Treatment of Aneurysms

  • Clipping Most aneurysms
  • Coiling Most aneurysms
  • Flow diversion Large proximal ICA aneurysms, blister aneurysms
  • Flow diversion with adjunctive coiling Large and giant aneurysms with wide necks
  • Intrasaccular flow diversion Bifurcation aneurysms with neck ≥4 mm
  • Coiling with assistive stenting Wide-neck aneurysms and aneurysms with branch vessels near/incorporating aneurysm neck
  • Parent vessel sacrifice or branch vessel sacrifice with bypass Dissecting aneurysms, giant aneurysms with branch vessels incorporating aneurysm neck
  • Parent vessel sacrifice without bypass Distal PICA aneurysms, distal PCA aneurysms, distal mycotic aneurysms

 

Reference:

Walcott, Brian P. et al. “Blood Flow Diversion As A Primary Treatment Method For Ruptured Brain Aneurysms—Concerns, Controversy, And Future Directions”. Neurocritical Care (2016): pp 1-9.

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