Endovascular Intervention

INTRODUCTION The field of interventional neurology has expanded dramatically in recent years. Beyond acute ischemic stroke, endovascular therapy may also be used for the treatment of intracranial aneurysms, embolization of arteriovenous malformations and fistulae, preoperative embolization of intracranial and cervical vascular tumors, and stenting of stenotic extracranial and intracranial vessels. The advent of neurointerventional therapy now even includes the possibility of treatment of conditions as diverse as intracranial hypertension, by stenting venous sinuses. SCOPE AND PURPOSE In light of the growth of the field and the increase in the potential to expand the performance of interventional endovascular treatments of stroke and other neurological conditions, this guideline define appropriate clinical indications and specific therapeutic approaches for these procedures in adults (i.e., people aged over 18 years). This guideline is intended to help practicing physicians ensure that patients undergo cervicocerebral/spinal intervention catheter angiography for appropriate reasons, that the methods used and the periprocedural care provided are adequate to minimize complications, and that the quality of the studies obtained is sufficient to answer the clinical questions that prompted them. It will also outline required qualifications needed for either physician and neurointervention centers that will ensure safe & efficient practicing of neurointervention procedures. This guideline is not intended to overrule regulations or standards concerning the provision of services and should be considered in conjunction with them. In considering and implementing this guideline, users are advised to also consult and follow all appropriate legislation, standards and good practice.