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Giant intracranial aneurysms: endovascular challenges.
MedLine Citation:
PMID:  18695553     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
The treatment of giant aneurysms remains a formidable challenge for endovascular and surgical strategies. The use of endovascular techniques in a deconstructive (e.g., parent vessel occlusion) and reconstructive (e.g., stent coiling) methodology is reviewed. The results of endovascular coiling as a primary therapy for giant aneurysm occlusion have been disappointing. Hunterian strategies have had more success in published series, but recent developments in coil, glue, and stent technology show great promise in allowing parent vessel reconstruction as a primary endovascular target, with acceptable morbidity, mortality, and durability. A literature review of giant aneurysm endovascular treatment strategies was undertaken after 1994, when Guglielmi detachable coils were approved by the Food and Drug Administration. Where possible, follow-up, durability, and occlusion rates are also reviewed.
Authors:
Richard J Parkinson; Christopher S Eddleman; H Hunt Batjer; Bernard R Bendok
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurosurgery     Volume:  62     ISSN:  1524-4040     ISO Abbreviation:  Neurosurgery     Publication Date:  2008 Jun 
Date Detail:
Created Date:  2008-08-12     Completed Date:  2008-10-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7802914     Medline TA:  Neurosurgery     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1336-45     Citation Subset:  -    
Affiliation:
Department of Neurological Surgery, Northwestern University, Feinberg School of Medicine, Chicago, Illinois 60611, USA.
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Republished from:
Neurosurgery. 2006 Nov;59(5 Suppl 3):S103-12; discussion S3-13   [PMID:  17053593 ]

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