• Luc Picard, Serge Bracard, and René Anxionnat.
• Neuroradiologie Diagnostique et Thérapeutique, Pôle Neuro tête et Cou. CHU, Hopital Neurologique, 29 Avenue Maréchal de Lattre de Tassigny, 54035 Nancy Cedex.
• B Acad Nat Med Paris. 2009 Apr 1; 193 (4): 873-81.

AbstractFirst developed in the 1960s, interventional neuroradiology has vastly improved the management of patients with vascular diseases of the brain and spine, including vascular malformations and stroke. Gradually replacing open-skull neurosurgical approaches, endovascular occlusion of ruptured intracranial aneurysms has improved the post-bleed prognosis. With the increasing number of fortuitously discovered aneurysms, international randomized studies are being organized to determine whether preventive treatment is better than abstention. A wide range of therapeutic strategies are available for brain arteriovenous malformations, including hyperselective embolization, open-skull surgery, radiosurgery, and abstention. The choice depends on multiple parameters, including symptoms, clinical status, the angioarchitecture of the malformation, and the patient's psychology and wishes (...).

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