Principles in case-based aneurysm treatment: approaching complex lesions excluded by International Subarachnoid Aneurysm Trial (ISAT) criteria

World Neurosurg. 2011 Mar-Apr;75(3-4):462-75. doi: 10.1016/j.wneu.2010.10.014.

Abstract

Objective: To review notable aneurysm cases that required complex decision making from a single institution and to examine available literature when relevant to highlight evidence-based paradigms for treatment of complex aneurysms.

Methods: Case illustrations were used to highlight topics in complex aneurysm treatments. Reviews of the literature were conducted to evaluate the evidence for available treatment models.

Results: Current modalities for treating complex aneurysms involve endovascular and microsurgical tools.

Conclusions: Innovations in both arms of the cerebrovascular field will continue to advance the field and provide novel approaches to these complex lesions.

Publication types

  • Case Reports

MeSH terms

  • Abducens Nerve Diseases / etiology
  • Abducens Nerve Diseases / surgery
  • Adult
  • Aged
  • Brain Neoplasms / pathology
  • Brain Neoplasms / surgery
  • Catheterization
  • Cerebral Angiography
  • Cerebral Arterial Diseases / etiology
  • Cerebral Arterial Diseases / surgery
  • Decision Making
  • Endovascular Procedures / methods*
  • Epilepsy / etiology
  • Epilepsy / pathology
  • Evidence-Based Medicine
  • Female
  • Humans
  • Intracranial Aneurysm / pathology
  • Intracranial Aneurysm / surgery*
  • Male
  • Microsurgery
  • Middle Aged
  • Neck / pathology
  • Neurosurgical Procedures / methods*
  • Precision Medicine
  • Purpura, Thrombocytopenic, Idiopathic / complications
  • Seizures / drug therapy
  • Seizures / etiology
  • Subarachnoid Hemorrhage / pathology
  • Subarachnoid Hemorrhage / surgery*
  • Surgical Instruments
  • Young Adult