World neurosurgery · 2023
Flow Diversion for Treatment of Anterior Inferior Cerebellar Artery Aneurysms: Mechanism and Pitfalls from a Novel Management Strategy.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
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Sreenivasan Sanjeev, Roychowdhury Sudipta, Kashibathla Ananth, Kumarapuram Siddhant, Nourollah-Zadeh Emad, Sundararajan Srihari, Sun Hai, Nanda Anil, Gupta Gaurav
Аннотация
BACKGROUND: Anterior inferior cerebellar artery (AICA) aneurysms present a challenge for neurosurgeons and neurointerventionalists alike.
METHODS: Cases of AICA aneurysms managed with endovascular flow diversion at our institute are reviewed with their angiographic outcomes.
RESULTS: Both direct and indirect flow diversion provide complete aneurysm occlusion at follow-up. We propose a stratified method of approaching AICA aneurysms based on location, rupture status, and neck size.
CONCLUSIONS: Careful evaluation of preoperative parameters is paramount in deciding between a surgical or a neuroendovascular approach. Low-profile stents in the future may assist in direct flow diversion of AICA trunk aneurysms. In addition, neurosurgeons need to be well versed in endovascular approaches.
METHODS: Cases of AICA aneurysms managed with endovascular flow diversion at our institute are reviewed with their angiographic outcomes.
RESULTS: Both direct and indirect flow diversion provide complete aneurysm occlusion at follow-up. We propose a stratified method of approaching AICA aneurysms based on location, rupture status, and neck size.
CONCLUSIONS: Careful evaluation of preoperative parameters is paramount in deciding between a surgical or a neuroendovascular approach. Low-profile stents in the future may assist in direct flow diversion of AICA trunk aneurysms. In addition, neurosurgeons need to be well versed in endovascular approaches.