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Nöro-Girişimsel İşlemlerde Beyin Cerrahlarının Rolü

Year 2016, Volume: 17 Issue: 2, 59 - 63, 01.08.2016

Abstract

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References

  • 1. Tomycz L, Bansal NK, Hawley CR, Goddard TL, Ayad MJ, Mericle RA. “Real-world”comparison of non-invasive imaging to conventional catheter angiography in the diagnosis of cerebral aneurysms. Surg Neurol Int 2011; 2: 134.
  • 2. Hirai T, Korogi Y, Ono K, Nagano M, Maruoka K, Uemura S, et al. Prospective evaluation for suspected stenoocclusive disease of the intracranial artery: combined MR angiography and CT angiography compared with digital subtraction angiography. AJNR Am J Neuroradiol 2002; 23: 93-101.
  • 3. Lanzino G, Rabinstein AA. Endovascular neurosurgery in the United States: a survey of 59 vascular neurosurgeons with endovascular training. World Neurosurg 2011; 75: 580-5.
  • 4. Peschillo S, Delfini R. Endovascular neurosurgery in Europe and in Italy: what is in the future? World Neurosurg 2012; 77: 248-51.
  • 5. Shin DS, Yeo DK, Hwang SC, Park SQ, Kim BT. Protocols and results of resident neurosurgeon’s transfemoral catheter angiography training supervised by neuroendovascular specialists. J Korean Neurosurg Soc 201; 54: 81-5.
  • 6. Lindvall P, Runnerstam M, Birgander R, Koskinen LO. The Fisher grading correlated to outcome in patients with subarachnoid haemorrhage. Br J Neurosurg 2009; 23: 188-92.
  • 7. Sodhi HB, Savardekar AR, Mohindra S, Chhabra R, Gupta V. The clinical profile, management, and overall outcome of aneurysmal subarachnoid hemorrhage at the neurosurgical unit of a tertiary care center in India. J Neurosci Rural Pract 2014; 5: 118-26.
  • 8. van Gijn J, Rinkel GJ. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 2001; 124: 249-78.
  • 9. van Dijk JM, Groen RJ, Ter Laan M, Jeltema JR, Mooij JJ, Metzemaekers JD. Surgical clipping as the preferred treatment for aneurysms of the middle cerebral artery. Acta Neurochir (Wien) 2011; 153: 2111-7.
  • 10. Santiago-Dieppa DR, Pannell JS, Khalessi AA. Endovascular and surgical options for ruptured middle cerebral artery aneurysms: review of the literature. Stroke Res Treat 2014; 2014: 315906.
  • 11. Taki W, Sakai N, Suzuki H; PRESAT Group. Determinants of poor outcome after aneurysmal subarachnoid hemorrhage when both clipping and coiling are available: Prospective Registry of Subarachnoid Aneurysms Treatment (PRESAT) in Japan. World Neurosurg 2011; 76: 437-45.
  • 12. Darsaut TE, Jack AS, Kerr RS, Raymond J. International Subarachnoid Aneurysm Trial - ISAT part II: study protocol for a randomized controlled trial. Trials 2013; 14: 156.
  • 13. Molyneux AJ, Kerr RS, Birks J, Ramzi N, Yarnold J, Sneade M, et al. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol 2009; 8: 427-33.
  • 14. Abla AA, Jahshan S, Kan P, Mokin M, Dumont TM, Eller JL, et al. Results of endovascular treatment of middle cerebral artery aneurysms after first giving consideration to clipping. Acta Neurochir (Wien) 2013; 155: 559-68.
  • 15. Davies JM, Lawton MT. Advances in open microsurgery for cerebral aneurysms. Neurosurgery 2014; 74(Suppl 1): 7-16.
  • 16. Diaz OM, Rangel-Castilla L, Barber S, Mayo RC, Klucznik R, Zhang YJ. Middle cerebral artery aneurysms: a single-center series comparing endovascular and surgical treatment. World Neurosurg 2014; 81: 322-9.
  • 17. Bederson JB, Connolly ES Jr, Batjer HH, Dacey RG, Dion JE, Diringer MN, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke 2009; 40: 994-1025.
  • 18. Rodríguez-Hernández A, Sughrue ME, Akhavan S, HabdankKolaczkowski J, Lawton MT. Current management of middle cerebral artery aneurysms: surgical results with a clip first policy. Neurosurgery 2013; 72: 415-27.
  • 19. Berlit P. Diagnosis and treatment of cerebral vasculitis. Ther Adv Neurol Disord 2010; 3: 29-42.
  • 20. Dashti R, Hernesniemi J, Niemelä M, Rinne J, Porras M, Lehecka M, et al. Microneurosurgical management of middle cerebral artery bifurcation aneurysms. Surg Neurol 2007; 67: 441-56.
  • 21. Bracard S, Abdel-Kerim A, Thuillier L, Klein O, Anxionnat R, Finitsis S,et al. Endovascular coil occlusion of 152 middle cerebral artery aneurysms: initial and midterm angiographic and clinical results. J Neurosurg 2010; 112: 703-8.
  • 22. Ecker RD, Levy EI, Hopkins LN. Workforce needs for endovascular neurosurgery. Neurosurgery 2006; 59(Suppl 3): 271-6.
  • 23. Harbaugh RE, Agarwal A. Training residents in endovascular neurosurgery. Neurosurgery 2006; 59(Suppl 3): 277-81.
  • 24. Jeon YI, Kwon DH. Current status and future prospect of endovascular neurosurgery. J Korean Neurosurg Soc 2008; 43: 69-78.

The Role of Neurosurgeons in Neurointerventional Surgery

Year 2016, Volume: 17 Issue: 2, 59 - 63, 01.08.2016

Abstract

Objective: Although the endovascular technique represents an important, minimally invasive approach to cerebrovascular diseases, only a few neurosurgeons are trained in both endovascular and surgical management of intracranial vascular pathologies. Our aim was to emphasize the importance of the endovascular approach in neurosurgery by analysing the cerebral digital subtraction angiography findings in our patients. Materials and Methods: We analysed 207 patients who underwent cerebral angiography between February 2011 and June 2014. They had previously been diagnosed with cerebral vascular pathology including aneurysm, arteriovenous malformation (AVM), carotid cavernous fistula, vasculitis and Moyamoya disease according to computed tomographic angiography/magnetic resonance angiography findings. Demographic data, indications for cerebral angiography, endovascular and surgical treatments, complications and results were analyzed. Results: This study included a total of 207 patients (108 males and 99 females) with a mean age of 57.43±11.14 (17-83) years. A total of 234 selective angiographies were performed. The indications for procedures were as follows: cerebral aneurysm (n=118, 57%), Moyamoya disease (n=3, 1.4%), AVM (n=13, 6.3%), carotid cavernous fistula (n=2, 1%), and intracranial vascular stenosis (n=2, 1%). No pathology was found in 69 patients (33.3%). Conclusion: Cerebral angiography is important not only in the diagnosis but also in the treatment of cerebrovascular diseases. Neurointerventional surgery is a safe and minimally invasive treatment option based on meticulous protocols, however, it has not been included in the neurosurgery residency program yet. Developing training programs for endovascular neurosurgeons provididing comprehensive patient care should be considered.

References

  • 1. Tomycz L, Bansal NK, Hawley CR, Goddard TL, Ayad MJ, Mericle RA. “Real-world”comparison of non-invasive imaging to conventional catheter angiography in the diagnosis of cerebral aneurysms. Surg Neurol Int 2011; 2: 134.
  • 2. Hirai T, Korogi Y, Ono K, Nagano M, Maruoka K, Uemura S, et al. Prospective evaluation for suspected stenoocclusive disease of the intracranial artery: combined MR angiography and CT angiography compared with digital subtraction angiography. AJNR Am J Neuroradiol 2002; 23: 93-101.
  • 3. Lanzino G, Rabinstein AA. Endovascular neurosurgery in the United States: a survey of 59 vascular neurosurgeons with endovascular training. World Neurosurg 2011; 75: 580-5.
  • 4. Peschillo S, Delfini R. Endovascular neurosurgery in Europe and in Italy: what is in the future? World Neurosurg 2012; 77: 248-51.
  • 5. Shin DS, Yeo DK, Hwang SC, Park SQ, Kim BT. Protocols and results of resident neurosurgeon’s transfemoral catheter angiography training supervised by neuroendovascular specialists. J Korean Neurosurg Soc 201; 54: 81-5.
  • 6. Lindvall P, Runnerstam M, Birgander R, Koskinen LO. The Fisher grading correlated to outcome in patients with subarachnoid haemorrhage. Br J Neurosurg 2009; 23: 188-92.
  • 7. Sodhi HB, Savardekar AR, Mohindra S, Chhabra R, Gupta V. The clinical profile, management, and overall outcome of aneurysmal subarachnoid hemorrhage at the neurosurgical unit of a tertiary care center in India. J Neurosci Rural Pract 2014; 5: 118-26.
  • 8. van Gijn J, Rinkel GJ. Subarachnoid haemorrhage: diagnosis, causes and management. Brain 2001; 124: 249-78.
  • 9. van Dijk JM, Groen RJ, Ter Laan M, Jeltema JR, Mooij JJ, Metzemaekers JD. Surgical clipping as the preferred treatment for aneurysms of the middle cerebral artery. Acta Neurochir (Wien) 2011; 153: 2111-7.
  • 10. Santiago-Dieppa DR, Pannell JS, Khalessi AA. Endovascular and surgical options for ruptured middle cerebral artery aneurysms: review of the literature. Stroke Res Treat 2014; 2014: 315906.
  • 11. Taki W, Sakai N, Suzuki H; PRESAT Group. Determinants of poor outcome after aneurysmal subarachnoid hemorrhage when both clipping and coiling are available: Prospective Registry of Subarachnoid Aneurysms Treatment (PRESAT) in Japan. World Neurosurg 2011; 76: 437-45.
  • 12. Darsaut TE, Jack AS, Kerr RS, Raymond J. International Subarachnoid Aneurysm Trial - ISAT part II: study protocol for a randomized controlled trial. Trials 2013; 14: 156.
  • 13. Molyneux AJ, Kerr RS, Birks J, Ramzi N, Yarnold J, Sneade M, et al. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol 2009; 8: 427-33.
  • 14. Abla AA, Jahshan S, Kan P, Mokin M, Dumont TM, Eller JL, et al. Results of endovascular treatment of middle cerebral artery aneurysms after first giving consideration to clipping. Acta Neurochir (Wien) 2013; 155: 559-68.
  • 15. Davies JM, Lawton MT. Advances in open microsurgery for cerebral aneurysms. Neurosurgery 2014; 74(Suppl 1): 7-16.
  • 16. Diaz OM, Rangel-Castilla L, Barber S, Mayo RC, Klucznik R, Zhang YJ. Middle cerebral artery aneurysms: a single-center series comparing endovascular and surgical treatment. World Neurosurg 2014; 81: 322-9.
  • 17. Bederson JB, Connolly ES Jr, Batjer HH, Dacey RG, Dion JE, Diringer MN, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke 2009; 40: 994-1025.
  • 18. Rodríguez-Hernández A, Sughrue ME, Akhavan S, HabdankKolaczkowski J, Lawton MT. Current management of middle cerebral artery aneurysms: surgical results with a clip first policy. Neurosurgery 2013; 72: 415-27.
  • 19. Berlit P. Diagnosis and treatment of cerebral vasculitis. Ther Adv Neurol Disord 2010; 3: 29-42.
  • 20. Dashti R, Hernesniemi J, Niemelä M, Rinne J, Porras M, Lehecka M, et al. Microneurosurgical management of middle cerebral artery bifurcation aneurysms. Surg Neurol 2007; 67: 441-56.
  • 21. Bracard S, Abdel-Kerim A, Thuillier L, Klein O, Anxionnat R, Finitsis S,et al. Endovascular coil occlusion of 152 middle cerebral artery aneurysms: initial and midterm angiographic and clinical results. J Neurosurg 2010; 112: 703-8.
  • 22. Ecker RD, Levy EI, Hopkins LN. Workforce needs for endovascular neurosurgery. Neurosurgery 2006; 59(Suppl 3): 271-6.
  • 23. Harbaugh RE, Agarwal A. Training residents in endovascular neurosurgery. Neurosurgery 2006; 59(Suppl 3): 277-81.
  • 24. Jeon YI, Kwon DH. Current status and future prospect of endovascular neurosurgery. J Korean Neurosurg Soc 2008; 43: 69-78.
There are 24 citations in total.

Details

Other ID JA77UN74US
Journal Section Research Article
Authors

Ali Yılmaz This is me

Mücahit Avcil This is me

Ayça Özkul This is me

Abdullah Topçu This is me

Bayram Çırak This is me

Feridun Acar This is me

Erdal Coşkun This is me

Publication Date August 1, 2016
Published in Issue Year 2016 Volume: 17 Issue: 2

Cite

EndNote Yılmaz A, Avcil M, Özkul A, Topçu A, Çırak B, Acar F, Coşkun E (August 1, 2016) The Role of Neurosurgeons in Neurointerventional Surgery. Meandros Medical And Dental Journal 17 2 59–63.