Wide-Neck and Bifurcation Aneurysms: Balancing Open and Endovascular Therapies.
Neurosurg Clin N Am
; 33(4): 359-369, 2022 Oct.
Article
em En
| MEDLINE
| ID: mdl-36229125
ABSTRACT
Wide-neck aneurysms (WNA) often require advanced open surgical and endovascular techniques to achieve adequate aneurysm occlusion. Microsurgical treatment often requires advanced clip configurations. Occasionally, more complex open surgical techniques are required. Advancements in endovascular therapies (EVT) and devices have expanded endovascular treatment options for WNAs and have improved aneurysm occlusion rates compared with primary coiling. Certain EVT require dual antiplatelet therapy, limiting their use in the ruptured setting. Evidence suggests that microsurgical treatment should remain a consideration for treatment of ruptured WNAs, but perhaps with novel endovascular techniques and devices, EVT should be first-line treatment in the unruptured setting.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Intracraniano
/
Aneurisma Roto
/
Embolização Terapêutica
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Procedimentos Endovasculares
Limite:
Humans
Idioma:
En
Revista:
Neurosurg Clin N Am
Ano de publicação:
2022
Tipo de documento:
Article