TY - JOUR
T1 - Giant intracranial aneurysms
T2 - endovascular challenges.
AU - Parkinson, Richard J.
AU - Eddleman, Christopher S.
AU - Batjer, H. Hunt
AU - Bendok, Bernard R.
PY - 2006/11
Y1 - 2006/11
N2 - The treatment of giant aneurysms remains a formidable challenge for endovascular and surgical strategies. The use of endovascular techniques in a deconstructive (e.g., parent vessel occlusion) and reconstructive (e.g., stent coiling) methodology is reviewed. The results of endovascular coiling as a primary therapy for giant aneurysm occlusion have been disappointing. Hunterian strategies have had more success in published series, but recent developments in coil, glue, and stent technology show great promise in allowing parent vessel reconstruction as a primary endovascular target, with acceptable morbidity, mortality, and durability. A literature review of giant aneurysm endovascular treatment strategies was undertaken after 1994, when Guglielmi detachable coils were approved by the Food and Drug Administration. Where possible, follow-up, durability, and occlusion rates are also reviewed.
AB - The treatment of giant aneurysms remains a formidable challenge for endovascular and surgical strategies. The use of endovascular techniques in a deconstructive (e.g., parent vessel occlusion) and reconstructive (e.g., stent coiling) methodology is reviewed. The results of endovascular coiling as a primary therapy for giant aneurysm occlusion have been disappointing. Hunterian strategies have had more success in published series, but recent developments in coil, glue, and stent technology show great promise in allowing parent vessel reconstruction as a primary endovascular target, with acceptable morbidity, mortality, and durability. A literature review of giant aneurysm endovascular treatment strategies was undertaken after 1994, when Guglielmi detachable coils were approved by the Food and Drug Administration. Where possible, follow-up, durability, and occlusion rates are also reviewed.
UR - http://www.scopus.com/inward/record.url?scp=39049180106&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=39049180106&partnerID=8YFLogxK
M3 - Review article
C2 - 17053593
AN - SCOPUS:39049180106
SN - 0148-396X
VL - 59
SP - S103-112; discussion S3-11213
JO - Neurosurgery
JF - Neurosurgery
IS - 5 Suppl 3
ER -