Endovascular management of giant intracranial aneurysms of the posterior circulation

Abstract

Our results suggest that PVS remains the procedure of choice wherever possible and is relatively safe, particularly for giant vertebral and PCA aneurysms. When PVS is not feasible, stent-assisted coiling is a reasonable and safe option and requires follow-up. Management of basilar or vertebrobasilar aneurysms is complicated and still evolving.

Endovascular management of giant aneurysms: An introspection

“…Hopefully, better endovascular technologies combined with surgical strategies will provide better outcomes. Lv [6] 2009 39 5 (three deaths) 14.5 36 Jahromi [8] 2008 38 21 (11 deaths) 24.8 24 Ha [9] 2012 9 0 27.9 8 Dumont [10] 2014 26 12 (eight deaths) 9.4 14 Chalouhi [11] 2014 334 (302 large, 32 giant) 34 (one death) 26.3 286 Limaye [15] 2012 22 (posterior circulation) 9 (four deaths) 1-60 16 Copyright of Neurology India is the property of Medknow Publications & Media Pvt. Ltd. and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission.…”

“…[7,[12][13][14] For giant aneurysms close to the circle of Willis, a careful evaluation of the cross flow and a pre-procedural BOT are important steps that need to be undertaken in order to detect and prevent hypoperfusion by PVO. [7,12,15] The complications of PVO include early or late stroke and "de novo" aneurysm formation at a distant site because of hemodynamic changes in the circle of Willis. [16][17][18] Occasionally, patients with sufficient collateral circulation from the anterior circulation via the posterior communicating artery can Neurology India / March 2015 / Volume 63 / Issue 2 tolerate PVO of the bilateral vertebral arteries or the basilar artery.…”

Application of holistic nursing in care for cranial neurointervention

“…So far, the neurointervention is commonly used in clinic, with a better effect [8]. Limaye US and others [9] point out that with the…”

Giant partially thrombosed aneurysm of the vertebral artery: a case report and literature review

“…Эндоваскулярные методи-ки позволяют выключить аневризмы из кровообра-щения и значительно снижают риск внутричереп-ного кровоизлияния, но имеют и некоторые недо-статки, такие как неполная окклюзия и отсроченная реканализация аневризмы, а также тромбоз уста-новленного стента [24][25][26]. Важной особенностью эндоваскулярных вмешательств является сохране-ние или нарастание объемного воздействия, об-условленного в раннем послеоперационном перио-де увеличением размеров аневризмы вследствие тром-боза, на прилежащие нервные структуры с нарастани-ем неврологического дефицита [1,6,8,15,16,21].…”