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 REVIEW ARTICLE
Year : 2004  |  Volume : 52  |  Issue : 2  |  Page : 156--162

Surgical management of complex intracranial aneurysms


Department of Neurosurgery and Emory MBNA Stroke Center, Emory University School of Medicine, Atlanta, Georgia, USA

Correspondence Address:
Daniel L Barrow
Department of Neurosurgery, Emory University, 1365-B Clifton Road, NE, Ste. 2100, Atlanta, GA 30322
USA
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Source of Support: None, Conflict of Interest: None


PMID: 15269461

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Despite the improvements in increasing popularity of endovascular therapy for intracranial aneurysms, there remain a large number of these lesions that currently are not amenable to endovascular therapy. As endovascular therapy becomes more popular, those aneurysms requiring surgical intervention will become increasingly complex. To manage these challenging lesions, neurosurgeons must use all available innovations and advances, including diagnostic, technical and perioperative adjuncts. In this review article, we discuss limitations of endovascular therapy, the populations of aneurysms that continue to require surgical treatment, the factors that make an aneurysm complex and the multiple adjuncts utilized to successfully treat these challenging lesions.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow