J Neurosurg. 2019 Dec 1;131(6):1690-1701. doi: 10.3171/2019.8.JNS182678.
Neuroendovascular surgery and interventional neuroradiology both describe the catheter-based (most often) endovascular diagnosis and treatment of vascular lesions affecting the brain and spinal cord. This article traces the evolution of these techniques and their current role as the dominant and frequently standard approach for many of these conditions. The article also discusses the important changes that have been brought to bear on open cerebrovascular neurosurgery by neuroendovascular surgery and their effects on resident and fellow training and describes new concepts for clinical care.
神经血管外科学和介入神经放射学都描述了基于导管的(最常见的)血管内诊断和治疗影响大脑和脊髓的血管病变的方法。本文追溯了这些技术的发展历程,以及它们目前在许多此类疾病中作为主要且通常是标准治疗方法的作用。本文还讨论了神经血管外科学给开颅脑血管外科学带来的重要变化及其对住院医师和研究员培训的影响,并描述了临床护理的新概念。