ABSTRACT

The major advances in endovascular neurosurgery over the past 15 years are reflections of the pioneering work of previous generations of enthusiastic, persistent, and optimistic physicians. Since the introduction of cerebral angiography by António

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Egas Moniz in animal models in 1926 and subsequently in humans, the possibility of using a less invasive endovascular approach to treat cerebrovascular diseases was pursued.1-5 History unraveled many attempts by neurosurgeons searching for less invasive approaches to treating cerebrovascular diseases1-5 until Guido Guglielmi, an Italian neurosurgeon at the Medical Center of the University of California at Los Angeles, developed the platinum detachable coil as an effective and feasible treatment alternative to cerebral aneurysm clipping.6,7 This technology initiated the great advancements we see in endovascular neurosurgery today.