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August 2016

The Consideration of Flow Diversion in Modern Cerebrovascular Neurosurgery

Author Affiliations
  • 1Department of Neurological Surgery, The University of Texas Southwestern Medical Center, Dallas
  • 2Department of Radiology, The University of Texas Southwestern Medical Center, Dallas
JAMA Neurol. 2016;73(8):921-922. doi:10.1001/jamaneurol.2016.0937

The evolution of the treatment of intracranial aneurysms has been fascinating to observe. Since the clipping of intracranial aneurysms began with Dr Walter Dandy in 1933, innovations in the intraoperative and postoperative management of aneurysms have made it possible for these lesions to be treated, rather than being uniformly fatal. With the introduction of endovascular therapy for intracranial aneurysms came the oft-debated topic of whether to coil or to clip the aneurysm. As with all debates, the discussion has evolved. The cerebrovascular community is now in search of the appropriate insertion of flow diversion into the treatment paradigm for intracranial aneurysms.