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1990

1990

1989-1991

The Guglielmi Detachable Coil is a block of platinum coil commonly used in intracranial non-invasive surgery for the occlusion of intracranial aneurysms. It was invented by Italian interventional neuroradiologist Dr. Guido Guglielmi in 1990 and was gradually introduced in the later 1990s as an alternative to surgical clipping, which requires invasive surgery. In September 1995, the Guglielmi Detachable Coil (GDC) system received formal approval from the Food and Drug Administration (FDA) for the treatment of surgically high-risk intracranial aneurysms


In 1990, Macdonald et al.defined the criteria for evaluating response to treatment and disease progression. They suggested that variations in the tumor-enhancing area, neurological function, and steroid dosage should be considered in the assessment of tumor response 1). Although these criteria have since been the cornerstone in response evaluation in many phase II clinical trials, some doubts have been expressed regarding the evaluation of disease progression in patients treated with TMZ concomitant with radiotherapy.


In 1990, Parviz Kambin described a triangular safe zone bordered by the exiting root anteriorly, the traversing root medially, and the superior endplate of the lower lumbar vertebra inferiorly 2). The anatomical description of this safe zone allowed the field of endoscopic spine surgery to outgrow the technique of percutaneous nucleotomy, which was limited by the use of small needlelike instruments. Kambin's triangle was a working corridor that allowed larger instruments and working channels to be introduced in even closer proximity to foraminal pathology without injuring the exiting nerve.

1)
Macdonald DR, Cascino TL, Schold SC Jr, Cairncross JG. Response criteria for phase II studies of supratentorial malignant glioma. J Clin Oncol. 1990 Jul;8(7):1277-80. PubMed PMID: 2358840.
2)
Kambin P: Arthroscopic Microdiscectomy: Minimal Intervention Spinal Surgery Baltimore, MD, Urban & Schwarzenberg, 1990
1990.txt · Last modified: 2020/02/05 19:56 by administrador