Treatment of aneurysms with wires and electricity: A historical overview

Khawar Siddique, Jorge Alvernia, Kenneth Fraser, Giuseppe Lanzino

Research output: Contribution to journalReview article

6 Scopus citations

Abstract

Endovascular treatment of aneurysms has only recently become an accepted therapeutic modality. Nonetheless, treatment of aneurysms with the aid of various foreign bodies such as needle and wire insertion with or without electrical current has been reported since the first half of the 19th century. In 1832 Phillips induced clot formation in the femoral and carotid arteries of dogs by leaving needles in the arteries for variable lengths of time. Simultaneously, in France, Velpeau had proposed using "l'acupuncture des arteres dans le traitement des anevrismes." Later, Phillips and Pelrequin connected the offending needles to a source of electrical current in an attempt to increase thrombus formation and aneurysm occlusion. Subsequently, Moore introduced the concept of packing the aneurysm with wire inserted through a needle transfixed to the vessel wall. To this method, Corradi added electrical current. Widely known as the Moore-Corradi technique, it was used in ensuing years with variable success. The early phase of endovascular aneurysm treatment culminated when Blakemore and Moore treated a case of symptomatic cavernous sinus aneurysm by passing wire through the patient's orbit. These pioneering cases combined with technological advances in the diagnosis of intracranial aneurysms paved the way for further refinements in coil embolization of aneurysms.

Original languageEnglish (US)
Pages (from-to)1102-1107
Number of pages6
JournalJournal of neurosurgery
Volume99
Issue number6
DOIs
StatePublished - Dec 1 2003

Keywords

  • Aneurysm
  • Electrothrombosis
  • Endovascular treatment
  • Neurosurgical history

ASJC Scopus subject areas

  • Surgery
  • Clinical Neurology

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