Abstract
The classic surgical treatment for symptomatic giant aneurysms originating from the cavernous segment of the carotid artery has been either microsurgical direct clip-reconstruction or carotid occlusion followed by additional cerebral bypass for those patients who fail in a balloon test occlusion. Nevertheless the emergence of new endovascular techniques, especially flow-diverting devices, has promised to revolutionize the treatment of giant cavernous aneurysms, possibly avoiding major microsurgical operations. In this review the authors summarize the current "state-of-art" of treatment of giant cavernous aneurysms, comparing the overall outcomes, complications, morbidity and mortality rates of new flow-diverting devices in relation to traditional microsurgical series.
Original language | English (US) |
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Pages (from-to) | 505-512 |
Number of pages | 8 |
Journal | Neurosurgical Review |
Volume | 36 |
Issue number | 4 |
DOIs | |
State | Published - Oct 2013 |
Keywords
- Cavernous sinus aneurysms
- Clinical trials
- Flow-diverting devices
- Giant intracranial aneurysms
- Pipeline device
- Silk stent
ASJC Scopus subject areas
- Clinical Neurology
- Surgery