History of endovascular endosaccular occlusion of brain aneurysms: 1965-1990

Abstract

A concise historical review of the endovascular, endosaccular treatment of intracranial aneurysms is reported. The transition from detachable balloons to detachable coils is described. The development of microcatheters for intracranial endovascular navigation is also reported.

Figures

Figure 1

Schematic illustration showing the report on the first catheterization of intracranial arteries. Luessenhop AJ, Velasquez AC: Observations on the tolerance of the intracranial arteries to catheterization. J Neurosurg 21:85-91,1964.

Figure 2

Illustration showing the first report on the endosaccular occlusion of intracranial aneurysms with detachable balloons. Serbinenko FA: Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41:125-145,1974.

Figure 3

Schematic illustration showing the technique of endosaccular occlusion of aneurysms with detachable coils. Guglielmi G, Vinuela F, Sepetka I, Macellari V: Electrothrombosis of saccular aneurysms via endovascular approach. Part 1: electrochemical basis, technique and experimental results. Special article. J Neurosurg 75:1-7,1991.

Figure 4

Angiogram showing a small-necked basilar apex aneurysm (lateral view). The aneurysm was selectively occluded with 2 platinum detachable GDC coils (total coil length: 65 cm). This procedure was performed in 1990.

Figure 5

This 6-year follow-up angiogram shows persistent complete occlusion of the aneurysm.