Clinical Aspects of Endovascular Treatment of Cerebral Aneurysms
Recently, it has been widely accepted that the cerebral aneurysm, ruptured or unruptured, should be treated microsurgically. However, this does not always hold true when treating giant aneurysms. In Drake’s series, 62% of giant aneurysm cases couldn’t be clipped by usual microsurgical methods . Several attempts had been made to improve these figures, including the direct injection of a thrombotic agent into the aneurysmal sac, or electrothrombosis of the aneurysm. Recent advances in the supercatheterization technique with the detachable balloon makes it possible to cannulate the narrow intracranial arteries . Here we report our current approach toward the cerebral giant aneurysm with the detachable balloon technique.
KeywordsInternal Carotid Artery Cerebral Aneurysm Parent Artery Giant Aneurysm Left Internal Carotid Artery
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