Predictors of the Effects of Flow Diversion in Very Large and Giant Aneurysms

2021 ◽  
Author(s):  
H.J. Bae ◽  
Y.K. Park ◽  
D.Y. Cho ◽  
J.H. Choi ◽  
B.S. Kim ◽  
...  
Keyword(s):  
Flow Diversion ◽  
Giant Aneurysms ◽  
Large And Giant Aneurysms

Long-Term Effect of Flow Diversion on Large and Giant Aneurysms: MRI-DSA Clinical Correlation Study

2016 ◽  
Vol 93 ◽  
pp. 60-66 ◽  
Author(s):  
Seby John ◽  
Mark D. Bain ◽  
M. Shazam Hussain ◽  
Andrew M. Bauer ◽  
Gabor Toth
Keyword(s):  
Correlation Study ◽  
Term Effect ◽  
Flow Diversion ◽  
Clinical Correlation ◽  
Giant Aneurysms ◽  
Long Term Effect ◽  
Large And Giant Aneurysms

scholarly journals Coiling of Large and Giant Aneurysms: Complications and Long-Term Results of 334 Cases

2013 ◽  
Vol 35 (3) ◽  
pp. 546-552 ◽  
Author(s):  
N. Chalouhi ◽  
S. Tjoumakaris ◽  
L.F. Gonzalez ◽  
A.S. Dumont ◽  
R.M. Starke ◽  
...  
Keyword(s):  
Long Term Results ◽  
Giant Aneurysms ◽  
Large And Giant Aneurysms

Large and giant aneurysms

1980 ◽  
Vol 3 (1) ◽  
pp. 7-16 ◽  
Author(s):  
H. W. Pia
Keyword(s):  
Giant Aneurysms ◽  
Large And Giant Aneurysms

Carotid Balloon Occlusion for Large and Giant Aneurysms: Evaluation of a New Test Occlusion Protocol

Neurosurgery ◽  
2000 ◽  
Vol 47 (1) ◽  
pp. 116-122 ◽  
Author(s):  
Willem Jan J. van Rooij ◽  
Menno Sluzewski ◽  
Nicole H. Metz ◽  
Peter C. G. Nijssen ◽  
Douwe Wijnalda ◽  
...  
Keyword(s):  
Balloon Occlusion ◽  
Giant Aneurysms ◽  
Large And Giant Aneurysms

Pipeline Embolization Device in Treatment of 50 Unruptured Large and Giant Aneurysms

2017 ◽  
Vol 105 ◽  
pp. 232-237 ◽  
Author(s):  
Nimer Adeeb ◽  
Christoph J. Griessenauer ◽  
Hussain Shallwani ◽  
Hakeem Shakir ◽  
Paul M. Foreman ◽  
...  
Keyword(s):  
Pipeline Embolization Device ◽  
Giant Aneurysms ◽  
Large And Giant Aneurysms

Carotid Artery Sacrifice for Unclippable and Uncoilable Aneurysms: Endovascular Occlusion Vs Common Carotid Artery Ligation

Neurosurgery ◽  
2010 ◽  
Vol 67 (5) ◽  
pp. 1431-1437 ◽  
Author(s):  
Mohamed Samy Elhammady ◽  
Stacey Quintero Wolfe ◽  
Hamad Farhat ◽  
Mohammad Ali Aziz-Sultan ◽  
Roberto C Heros
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Common Carotid Artery ◽  
Internal Carotid ◽  
Parent Artery ◽  
Giant Aneurysms ◽  
Presenting Symptoms ◽  
Endovascular Occlusion ◽  
Large And Giant Aneurysms

Abstract BACKGROUND: Optimal treatment of intracranial aneurysms involves complete occlusion of the aneurysm with preservation of the parent artery and all of its branches. Attempts to occlude the aneurysm and preserve the parent artery may be associated with a higher level of risk than parent vessel occlusion or trapping. OBJECTIVE: To evaluate our series of patients with large and giant aneurysms who underwent treatment via endovascular coiling with parent artery sacrifice or surgical ligation of the common carotid artery (CCA) and gain insight into the advantages and risks of each of these alternatives. METHODS: We retrospectively reviewed all patients with aneurysms who underwent carotid sacrifice via endovascular occlusion or surgical CCA ligation during an 8-year period at our institution. RESULTS: Twenty-seven patients with large and giant aneurysms of the internal carotid artery underwent carotid artery sacrifice via endovascular occlusion (n = 15) or CCA ligation (n = 12). Of the patients who underwent endovascular occlusion, 3 developed groin complications, 1 developed a new sixth nerve palsy, 1 died from vasospasm related to subarachnoid hemorrhage, and 1 died secondary to rupture of an associated 3-mm anterior communicating artery aneurysm 5 days postoperatively. Of the patients undergoing CCA ligation, 1 patient developed a partial hypoglossal palsy. Clinical improvement of presenting symptoms was observed in all surviving patients regardless of the method of treatment. Complete aneurysm obliteration was documented in all patients during the initial hospital stay. The mean radiographic long-term follow-up was 14.2 months, which was available in 20 of the 25 surviving patients (80%). Complete obliteration was confirmed at follow-up in all but 2 patients with large cavernous aneurysms; 1 was initially treated with endovascular occlusion and the other with carotid ligation. CONCLUSION: Parent artery sacrifice is still a viable treatment for some complex aneurysms of the internal carotid artery. CCA ligation is a reasonable alternative to endovascular arterial sacrifice.

Management of large and giant aneurysms

1982 ◽  
Vol 5 (4) ◽  
pp. 173-178 ◽  
Author(s):  
R. P. Sengupta
Keyword(s):  
Giant Aneurysms ◽  
Large And Giant Aneurysms

scholarly journals Current Strategies in the Treatment of Intracranial Large and Giant Aneurysms

2021 ◽  
pp. 19-26
Author(s):  
Matthias Gmeiner ◽  
Andreas Gruber
Keyword(s):  
Treatment Strategies ◽  
High Volume ◽  
Mass Effect ◽  
Artery Occlusion ◽  
Active Management ◽  
Definitive Treatment ◽  
Parent Artery ◽  
Giant Aneurysms ◽  
Parent Artery Occlusion ◽  
Large And Giant Aneurysms

AbstractIntroduction: Very large and giant aneurysms are among the most challenging cerebrovascular pathologies in neurosurgery.Methods: The aim of this paper is to review the current literature on the management of very large and giant aneurysms and to describe representative cases illustrating possible treatment strategies.Results: In view of the poor natural history, active management using multiprofessional individualized approaches is required to achieve aneurysm occlusion, relief of mass effect, and obliteration of the embolic source. Both reconstructive (clipping, coiling, stent-assisted coiling, flow diversion [FD]) and deconstructive techniques (parent artery occlusion [PAO], PAO in conjunction with bypass surgery, and strategies of flow modification) are available to achieve definitive treatment with acceptable morbidity.Conclusions: Patients harboring such lesions should be managed at high-volume cerebrovascular centers by multidisciplinary teams trained in all techniques of open and endovascular neurosurgery.

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