Giant anterior communicating artery aneurysm endovascular treatment [Neurosurgery Wiki]

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====== Giant anterior communicating artery aneurysm endovascular treatment ======
Because current stent techniques include flow-diverting devices, even giant or thrombotic aneurysms can be effectively treated by endovascular methods. However, surgical clipping still retains an important method in some cases, especially for giant wide-necked aneurysms for which isolation and bypass may be the only optimal treatment
((Chen J, Li M, Zhu X, Chen Y, Zhang C, Shi W, Chen Q, Wang Y. Anterior Communicating Artery Aneurysms: Anatomical Considerations and Microsurgical Strategies. Front Neurol. 2020 Sep 8;11:1020. doi: 10.3389/fneur.2020.01020. Erratum in: Front Neurol. 2020 Nov 20;11:620226. PMID: 33013671; PMCID: PMC7509403.)).
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Endovascular embolization using a pipeline embolization device (PED or PED + coils appears to be a moderately safe and effective treatment option for patients with GIAs
((Linfante I, Andreone V, Ravelo N, Starosciak AK, Arif B, Shallwani H, Tze Man Kan P, McDermott MW, Dabus G. Endovascular Treatment of Giant Intracranial Aneurysms. Cureus. 2020 May 26;12(5):e8290. doi: 10.7759/cureus.8290. PMID: 32601564; PMCID: PMC7317134.))