[Endovascular treatment of giant intracranial aneurysms]

S Bracard; A L Derelle; R Tonnelet; C Barbier; F Proust; R Anxionnat

doi:10.1016/j.neuchi.2015.10.001

[Endovascular treatment of giant intracranial aneurysms]

Neurochirurgie. 2016 Feb;62(1):25-9. doi: 10.1016/j.neuchi.2015.10.001. Epub 2015 Dec 28.

[Article in French]

Authors

S Bracard¹, A L Derelle², R Tonnelet², C Barbier², F Proust³, R Anxionnat²

Affiliations

¹ Service de neuroradiologie diagnostique et thérapeutique, hôpital Central, CHU de Nancy, 54035 Nancy cedex, France. Electronic address: [email protected].
² Service de neuroradiologie diagnostique et thérapeutique, hôpital Central, CHU de Nancy, 54035 Nancy cedex, France.
³ Service de neurochirurgie, CHU de Strasbourg, Strasbourg, France.

PMID: 26740286
DOI: 10.1016/j.neuchi.2015.10.001

Abstract

Giant aneurysms are defined as having a maximal diameter higher than 25mm. The dynamic aspect of giant aneurysms, in particular, is its growth, which was responsible for parenchyma sequellae either due to haemorrhagic complications or a compression of cranial nerves. The treatment of these giant aneurysms was challenging because of its size, the mass effect and the neck diameter. These morphologic conditions required complex endovascular procedures such as remodelling, stenting, using flow diverters. Subsequently, the complex procedures increased the risk of morbidity because of ischemic complications. Despite these procedures, the risk of recurrence was high.

Keywords: Anévrisme intracrânien géant; Endovascular treatment; Giant intracranial aneurysm; Traitement endovasculaire.

Publication types

Review

MeSH terms

Embolization, Therapeutic* / methods
Endovascular Procedures* / methods
Humans
Intracranial Aneurysm / diagnosis
Intracranial Aneurysm / therapy*
Neurosurgical Procedures* / methods
Stents*
Treatment Outcome