Dörfler A (2013)
Publication Type: Authored book
Publication year: 2013
Publisher: Cambridge University Press
ISBN: 9780511659096
DOI: 10.1017/CBO9780511659096.044
The primary treatment goal of cerebral aneurysms is prevention of rupture. Surgical clipping has been the treatment modality of choice for both ruptured and unruptured cerebral aneurysms for decades. Just over 20 years ago endovascular treatment was mainly restricted to those patients with aneurysms unsuitable or inaccessible for clipping due to size or location, or in whom surgical clipping was contraindicated because of the general medical condition. Nowadays, the increasing experience and development of appropriate devices has widened the indications, and endovascular therapy has become more than an alternative to surgical treatment. Attempts to induce thrombosis of systemic aneurysms either by introducing foreign bodies or by application of electrical or thermic injury date back to the first half of the 19th century. Velpeau (1831) independently described a method of introducing arterial thrombosis by inserting a needle into the aneurysmal lumen and withdrawing it after thrombus had formed. In 1941 Werner et al. reported successful electrothermic thrombosis of an acute ruptured intracranial aneurysm through a transorbital approach. In 1963 Gallagher proposed a technique of inducing thrombosis of intracranial aneurysms by high-speed delivery of dog or horse hairs into the aneurysm using a pneumatic gun (‘pilojection’). However, despite encouraging early results these methods did not gain acceptance.
APA:
Dörfler, A. (2013). Endovascular interventions for subarachnoid hemorrhage. Cambridge University Press.
MLA:
Dörfler, Arnd. Endovascular interventions for subarachnoid hemorrhage. Cambridge University Press, 2013.
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