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 1).
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 2)