Paediatric intracranial aneurysms: results of a surgical series and literature review of Guglielmi detachable coil embolization

Treatment of pediatric patient with ruptured intracranial aneurysm: Case report

“…The Italian neuroradiologist Guglielmi introduced a new technique for the embolization of aneurysm which improved the success rate of the treatment. During this intervention the incidence of aneurysm rupture was 2.5% and mortality was 1% [15]. However, there are no sufficient data and experience regarding the safety of this technique in pediatric patients [14].…”

“…Embolization is performed by placing a catheter through the femoral artery, after which the tip of microcatheter is placed in the center of aneurysm and the aneurysm is filled with coils. During and after the procedure the angiograms are made to provide the data on the coil position and the level of embolization of the aneurysm sack [14,15]. Intracranial aneurysms are nowadays more frequently treated by endovascular treatment than by surgery due to advanced technical developments [16].…”

Pediatric intracranial aneurysms

“…Of late, endovascular treatment has also been advocated for aneurysms in this age group with good success. [4] Long-term follow-up data are necessary to understand the natural history of this disease. [5] It is quite challenging for the neurosurgeon to operate on tiny arteries of a delicate and growing brain.…”

51 Pediatric Intracranial Aneurysms

“…[2] Though clipping is the gold standard treatment option, endovascular treatment (coiling) is also evolving as an alternative option in this age group. [4] Case Reports…”