was inadvertently published with incorrect Volume Editor affiliation. The affiliation of the

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Authors and Affiliations

  1. Department of Neurosurgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Eric R. Cohen & Gaurav Gupta

  2. Division of Interventional Neuroradiology, Ohio Imaging Associates, Kent, OH, USA

    Eric R. Cohen

  3. Associate Chair of Neurology for Research, New York Medical College, Associate Professor of Neurology, Neurosurgery and Radiology, New York Medical College, Director of the Neuroendovascular Surgery Fellowship, Neuroendovascular Surgery (Interventional Neurologist) Attending, Medical Director of Neurocritical Care, Westchester Medical Center at New York Medical College, Valhalla, NY, USA

    Fawaz Al-Mufti

  4. Department of Neurointerventional Radiology, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA

    Sudipta Roychowdhury

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  1. Eric R. Cohen
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  2. Fawaz Al-Mufti
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  3. Gaurav Gupta
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  4. Sudipta Roychowdhury
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Editor information

Editors and Affiliations

  1. Associate Chair of Neurology for Research, New York Medical College, Associate Professor of Neurology, Neurosurgery and Radiology, New York Medical College, Director of the Neuroendovascular Surgery Fellowship, Neuroendovascular Surgery (Interventional Neurologist) Attending Medical Director of Neurocritical Care, Westchester Medical Center at New York Medical College, New York, USA

    Fawaz Al-Mufti, MD

  2. Division of Neurointerventional Radiology, Goodman Campbell Brain and Spine, Division of Neurointerventional Radiology, Ascension St. Vincent Medical Center, Department of Neurosurgery, Marian College of Osteopathic Medicine, Indianapolis, IN, USA

    Krishna Amuluru MD

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Cohen, E.R., Al-Mufti, F., Gupta, G., Roychowdhury, S. (2021). Endoluminal Approaches to Intracranial Aneurysms. In: Al-Mufti, MD, F., Amuluru MD, K. (eds) Cerebrovascular Disorders. Neuromethods, vol 170. Humana, New York, NY. https://doi.org/10.1007/978-1-0716-1530-0_6

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  • DOI: https://doi.org/10.1007/978-1-0716-1530-0_6

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