| Conventional microsurgical technique and endovascular method for the treatment of cerebral aneurysms: a comparative view. | |
| | |
MedLine Citation:
|
PMID: 16060235 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Endovascular embolization using Guglielmi Detachable Coils (GDCs) for complicated intracranial aneurysms has become widely accepted as an alternative to direct surgery. There is now a choice of therapeutic options for the management of cerebral aneurysms. The decision for treatment of an individual patient should be based on objective selection of the safest and most effective treatment. In addition, less invasive and cost effective treatment should be chosen. It is self-evident that the primary consideration in the selection process must be the immediate and long-term welfare of the individual patient, rather than the physician's preference for any specific treatment modality. GDC embolization is a less invasive and safe treatment with low incidence of periprocedural morbidity, and has been successful in preventing acute subsequent bleeding, whereas follow-up results are less satisfactory in cases involving incompletely obliterated lesions. High incidence of recanalization was promoted in cases with neck remnant and/or body filling. In contrast, the most important advantage of direct surgery is long-term durability, while conditions of patients and aneurysmal geometry limit the indication of direct surgery. In addition, direct surgery could be applied to complicated aneurysms with wide-neck or branching from the neck in combination with vascular reconstruction technique, such as EC-IC bypass. With these limitations in mind, patients need to be very carefully chosen for GDC embolization or direct surgery. |
| | |
Authors:
|
Y Kaku |
Related Documents
:
|
8823105 - Selective approach to descending thoracic aortic aneurysm repair: a ten-year experience. 11524585 - Increasing incidence of midterm and long-term complications after endovascular graft re... 9802845 - Posteroinferior cerebellar artery aneurysms: surgical results for 38 patients. 9452235 - Is routine transcranial doppler ultrasound monitoring useful in the management of subar... 1455885 - Routine versus selective intra-operative cholangiography during laparoscopic cholecyste... 22878765 - Thoracoscopic sympathectomy ganglia ablation in the management of palmer hyperhidrosis:... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: Acta neurochirurgica. Supplement Volume: 94 ISSN: 0065-1419 ISO Abbreviation: Acta Neurochir. Suppl. Publication Date: 2005 |
Date Detail:
|
Created Date: 2005-08-02 Completed Date: 2005-08-26 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 100962752 Medline TA: Acta Neurochir Suppl Country: Austria |
Other Details:
|
Languages: eng Pagination: 11-5 Citation Subset: IM |
Affiliation:
|
Department of Neurosurgery, Asahi University Murakami Memorial Hospital Gifu, Gifu, Japan. kaku@murakami.asahi-u.ac.jp |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Blood Vessel Prosthesis Embolization, Therapeutic / instrumentation*, methods* Humans Intracranial Aneurysm / surgery* Neurosurgical Procedures / instrumentation*, methods* Treatment Outcome Vascular Surgical Procedures / instrumentation*, methods* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Endovascular treatment for elderly patients with ruptured aneurysm.
Next Document: Lateral supraorbital approach as an alternative to the classical pterional approach.