Abstract
With superior operative morbidity, similar rupture outcomes after treatment, and patient preference for minimally invasive operative techniques, endovascular treatment of intracranial aneurysms is performed with increasing frequency as compared to microsurgical techniques, including clip ligation. Endovascular treatment of intracranial aneurysms requires facility with a multitude of interventional techniques. The constantly expanding list of endovascular tools available currently includes detachable coils, stents, balloons, high-density embolic glues, and flow-diversion devices.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Abbreviations
- 3D:
-
Three dimensional
- ACT:
-
Activated coagulation time
- AP:
-
Anteroposterior
- F:
-
French
- FDA:
-
Food and Drug Administration
- ICA:
-
Internal carotid artery
- ISUIA:
-
International Study of Unruptured Intracranial Aneurysms
- MCA:
-
Middle cerebral artery
- PED:
-
Pipeline embolization device
- PUFS:
-
Pipeline for Uncoilable or Failed Aneurysms Study
- SAH:
-
Subarachnoid hemorrhage
- VA:
-
Vertebral artery
References
Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, et al. International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet. 2005;366:809–17.
McDougall CG, Spetzler RF, Zabramski JM, Partovi S, Hills NK, Nakaji P, et al. The barrow ruptured aneurysm trial. J Neurosurg. 2012;116:135–44.
Alshekhlee A, Mehta S, Edgell RC, Vora N, Feen E, Mohammadi A, et al. Hospital mortality and complications of electively clipped or coiled unruptured intracranial aneurysm. Stroke. 2010;41:1471–6.
Koebbe CJ, Veznedaroglu E, Jabbour P, Rosenwasser RH. Endovascular management of intracranial aneurysms: current experience and future advances. Neurosurgery. 2006;59:S93–102; discussion S103–13.
Chen PR, Frerichs K, Spetzler R. Current treatment options for unruptured intracranial aneurysms. Neurosurg Focus. 2004;17:E5.
Origitano TC. Current options in clipping versus coiling of intracranial aneurysms: to clip, to coil, to wait and watch. Neurosurg Clin N Am. 2008;19:469–76, vi.
Hunt WE, Hess RM. Surgical risk as related to time of intervention in the repair of intracranial aneurysms. J Neurosurg. 1968;28:14–20.
Hunt WE, Kosnik EJ. Timing and perioperative care in intracranial aneurysm surgery. Clin Neurosurg. 1974;21:79–89.
Rahman M, Smietana J, Hauck E, Hoh B, Hopkins N, Siddiqui A, et al. Size ratio correlates with intracranial aneurysm rupture status: a prospective study. Stroke. 2010;41:916–20.
Wiebers DO, Whisnant JP, Huston 3rd J, Meissner I, Brown Jr RD, Piepgras DG, et al. Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet. 2003;362:103–10.
Ogilvy CS, Yang X, Jamil OA, Hauck EF, Hopkins LN, Siddiqui AH, et al. Neurointerventional procedures for unruptured intracranial aneurysms under procedural sedation and local anesthesia: a large-volume, single-center experience. J Neurosurg. 2011;114:120–8.
Guglielmi G, Vinuela F, Dion J, Duckwiler G. Electrothrombosis of saccular aneurysms via endovascular approach. Part 2: preliminary clinical experience. J Neurosurg. 1991;75:8–14.
Moret J, Cognard C, Weill A, Castaings L, Rey A. Reconstruction technic in the treatment of wide-neck intracranial aneurysms. Long-term angiographic and clinical results. Apropos of 56 cases. J Neuroradiol. 1997;24:30–44.
Mawad ME, Klucznik RP, Ciceri EF. Endovascular treatment of cerebral aneurysms with the liquid polymer Onyx: initial clinical experience. In: Presented at 39th annual meeting of the American Society of Neuroradiology, Boston, MA; 23–27 Apr 2001.
Mericle RA, Lanzino G, Wakhloo AK, Guterman LR, Hopkins LN. Stenting and secondary coiling of intracranial internal carotid artery aneurysm: technical case report. Neurosurgery. 1998;43:1229–34.
Kallmes DF, Ding YH, Dai D, Kadirvel R, Lewis DA, Cloft HJ. A new endoluminal, flow-disrupting device for treatment of saccular aneurysms. Stroke. 2007;38:2346–52.
Fisher CM, Kistler JP, Davis JM. Relation of cerebral vasospasm to subarachnoid hemorrhage visualized by computerized tomographic scanning. Neurosurgery. 1980;6:1–9.
Memon MZ, Natarajan SK, Sharma J, Mathews MS, Snyder KV, Siddiqui AH, et al. Safety and feasibility of intraarterial eptifibatide as a revascularization tool in acute ischemic stroke. J Neurosurg. 2011;114:1008–13.
Chow MM, Woo HH, Masaryk TJ, Rasmussen PA. A novel endovascular treatment of a wide-necked basilar apex aneurysm by using a Y-configuration, double-stent technique. AJNR Am J Neuroradiol. 2004;25:509–12.
Dumont TM, Kan P, Snyder KV, Hopkins LN, Siddiqui AH, Levy EI. Adjunctive use of eptifibatide for complication management during elective neuroendovascular procedures. J Neurointerv Surg. 2013;5:226–30.
U.S. Food and Drug Administration. Pipeline embolization device – P100018. Summary of safety and effectiveness data (SSED). Issued 6 Apr 2011. http://www.accessdata.fda.gov/cdrh_docs/pdf10/P100018b.pdf. Accessed 3 Feb 2012.
Gonzalez NR, Duckwiler G, Jahan R, Murayama Y, Vinuela F. Challenges in the endovascular treatment of giant intracranial aneurysms. Neurosurgery. 2008;62:1324–35.
Benitez RP, Silva MT, Klem J, Veznedaroglu E, Rosenwasser RH. Endovascular occlusion of wide-necked aneurysms with a new intracranial microstent (Neuroform) and detachable coils. Neurosurgery. 2004;54:1359–68.
Gao X, Liang G, Li Z, Wei X, Cao P. A single-centre experience and follow-up of patients with endovascular coiling of large and giant intracranial aneurysms with parent artery preservation. J Clin Neurosci. 2012;19:364–9.
Liang G, Gao X, Li Z, Wei X, Xue H. Neuroform stent-assisted coiling of intracranial aneurysms: a 5 year single-center experience and follow-up. Neurol Res. 2010;32:721–7.
Lylyk P, Miranda C, Ceratto R, Ferrario A, Scrivano E, Luna HR, et al. Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience. Neurosurgery. 2009;64:632–42.
Nelson PK, Lylyk P, Szikora I, Wetzel SG, Wanke I, Fiorella D. The pipeline embolization device for the intracranial treatment of aneurysms trial. AJNR Am J Neuroradiol. 2011;32:34–40.
Szikora I, Berentei Z, Kulcsar Z, Marosfoi M, Vajda ZS, Lee W, et al. Treatment of intracranial aneurysms by functional reconstruction of the parent artery: the Budapest experience with the pipeline embolization device. AJNR Am J Neuroradiol. 2010;31:1139–47.
Tahtinen OI, Vanninen RL, Manninen HI, Rautio R, Haapanen A, Niskakangas T, et al. Wide-necked intracranial aneurysms: treatment with stent-assisted coil embolization during acute (<72 h) subarachnoid hemorrhage – experience in 61 consecutive patients. Radiology. 2009;253:199–208.
Weber W, Bendszus M, Kis B, Boulanger T, Solymosi L, Kuhne D. A new self-expanding nitinol stent (Enterprise) for the treatment of wide-necked intracranial aneurysms: initial clinical and angiographic results in 31 aneurysms. Neuroradiology. 2007;49:555–61.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer Science+Business Media New York
About this chapter
Cite this chapter
Dumont, T.M., Jahshan, S., Siddiqui, A.H. (2014). Endovascular Intracranial Aneurysm Treatment. In: Dieter, R., Dieter, Jr., R., Dieter, III, R. (eds) Endovascular Interventions. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-7312-1_5
Download citation
DOI: https://doi.org/10.1007/978-1-4614-7312-1_5
Published:
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4614-7311-4
Online ISBN: 978-1-4614-7312-1
eBook Packages: MedicineMedicine (R0)