Neuroendovascular Surgery Techniques for Fellows-Coiling Aneurysms

Video Transcription

Video Summary

The speaker begins by emphasizing the importance of audience interaction and encourages questions and discussion throughout the talk. He introduces himself and gives a brief background of his education and experience in neurosurgery.<br /><br />The main topic of the talk is calling aneurysms and the speaker discusses various considerations in whether an aneurysm is coilable or not. He mentions the importance of anatomy, geometry, location, collateral flow, and access in determining whether a coil should be placed in an aneurysm. He also mentions the importance of CSF diversion in certain cases.<br /><br />The speaker then talks about catheterization techniques, including the importance of understanding proximal anatomy, one-to-one response, and intracranial tortuosity. He discusses the use of shaping catheters and the angle of attack in the circle of Willis. He also mentions the importance of going slow and adapting to changing circumstances when placing coils.<br /><br />The speaker emphasizes the importance of coil placement techniques, such as framing, filling, and finishing coils. He discusses the use of different coil sizes and lengths, and the need to reposition the microcatheter if necessary. He also discusses the use of toys or additional tools in coil placement, and the importance of being aware of what is happening below the aneurysm.<br /><br />Finally, the speaker mentions the potential for coil prolapse and the need to reposition coils or microcatheters if necessary. He emphasizes the importance of going slow in coil placement and giving coils time to fill the aneurysm space.

Asset Subtitle

Presented by Jay U. Howington, MD, FAANS

Keywords

aneurysms

coilable

anatomy

catheterization techniques

coil placement techniques

CSF diversion

proximal anatomy

coil prolapse