Most cerebrovascular diseases such as intracranial aneurysms (IA), arterio-venous malformations (AVM) or dural fistulas (AVF) can effectively be treated with microsurgical techniques (i.e. clipping) or with endovascular procedures (i.e. coiling). In certain patients, also gamma-knife (radiation) treatment may play a role. Sometimes, the treatment strategy may consist of a staged approach that combines some of the above-mentioned techniques in a serial manner. Likewise, also spinal vascular pathologies (i.e. spinal vascular malformations, spinal dural AV-fistulas or spinal cavernomas) may often be approached with a single treatment modality or, more rare with a staged approach.
In selected cases however, simultaneous treatment combining open (micro-)surgical and endovascular procedures in one single hybrid operation may be favorable. So far only few series reported indications, potential benefits, or pitfalls with hybrid approaches in cerebrovascular surgery.
This collection aims to summarise reported experiences with hybrid approaches that combine simultaneous endovascular and microsurgical interventions in a setting of vascular diseases in the brain and in the spine. It will put an emphasis on indication, benefits and potential harms of combined diagnostic-therapeutic procedures (i.e. intraoperative control DSA after clipping), advanced endovascular strategies enabled through surgical access (i.e. direct arterial punctuation after previous surgical vessel exposure) or combined therapeutic operations (i.e. proximal control through balloon occlusion during clipping).
As hybrid procedures have only emerged during the last decades, there is still a lack of evidence-based guidelines in clinical routine when compared to more conventional treatment modalities. By comprising papers in all aspect of hybrid treatments for spinal- and cerebrovascular diseases, this collection intends to bring more evidence into the field of neurovascular therapies and to define standards of care in the management of these patients.
This Research Topic covers all aspect of clinically oriented papers on operative/interventional hybrid techniques for treatment of cerebrovascular diseases (intracranial aneurysm, AVM, dAVF, cavernoma, etc.) or spinal vascular diseases (spinal aneurysm, spinal AVM, etc.). A particular (but not exclusive) focus will be put on:
-Descriptive papers on indication, surgical-technical aspects, complications and benefits on hybrid treatments for cerebrovascular or spino-vascular disease.
-Clinical series describing patients treated in a hybrid operation room (i.e. compared to a cohort that underwent conventional treatment) with an emphasis on postoperative outcome and further follow-up.
-Case reports on extraordinary, spectacular cases that needed a hybrid operation for treatment.
-Technical aspects on particularities in hybrid operation room settings or related workflows.
Most cerebrovascular diseases such as intracranial aneurysms (IA), arterio-venous malformations (AVM) or dural fistulas (AVF) can effectively be treated with microsurgical techniques (i.e. clipping) or with endovascular procedures (i.e. coiling). In certain patients, also gamma-knife (radiation) treatment may play a role. Sometimes, the treatment strategy may consist of a staged approach that combines some of the above-mentioned techniques in a serial manner. Likewise, also spinal vascular pathologies (i.e. spinal vascular malformations, spinal dural AV-fistulas or spinal cavernomas) may often be approached with a single treatment modality or, more rare with a staged approach.
In selected cases however, simultaneous treatment combining open (micro-)surgical and endovascular procedures in one single hybrid operation may be favorable. So far only few series reported indications, potential benefits, or pitfalls with hybrid approaches in cerebrovascular surgery.
This collection aims to summarise reported experiences with hybrid approaches that combine simultaneous endovascular and microsurgical interventions in a setting of vascular diseases in the brain and in the spine. It will put an emphasis on indication, benefits and potential harms of combined diagnostic-therapeutic procedures (i.e. intraoperative control DSA after clipping), advanced endovascular strategies enabled through surgical access (i.e. direct arterial punctuation after previous surgical vessel exposure) or combined therapeutic operations (i.e. proximal control through balloon occlusion during clipping).
As hybrid procedures have only emerged during the last decades, there is still a lack of evidence-based guidelines in clinical routine when compared to more conventional treatment modalities. By comprising papers in all aspect of hybrid treatments for spinal- and cerebrovascular diseases, this collection intends to bring more evidence into the field of neurovascular therapies and to define standards of care in the management of these patients.
This Research Topic covers all aspect of clinically oriented papers on operative/interventional hybrid techniques for treatment of cerebrovascular diseases (intracranial aneurysm, AVM, dAVF, cavernoma, etc.) or spinal vascular diseases (spinal aneurysm, spinal AVM, etc.). A particular (but not exclusive) focus will be put on:
-Descriptive papers on indication, surgical-technical aspects, complications and benefits on hybrid treatments for cerebrovascular or spino-vascular disease.
-Clinical series describing patients treated in a hybrid operation room (i.e. compared to a cohort that underwent conventional treatment) with an emphasis on postoperative outcome and further follow-up.
-Case reports on extraordinary, spectacular cases that needed a hybrid operation for treatment.
-Technical aspects on particularities in hybrid operation room settings or related workflows.