Surgical treatment of aneurysms

Saul F. Morales-Valero, Shanna Fang, Giuseppe Lanzino

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Although an increasing number of aneurysms are treated with endovascular therapy, traditional surgical treatment continues to be an important therapeutic option for both ruptured and unruptured aneurysms. The goal of aneurysm treatment is to isolate the aneurysm from the circulation while ensuring patency of parent artery and/or perforator branches. With advanced neurosurgical approaches focused on minimizing brain manipulation, careful arachnoid dissection, adjunctive intraoperative monitoring, and imaging techniques, aneurysm surgery can reliably achieve definitive occlusion with low complication rates. In the last decade, the widespread utilization of noninvasive vascular imaging techniques has led to an increased number of unruptured aneurysms that are detected and treated. Noninvasive imaging studies such as MRA and CTA play an ever-increasing role not only for the preoperative assessment but also postoperative monitoring of patients with intracranial aneurysms.

Original languageEnglish (US)
Title of host publicationNeurovascular Imaging
Subtitle of host publicationFrom Basics to Advanced Concepts
PublisherSpringer New York
Pages535-549
Number of pages15
ISBN (Electronic)9781461490296
ISBN (Print)9781461490289
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Keywords

  • Aneurysmal subarachnoid hemorrhage
  • Carotid balloon occlusion
  • Cerebral aneurysms
  • Computed tomography angiography
  • Digital subtraction angiography
  • Indocyanine green angiography
  • Intracranial aneurysms
  • Intraoperative angiography
  • Magnetic resonance angiography
  • Ruptured aneurysm
  • Surgical clipping
  • Surgical treatment
  • Unruptured aneurysm
  • Vascular disorder

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)

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