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Review
. 2022 Jan 4;10(1):100.
doi: 10.3390/biomedicines10010100.

Endovascular Management of Hemorrhagic Stroke

Basel Musmar  1 , Nimer Adeeb  1 , Junaid Ansari  1 , Pankaj Sharma  1 , Hugo H Cuellar  1
Affiliations
Review

Endovascular Management of Hemorrhagic Stroke

Basel Musmar et al. Biomedicines. .

Abstract

Significant advances in endovascular neurosurgery tools, devices, and techniques are changing the approach to the management of acute hemorrhagic stroke. The endovascular treatment of intracranial aneurysms emerged in the early 1990s with Guglielmi detachable coils, and since then, it gained rapid popularity that surpassed open surgery. Stent-assisted coiling and balloon remodeling techniques have made the treatment of wide-necked aneurysms more durable. With the introduction of flow diverters and flow disrupters, many aneurysms with complex geometrics can now be reliably managed. Arteriovenous malformations and fistulae can also benefit from endovascular therapy by embolization using n-butyl cyanoacrylate (NBCA), Onyx, polyvinyl alcohol (PVA), and coils. In this article, we describe the role of endovascular treatment for the most common causes of intracerebral and subarachnoid hemorrhages, particularly ruptured aneurysms and vascular malformations.

Keywords: SAH; aneurysms; arteriovenous; fistula; hemorrhage; malformation; stroke.

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Conflict of interest statement

The authors declare no conflict of interest.

References

    1. Krishnamurthi R.V., Moran A.E., Feigin V.L., Barker-Collo S., Norrving B., Mensah G.A., Taylor S., Naghavi M., Forouzanfar M.H., Nguyen G., et al. Stroke Prevalence, Mortality and Disability-Adjusted Life Years in Adults Aged 20–64 Years in 1990–2013: Data from the Global Burden of Disease 2013 Study. Neuroepidemiology. 2015;45:190–202. doi: 10.1159/000441098. - DOI - PubMed
    1. Qureshi A.I., Tuhrim S., Broderick J.P., Batjer H.H., Hondo H., Hanley D.F. Spontaneous Intracerebral Hemorrhage. N. Engl. J. Med. 2001;344:1450–1460. doi: 10.1056/NEJM200105103441907. - DOI - PubMed
    1. Rajashekar D., Liang J.W. StatPearls. StatPearls Publishing; 2021. [(accessed on 22 August 2021)]. Intracerebral Hemorrhage. Available online: http://www.ncbi.nlm.nih.gov/books/NBK553103/ - PubMed
    1. Marden F.A., Roy S.S. Endovascular management of intracerebral and subarachnoid hemorrhage. Curr. Treat. Options Cardiovasc. Med. 2005;7:197–209. doi: 10.1007/s11936-005-0048-5. - DOI - PubMed
    1. Aiyagari V. The clinical management of acute intracerebral hemorrhage. Expert Rev. Neurother. 2015;15:1421–1432. doi: 10.1586/14737175.2015.1113876. - DOI - PubMed

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