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Hemorrhagic stroke
Review
Technology developments in endovascular treatment of intracranial aneurysms
  1. Robert M Starke1,
  2. Aquilla Turk2,
  3. Dale Ding1,
  4. Richard W Crowley1,4,
  5. Kenneth C Liu1,4,
  6. Nohra Chalouhi3,
  7. David M Hasan5,
  8. Aaron S Dumont6,
  9. Pascal Jabbour3,
  10. Christopher R Durst4,
  11. Raymond D Turner7
  1. 1Department of Neurological Surgery, University of Virginia, Charlottesville, Virginia, USA
  2. 2Department of Radiology, Medical University of South Carolina, Columbia, South Carolina, USA
  3. 3Department of Neurosurgery, Thomas Jefferson University, Philadelphia, Pennsylvania, USA
  4. 4Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia, USA
  5. 5Department of Neurological Surgery, University of Iowa, Iowa City, Iowa, USA
  6. 6Department of Neurological Surgery, Tulane University, New Orleans, Louisiana, USA
  7. 7Department of Neurosurgery, Medical University of South Carolina, Columbia, South Carolina, USA
  1. Correspondence to Dr RM Starke, Department of Neurosurgery, University of Virginia, PO Box 800212, Charlottesville, VA 22918, USA; bobby.starke{at}gmail.com

Abstract

Advances in the management and endovascular treatment of intracranial aneurysms are progressing at a tremendous rate. Developments in novel imaging technology may improve diagnosis, risk stratification, treatment planning, intraprocedural assessment, and follow-up evaluation. Evolution of devices, including microwires, microcatheters, balloons, stents, and novel scaffolding devices, has greatly expanded the potential to treat difficult aneurysms. Although developments in technology have greatly improved the efficiency and efficacy of treatment of neurovascular disorders, novel devices do not always improve outcomes and may be associated with unique complications. As such, it is paramount to have an in-depth understanding of new devices and the implications of their introduction into clinical practice. This review provides an update on developments in endovascular treatment of intracranial aneurysms.

  • Aneurysm
  • Balloon
  • Stent
  • Coil
  • Angiography

https://doi.org/10.1136/neurintsurg-2014-011475

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