Endovascular Technology: Exploitation of Endovascular Corridors in the Broad Catalog of Challenges

doi:10.1017/9781009597852.026

Chapter 16 - Endovascular Technology: Exploitation of Endovascular Corridors in the Broad Catalog of Challenges

from Section IV - The Surgeon’s Armamentarium

Published online by Cambridge University Press: 29 November 2025

Jennifer E. Kim ,

Joshua S. Catapano ,

Badih Daou ,

Ashutosh P. Jadhav ,

Andrew Ducruet and

Felipe C. Albuquerque

Edited by

Benjamin Hartley ,

Philip E. Stieg ,

Rohan Ramakrishna and

Michael L. J. Apuzzo

Show author details

Benjamin Hartley: Affiliation:
Weill Cornell Medical Center
Philip E. Stieg: Affiliation:
Weill Cornell Medical College
Rohan Ramakrishna: Affiliation:
Weill Cornell Medical College
Michael L. J. Apuzzo: Affiliation:
Adjunct of Yale Medical School and Weill Cornell Medical College

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Summary

Advancements in the field of endovascular neurosurgery have resulted in unprecedented shifts in treatment paradigms and practice patterns. Novel implantable devices, improved catheter constructions, and new insights into disease pathomechanisms have encouraged providers to expand the indications for endovascular interventions and offer new treatment options for lesions that were previously thought to be inoperable or surgically high-risk. These include flow modifying devices for the treatment of ruptured and unruptured intracranial aneurysms, as well as super-selective embolizations and infusions for the treatment of numerous cerebrovascular and oncologic diseases. The existing evidence for the safety and efficacy of these therapies is encouraging, however, continued evaluation with rigorous, prospective trials is warranted to better understand their durability and long-term benefits.

Keywords

endovascular neurosurgery neurointerventional radiology flow diverter flow disruptor middle meningeal artery embolization intra-arterial therapy

Information

Type: Chapter
Information: Neurosurgery
Beyond the Cutting Edge
, pp. 351 - 362

DOI: https://doi.org/10.1017/9781009597852.026 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2025

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