Patient selection for endovascular treatment of intracranial aneurysms.

Abstract:

:With recent advancement in medical imaging, techniques, and endovascular tools more patients are diagnosed with unruptured intracranial aneurysms. The main aim of offering aneurysm treatment is to ameliorate the risk of future aneurysm bleeding, while not posing additional risks on the patient from the treatment itself. We discuss in this paper our approach of selecting patients for treatment (simple coiling, balloon-assisted, stent-assisted, vessel sacrifice, or flow-divertion stents). Our decision-making is based on the published data and our center experience. Risks of all option are compared to each other and weighed against natural history of intracranial aneurysms. In this paper, literature is cited and case illustrations are presented to support this approach. Factors that affect our decision-making are aneurysm location, presentation, size, aneurysm geometry, parent vessel anatomy, and relevant co-morbidities.

journal_name

Neurol Res

journal_title

Neurological research

authors

Alaraj A,Ti J,Dashti R,Aletich V

doi

10.1179/1743132814Y.0000000328

subject

Has Abstract

pub_date

2014-04-01 00:00:00

pages

283-307

issue

4

eissn

0161-6412

issn

1743-1328

journal_volume

36

pub_type

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