Neuroradiologic imaging and interventional therapy in cerebrovascular disease

Diagnostic and interventional neuroradiology became increasingly important in the field of cerebrovascular disease within the last decade. Multimodal imaging can estimate the amount of tissue at risk in the acute stage of ischemia and thus, guide therapeutic decision The new generation of flat panel angiography systems enables the rapid acquisition of volume data and secondary reconstruction resulting in increased benefit for various neurointerventional procedures. Intraarterial mechanical devices for the treatment of proximal cerebral artery occlusion in acute cerebral ischemia are increasingly used. The endovascular treatment of symptomatic cervical or cerebral artery stenosis with stent is an accepted method. For the treatment of cerebral aneurysms, endovascular coilembolization is today the method of choice. With all of this improvement, neuroradiology emerged as key role in the acute diagnosis and therapy of cerebrovascular disease.