The evolution of intracranial aneurysm treatment techniques and future directions
© 2021. The Author(s)..
Treatment techniques and management guidelines for intracranial aneurysms (IAs) have been continually developing and this rapid development has altered treatment decision-making for clinicians. IAs are treated in one of two ways: surgical treatments such as microsurgical clipping with or without bypass techniques, and endovascular methods such as coiling, balloon- or stent-assisted coiling, or intravascular flow diversion and intrasaccular flow disruption. In certain cases, a single approach may be inadequate in completely resolving the IA and successful treatment requires a combination of microsurgical and endovascular techniques, such as in complex aneurysms. The treatment option should be considered based on factors such as age; past medical history; comorbidities; patient preference; aneurysm characteristics such as location, morphology, and size; and finally the operator's experience. The purpose of this review is to provide practicing neurosurgeons with a summary of the techniques available, and to aid decision-making by highlighting ideal or less ideal cases for a given technique. Next, we illustrate the evolution of techniques to overcome the shortfalls of preceding techniques. At the outset, we emphasize that this decision-making process is dynamic and will be directed by current best scientific evidence, and future technological advances.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2022 |
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| Erschienen: |
2022 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:45 |
|---|---|
| Enthalten in: |
Neurosurgical review - 45(2022), 1 vom: 23. Feb., Seite 1-25 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Lee, Keng Siang [VerfasserIn] |
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| Links: |
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| Themen: |
Aneurysms |
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| Anmerkungen: |
Date Completed 11.02.2022 Date Revised 14.08.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s10143-021-01543-z |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM324448651 |
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| 520 | |a © 2021. The Author(s). | ||
| 520 | |a Treatment techniques and management guidelines for intracranial aneurysms (IAs) have been continually developing and this rapid development has altered treatment decision-making for clinicians. IAs are treated in one of two ways: surgical treatments such as microsurgical clipping with or without bypass techniques, and endovascular methods such as coiling, balloon- or stent-assisted coiling, or intravascular flow diversion and intrasaccular flow disruption. In certain cases, a single approach may be inadequate in completely resolving the IA and successful treatment requires a combination of microsurgical and endovascular techniques, such as in complex aneurysms. The treatment option should be considered based on factors such as age; past medical history; comorbidities; patient preference; aneurysm characteristics such as location, morphology, and size; and finally the operator's experience. The purpose of this review is to provide practicing neurosurgeons with a summary of the techniques available, and to aid decision-making by highlighting ideal or less ideal cases for a given technique. Next, we illustrate the evolution of techniques to overcome the shortfalls of preceding techniques. At the outset, we emphasize that this decision-making process is dynamic and will be directed by current best scientific evidence, and future technological advances | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Review | |
| 650 | 4 | |a Aneurysms | |
| 650 | 4 | |a Clipping | |
| 650 | 4 | |a Coiling | |
| 650 | 4 | |a Endovascular embolization | |
| 650 | 4 | |a Flow diversion | |
| 650 | 4 | |a Stents | |
| 650 | 4 | |a Subarachnoid hemorrhage | |
| 700 | 1 | |a Zhang, John J Y |e verfasserin |4 aut | |
| 700 | 1 | |a Nguyen, Vincent |e verfasserin |4 aut | |
| 700 | 1 | |a Han, Julian |e verfasserin |4 aut | |
| 700 | 1 | |a Johnson, Jeremiah N |e verfasserin |4 aut | |
| 700 | 1 | |a Kirollos, Ramez |e verfasserin |4 aut | |
| 700 | 1 | |a Teo, Mario |e verfasserin |4 aut | |
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