Is flow diversion the death of cerebral bypass and coiling/stent-assisted coiling for giant cavernous aneurysms? A critical review on comparative outcomes and ongoing clinical trials

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• 作者：Tobias A. Mattei ; Andrew S. Ferrell ; Gavin W. Britz
• 关键词：Flow ; diverting devices ; Giant intracranial aneurysms ; Cavernous sinus aneurysms ; Pipeline device ; Silk stent ; Clinical trials
• 刊名：Neurosurgical Review
• 出版年：2013
• 出版时间：October 2013
• 年：2013
• 卷：36
• 期：4
• 页码：505-512
• 全文大小：404KB
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• 作者单位：Tobias A. Mattei (1)
  Andrew S. Ferrell (2)
  Gavin W. Britz (3)
  
  1. Department of Neurosurgery, University of Illinois College of Medicine at Peoria, 828 NE Glen Oak, #302, Peoria, IL, 61603, USA
  2. Department of Radiology, Duke University Medical Center, Durham, USA
  3. Department of Neurosurgery, Methodist Hospital, Houston, TX, USA
  
• ISSN：1437-2320

文摘

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.