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Correspondence to:
Correspondence to:
Dr Shelley Renowden
Department of Neuroradiology, Frenchay Hospital, Bristol BS16 1LE, UK; Shelley.Renowden@north-bristol.swest.nhs.uk
Keywords: carotid cavernous fistulas; cerebral aneurysm; hyperacute ischaemic stroke; interventional neuroradiology
| The first 150 words of the full text of this article appear below. |
Endovascular treatment for cerebrovascular disease has undergone major developments over the last 15 years. Its dramatic evolution has secured its primary role in the treatment of many conditions (intracranial aneurysms, a proportion of venous sinus thrombosis, some arteriovenous malformations, and many dural fistulas), as an effective alternative to surgery in those with pre-morbid medical conditions (carotid angioplasty and stenting), and as a valuable adjunct to neurosurgery (arteriovenous malformations, some complex giant aneurysms, and skull base tumours). Its current place in hyperacute stroke or idiopathic intracranial hypertension is yet to be defined.
Spinal intervention is also evolving (but is not discussed here).
Neurovascular disease should be managed collectively by a multidisciplinary team comprising an interventional neuroradiologist in conjunction with a neurosurgeon (preferably one with a vascular interest) or head and neck surgeon and/or neurologist as appropriate. Neuropsychological assessment both before and after therapy is desirable to document fully and accurately the
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M. K. Varma, K. Price, V. Jayakrishnan, B. Manickam, and G. Kessell Anaesthetic considerations for interventional neuroradiology Br. J. Anaesth., July 1, 2007; 99(1): 75 - 85. [Abstract] [Full Text] [PDF] |
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