Combined treatment for complex intracranial aneurysm

Open access

Abstract

Complex aneurysms often cannot be completely excluded by a single approaches. Today successful treatment of these lesions requires a combination between microsurgical and endovascular techniques. Planning of combined treatment require a very good understanding of aneurysm anatomy and a close collaboration between neurosurgeon and neuroendovascular interventionist. Endovascular coiling can usually be used as early treatment for a partially aneurysm occlusion including the ruptured area and followed by definitive clipping. On the other hand microsurgical clipping also can be used as first treatment for complex aneurysm neck reconstruction, allowing successful secondary placement of coils inside the remnant aneurysm sac

1. Forsting M1, Albert FK, Jansen O, von Kummer R, Aschoff A, Kunze S, Sartor K. (1996) Coil placement after clipping: endovascular treatment of incompletely clipped cerebral aneurysms. Report of two cases. J Neurosurg. Nov;85(5):966-9;

2. Mangiafico S., Cellerini M., Villa G., Ammannati F., Paoli L., Mennonna P. (2005) Endovascular Coiling of Aneurysm Remnants after Clipping in Patients with Follow-up A Single Center Experience, Interventional Neuroradiology 11: 41-48;

3. Choudhri, O., Mukerji, N., & Steinberg, G. K. (2013). Combined endovascular and microsurgical management of complex cerebral aneurysms. Frontiers in neurology, 4:1-11;

4. Michael T Lawton, Alfredo Quinones-Hinojosa, Nader Sanai, Junaid Y Malek, Christopher F Dowd (2003) Combined microsurgical and endovascular management of complex intracranial aneurysms. Neurosurgery 52(2):263-275;

5. Sung-Chul Jin, Do Hoon Kwon, Young Song, Hyun Jung Kim, Jae Seung Ahn, Byung-Duk Kwun (2008) Multimodal Treatment for Complex Intracranial Aneurysms : Clinical Research, J Korean Neurosurg Soc 44 : 314-319.

Romanian Neurosurgery

The Journal of Romanian Society of Neurosurgery

Journal Information

Metrics

All Time Past Year Past 30 Days
Abstract Views 0 0 0
Full Text Views 178 152 17
PDF Downloads 59 53 5