Abstract
Devices and techniques for the endovascular treatment of intracranial aneurysms have rapidly progressed since their clinical debut nearly three decades ago. However, mastery of basic embolization techniques remains the cornerstone of successful endovascular therapy. Commonly employed techniques include direct, balloon-assisted, and stent-assisted coil embolization. The neuroendovascular field continues to innovate and coil embolization may not remain at the forefront of endovascular aneurysm treatment in the future. The introduction of innovative and promising new devices that do not utilize a coil platform may diminish the future importance of coil embolization techniques leading to a new age in aneurysm embolization where the coil is no longer the dominant device. In this chapter, we will discuss the basics of coil embolization focusing on standard direct, balloon-assisted, and stent-assisted techniques as they remain the workhorse options for aneurysm embolization.
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