This Article Full Text Full Text (PDF) All Versions of this Article: 40/1/324    most recent STROKEAHA.108.519629v1 Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Request Permissions Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Gross, B. A. Articles by Batjer, H. H. Search for Related Content PubMed PubMed Citation Articles by Gross, B. A. Articles by Batjer, H. H. Related Collections Acute Cerebral Hemorrhage Cerebral Aneurysm, AVM, & Subarachnoid hemorrhage By-pass procedures Other Stroke Treatment - Surgical

(Stroke. 2009;40:324.)
© 2009 American Heart Association, Inc.

Comments, Opinions, and Reviews

Advances in Open Neurovascular Surgery 2007

Bradley A. Gross, MD; Bernard R. Bendok, MD; Ziad A. Hage, MD; Issam A. Awad, MD H. Hunt Batjer, MD

From the Department of Neurological Surgery, Northwestern University Feinberg School of Medicine, Chicago, Ill.

Correspondence to Bernard R. Bendok, Northwestern University, Suite 2210 676 N St Clair, Chicago, IL 60611. E-mail bbendok@nmff.org

Key Words: advances • aneurysms • arteriovenous malformations • AVM • cerebrovascular accident • cerebrovascular disease • stroke management • subarachnoid hemorrhage

An extract of the first 250 words of the full text is provided, because this article has no abstract.

	Introduction

 
We have read with great interest the Advances in Stroke 2007 subsection in February’s issue of Stroke and congratulate Dr Fisher for nicely amalgamating articles addressing some of the most pressing advances and shortcomings in stroke management over the past year.¹ Although advances in interventional approaches to stroke and neurovascular disease were nicely outlined,^1,2 we noticed little emphasis on open neurosurgical approaches. Of particular interest to our cerebrovascular team, reviewing the success of hemicraniectomy for malignant middle cerebral artery infarction^1,3 served to support the evidence that we have observed at our institution for this successful intervention for an oftentimes devastating disease. We would, however, like to further highlight more of the exciting advances in open cerebrovascular neurosurgery that have emerged over the past year for stroke and neurovascular diseases.

	Aneurysms

 
As already acknowledged in your Advances in Stroke 2007 subsection,² the results of the International Study of Unruptured Intracranial Aneurysms (ISUIA) continued to meet with considerable scrutiny over the past year. Promisingly, advances in both endovascular and neurosurgical approaches to aneurysm treatment continued in 2007. Kassam et al reported the first endoscopic endonasal clipping of a superior hypophyseal aneurysm.⁴ Kim et al presented a novel approach to the management of fusiform aneurysms, circumferentially cinching a Gore-Tex sling against an already clip-reconstructed parent vessel by clipping the free ends of the sling immediately adjacent to the vessel.⁵ Krisht et al presented their impressive experience with 50 complex basilar aneurysms managed through a pretemporal, transzygomatic transcavernous approach.⁶ These aneurysms, unamenable to endovascular coiling, . . . [Full Text of this Article]