脑血管神经外科学的演进：血管内治疗范式。

Cerebrovascular neurosurgery in evolution: the endovascular paradigm.

机构信息

Departments of *Neurosurgery, §Radiology, and ¶Neurology, School of Medicine and Biomedical Sciences, and ‖Toshiba Stroke and Vascular Research Center, University at Buffalo, State University of New York; ‡Department of Neurosurgery, Gates Vascular Institute, Kaleida Health Buffalo, New York; #Jacobs Institute, Buffalo, New York.

出版信息

Neurosurgery. 2014 Feb;74 Suppl 1:S191-7. doi: 10.1227/NEU.0000000000000222.

DOI:10.1227/NEU.0000000000000222

PMID:24402487

Abstract

Endovascular technique represents an important, minimally invasive approach to treating cerebrovascular disease. In this article, we discuss the origins of endovascular neurosurgery as a discipline in the context of important technical milestones, evidence-based medicine, and future cerebrovascular neurosurgical training. Cerebrovascular neurosurgery has seen a steady, convergent evolution toward the surgeon capable of seamless incorporation of open and endovascular approaches to any complex vascular disease affecting the central nervous system. Neurosurgery must assume the leadership role in the multidisciplinary neurovascular team.

摘要

血管内技术是治疗脑血管病的一种重要的微创方法。本文讨论了血管内神经外科学作为一门学科的起源，包括重要的技术里程碑、循证医学以及未来的脑血管神经外科学培训。脑血管神经外科学一直在稳步发展，趋向于培养能够将开放手术和血管内技术无缝结合用于治疗任何影响中枢神经系统的复杂血管疾病的外科医生。神经外科必须在多学科神经血管团队中发挥领导作用。