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This book is in the neurosurgical topics series and perhaps represents the final recognition of the potential role of endovascular treatment in the management of vascular lesions of the nervous system. It is a multiauthor work with a wide range of authorship of American neuroradiologists and neurosurgeons active in the field. Inevitable in work such as this, it represents differing views and approaches but provides a useful overview of the subject and the principles underlying the various management techniques.
The book highlights the rapid progress and change that has occurred in the subject, in particular the rapid development of devices which have enabled endovascular interventions to extend to almost all parts of the nervous system and the contribution of technical advances in angiographic equipment and the sort of requirements that are necessary to carry out these techniques safely. Throughout the chapters the emphasis on cooperation of a neurovascular team comes through and in two final chapters John Pile-Spellman, William Young, and Lotfi Hacein-Bey present excellent perspectives on the changes that have taken place and are likely to take place in the future in the management of intracranial vascular malformation. Robert Tarr’s final chapter provides some interesting personal reflections on possible innovative treatments that may be, in future, applied to the nervous system. The difficulties of the introduction of new technology in an intensely regulated environment, the move from the laboratory, and the experimental animal into clinical work, will increasingly present organisational challenges, particularly regulatory issues and training.
This book provides a useful overview for clinicians in the neurosciences who wish to update themselves on the current and future prospects of neurological endovascular intervention.
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