Endovascular treatment of giant intracranial aneurysms

Giant aneurysms are defined as having a maximal diameter higher than 25mm. The dynamic aspect of giant aneurysms, in particular, is its growth, which was responsible for parenchyma sequellae either due to haemorrhagic complications or a compression of cranial nerves. The treatment of these giant ane...

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Bibliographic Details
Published in:Neuro-chirurgie 2016-02, Vol.62 (1), p.25-29
Main Authors: Bracard, S, Derelle, A L, Tonnelet, R, Barbier, C, Proust, F, Anxionnat, R
Format: Article
Language:fre
Subjects:
Embolization, Therapeutic - methods
Endovascular Procedures - methods
Humans
Intracranial Aneurysm - diagnosis
Intracranial Aneurysm - therapy
Neurosurgical Procedures - methods
Stents
Treatment Outcome
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Summary:Giant aneurysms are defined as having a maximal diameter higher than 25mm. The dynamic aspect of giant aneurysms, in particular, is its growth, which was responsible for parenchyma sequellae either due to haemorrhagic complications or a compression of cranial nerves. The treatment of these giant aneurysms was challenging because of its size, the mass effect and the neck diameter. These morphologic conditions required complex endovascular procedures such as remodelling, stenting, using flow diverters. Subsequently, the complex procedures increased the risk of morbidity because of ischemic complications. Despite these procedures, the risk of recurrence was high.
ISSN:1773-0619
DOI:10.1016/j.neuchi.2015.10.001