Intracranial aneurysm endovascular treatment [Neurosurgery Wiki]

This page is read only. You can view the source, but not change it. Ask your administrator if you think this is wrong.
====== Intracranial aneurysm endovascular treatment ======

{{rss>https://pubmed.ncbi.nlm.nih.gov/rss/search/1XIG91fZAX3iz1oGrjzLcyd3xxgZuA77i0_45JRx7v1hEKFoKN/?limit=15&utm_campaign=pubmed-2&fc=20250128090236}}
----

----
Endovascular treatment is widely applied as the first-line treatment for intracranial aneurysms and includes simple [[intracranial aneurysm coiling]] (SC), [[intracranial aneurysm stent-assisted coiling]] (SAC), [[intracranial aneurysm flow diversion]], and [[intracranial aneurysm flow disruption]].

===== Intracranial aneurysm coiling =====

[[Intracranial aneurysm coiling]].

===== Intracranial aneurysm stent-assisted coiling =====
[[Intracranial aneurysm stent-assisted coiling]].

===== Intracranial aneurysm flow diversion =====

[[Intracranial aneurysm flow diversion]].

===== Intracranial aneurysm flow disruption =====

[[Intracranial aneurysm flow disruption]].

Since the emergence of the [[Guglielmi detachable coil]] in the late 1980s and early 1990s, [[intracranial aneurysm treatment]] has entered an [[endovascular]] era which has served as a crucial adjunct to the gold standard of microsurgical [[clipping]]. The International Subarachnoid Aneurysm Trial ([[ISAT]]) and International Study of Unruptured Intracranial Aneurysms ([[ISUIA]]) have established the exponential increase in the utility of endovascular procedures for aneurysms treatment. Results of the ISAT showed that
1-yr disability or death occurred in 30.9% of patients treated via clipping vs only in 23.5%
of patients in the coiling group
((Molyneux AJ, Kerr RS, Yu LM, et al. International Subarachnoid Aneurysm
Trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients
with ruptured intracranial aneurysms: a randomised comparison of effects on
survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion.
Lancet. 2005;366(9488):809-817.))
----
With the increasing use of endovascular techniques in the treatment of both [[ruptured intracranial aneurysm]] and [[unruptured intracranial aneurysm]]s, the issue of obliteration efficacy has become increasingly important.

Endovascular therapy is for certain aneurysms the treatment of choice for [[intracranial aneurysm]]s (IAs) for its efficacy and safety profile. Still, many [[aneurysm]]s such as large, giant, [[wide necked aneurysm]], and fusiform aneurysms are considered more challenging and less amenable to traditional endovascular coiling
((Leung GKK, Tsang ACO, Lui WM. Pipeline embolization device for intracranial aneurysm: a systematic review. Clin Neuroradiol (2012) 22:295–303.10.1007/s00062-012-0178-6)).

In addition to [[coiling]], [[balloon remodeling technique]] and [[Stent-assisted coiling]] have been employed for the endovascular treatment of wide-necked or otherwise morphologically challenging intracranial aneurysms, and each technique confers unique advantages. Flow-diverting stents may also be used as a primary treatment modality for complex aneurysms and have a number of benefits and limitations
((Raper DM, Crowley RW, Liu KC, Starke RM. Endovascular techniques and devices
for the treatment of intracranial aneurysms: a review of neurointerventional
outcomes. J Neurosurg Sci. 2015 Nov 25. [Epub ahead of print] PubMed PMID:
26606546.
)).

see [[Flow diverter]]

see [[Aneurysm Recanalization Stratification Scale]].

====Timing of endovascular treatment for aneurysmal subarachnoid hemorrhage====
[[Timing of endovascular treatment for aneurysmal subarachnoid hemorrhage]].