Skip to main content
SpringerLink
Log in

Endovascular Therapy of Cerebral Arteriovenous Malformations and Aneurysms with a Proposed Scale for Neurological Outcome

  • Conference paper
Endovascular Interventional Neuroradiology

Part of the book series: Contemporary Perspectives in Neurosurgery ((COPENEU))

  • 89 Accesses

Abstract

Endovascular therapy has become established as a useful approach to the management of cerebrovascular abnormalities. Much of the basis for this approach has been the development by Luessenhop and Rosa1 of flow-directed particulate embolization, by Serbinenko2 of detachable balloons, and by Kerber et al.3 of leak balloon navigation. The field has been further widened by the development of new microcatheter systems, real-time digital subtraction fluoroscopy, and new embolic materials. A number of centers around the world, including our own at University Hospital in London, Canada, have gained experience in the embolization of various lesions, especially brain arteriovenous malformations (AVMs) and aneurysms.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Luessenhop AJ, Rosa L: Cerebral arteriovenous malformations: indications for and results of surgery, and the role of intravascular techniques. J Neurosurg 1984;60:14–22.

    Article  PubMed  CAS  Google Scholar 

  2. Serbinenko FA: Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 1974;41:125–145.

    Article  PubMed  CAS  Google Scholar 

  3. Kerber CW, Bank WO, Cromwell LD: Calibrated leak balloon microcatheter: a device for arterial exploration and occlusive therapy. AJR 1979;130:207–212.

    Google Scholar 

  4. Debrun G, Viñuela F, Fox AJ: Embolization of cerebral arteriovenous malformations with bucrylate: experience in 46 cases. J Neurosurg 1982;56:615–627.

    Article  PubMed  CAS  Google Scholar 

  5. Viñuela F, Fox AJ: Interventional neuroradiology in the management of arterio venous malformations and fistulas. Neurol Clin 1983;1:131–154.

    PubMed  Google Scholar 

  6. Viñuela F, Debrun G, Fox AJ, Girvin JP, Peerless SJ: Dominant hemisphere arteriovenous malformations: therapeutic embolization with isobutyl-2 cyano-acrylate. AJNR 1983;4:959–966.

    PubMed  Google Scholar 

  7. Debrun G, Viñuela F, Fox AJ: Two different calibrated-leak balloons: experimental work and application in humans. AJNR 1982;3:407–414.

    PubMed  CAS  Google Scholar 

  8. Fox A J, Girvin, Viñuela F, Drake CG: Rolandic arteriovenous malformations: improvement in limb function by IBC embolization. AJNR 1985;6:575–582.

    CAS  Google Scholar 

  9. Girvin JP, Fox AJ, Viñuela F, Drake CG. Intraoperative embolization (IBC) of cerebral arteriovenous malformations in the awake patient. Clin Neurosurg 1984;31:188–247.

    Google Scholar 

  10. Pelz DM, Fox AJ, Viñuela F, Drake CG, Ferguson GG: Preoperative embolization of brain AVMs with isobutyl-2 cyanoacrylate. AJNR 1988;9:757–764.

    PubMed  CAS  Google Scholar 

  11. Berenstein A, Choi IS: Surgical neuroangiography of intracranial lesions. Radiol Clin North Am 1988;26:1143–1152.

    PubMed  CAS  Google Scholar 

  12. Berenstein AB, Krall R, Choi IS: Embolization with n-butyl cyanoacrylate in the management of CNS lesions [abstract]. AJNR 1989;10:883.

    Google Scholar 

  13. Fox AJ, Lee DH, Pelz DM, Brothers M, Deveikis J: A thrombotic mixture as a “polymerizing” agent. AJNR 1988;9:1029.

    Google Scholar 

  14. Lee DL, Wriedt C, Kaufmann JCE, et al: Evaluation of three embolic agents in pig rete. AJNR 1989;10:773–776.

    PubMed  CAS  Google Scholar 

  15. Fox AJ, Pelz DM, Lee DH: Endovascular therapy of brain AVMs: recent results. Radiology 1990;177:51–57.

    PubMed  CAS  Google Scholar 

  16. Debrun G, Fox A, Drake C, et al: Giant unclippable aneurysms: treatment with detachable balloons. AJNR 1981;2:167–173.

    PubMed  CAS  Google Scholar 

  17. Fox AJ, Viñuela F, Pelz DM, et al: Use of detachable balloons for proximal artery occlusion in the treatment of unclippable cerebral aneurysms. J Neurosurg 1987;66:40–46.

    Article  PubMed  CAS  Google Scholar 

  18. Romodanov AP, Shcheglov VI: Intravascular occlusion of saccular aneurysms of the cerebral arteries by means of a detachable balloon catheter. Adv Tech Stand Neurosurg 1982;9:25–48.

    Google Scholar 

  19. Hieshima GB, Higashida RT, Wapenski J, et al: Balloon embolization of a large distal basilar aneurysm: case report. J Neurosurg 1986;65:413–416.

    Article  PubMed  CAS  Google Scholar 

  20. Higashida RT, Halbach VV, Cahan LD, Hieshima GB, Konishi Y: Detachable balloon embolization therapy of posterior circulation intracranial aneurysms. J Neurosurg 1989;71:512–519.

    Article  PubMed  CAS  Google Scholar 

  21. Higashida RT, Halbach VV, Barnwell SL, et al: Intravascular detachable balloon embolization therapy of intracranial aneurysms with preservation of the parent vessel. AJNR 1990;11:633–640.

    PubMed  CAS  Google Scholar 

  22. Hodes JE, Fox AJ, Pelz DM, Peerless SJ: Rupture of aneurysms following balloon embolization. J Neurosurg 1990;72:567–571.

    Article  PubMed  CAS  Google Scholar 

  23. Lin T, Fox AJ, Drake CG: Regrowth of aneurysm sacs from residual neck following aneurysm clipping. J Neurosurg 1989;70:556–560.

    Article  PubMed  CAS  Google Scholar 

  24. Ferguson GG: Physical factors in the initiation, growth and rupture of human intracranial saccular aneurysms. J Neurosurg 1972;37:666–667.

    Article  PubMed  CAS  Google Scholar 

Download references

Authors
  1. Allan J. Fox
    View author publications

    You can also search for this author in PubMed Google Scholar

Editor information

Editors and Affiliations

  1. College of Physicians and Surgeons of Columbia University, 10032, New York, NY, USA

    Robert N. N. Holtzman MD (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon) (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon)

  2. The New York Neurological Institute, 10032, New York, NY, USA

    Robert N. N. Holtzman MD (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon) (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon)

  3. Lenox Hill Hospital, 10021, New York, NY, USA

    Robert N. N. Holtzman MD (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon) (Assistant Clinical Professor of Neurological Surgery, Associate Neurosurgeon)

  4. College of Physicians and Surgeons of Columbia University, 10032, New York, NY, USA

    Bennett M. Stein MD (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery) (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery)

  5. Department of Neorolocal Surgery, The New York Neurological Institute, 10032, New York, NY, USA

    Bennett M. Stein MD (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery) (Bryon Stookey Professor of Neorological Surgery, Chairman of the Department of Neorological and Surgery)

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag New York, Inc.

About this paper

Cite this paper

Fox, A.J. (1995). Endovascular Therapy of Cerebral Arteriovenous Malformations and Aneurysms with a Proposed Scale for Neurological Outcome. In: Holtzman, R.N.N., Stein, B.M., Winston, H. (eds) Endovascular Interventional Neuroradiology. Contemporary Perspectives in Neurosurgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-2464-8_12

Download citation

  • DOI: https://doi.org/10.1007/978-1-4612-2464-8_12

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4612-7548-0

  • Online ISBN: 978-1-4612-2464-8

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics

Search

Navigation