Current microsurgical and neurointerventional therapy of cerebral aneurysms
Authors:
V. Přibáň 1,2; M. Choc 1; J. Mraček 1; V. Runt 1; J. Fiedler 2; P. Duras 3
Authors‘ workplace:
Neurochirurgické oddělení, Lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Plzni, primář: MUDr. V. Přibáň, Ph. D.
1; Neurochirurgické oddělení, Nemocnice České Budějovice, a. s., primář: MUDr. V. Chlouba.
2; Klinika zobrazovacích metod, Lékařská fakulta Univerzity Karlovy a Fakultní nemocnice v Plzni, přednosta: Doc. MUDr. B. Kreuzberg CSc.
3
Published in:
Rozhl. Chir., 2012, roč. 91, č. 11, s. 588-596.
Category:
Review
Overview
Cerebral aneurysms occur in 5% of the adult population. Their most severe clinical manifestation is subarachnoid haemorrhage occurring in half of the patients. Morbidity and mortality of subarachnoid hemorrhage is relatively high. Stopping blood flow into the aneurysmal sac is the treatment objective. The basic techniques to achieve this are closing the aneurysmal neck with a clip – clipping – and the induction of intraaneurysmal thrombosis using platinum coils – coiling. Fusiform and giant aneurysms represent a technical challenge. The solution for indicated cases is the occlusion of the magistral artery along with a high-flow bypass. A new option is the use of special stents – flow-diverters – in unruptured aneurysms.
The authors present the current view on the treatment of both ruptured and unruptured aneurysms. At the same time the authors focus on factors that influence the application of up-to-date knowledge on everyday activities in their departments.
Key words:
intracranial aneurysms – unruptured, subarachnoid haemorrhage – microsurgical therapy – endovascular treatment
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