Show simple item record

dc.contributor.authorLee, Keng Siang
dc.contributor.authorZhang, John JY
dc.contributor.authorNguyen, Vincent
dc.contributor.authorHan, Julian
dc.contributor.authorJohnson, Jeremiah N
dc.contributor.authorKirollos, Ramez
dc.contributor.authorTeo, Mario
dc.date.accessioned2022-02-09T16:20:18Z
dc.date.available2022-02-09T16:20:18Z
dc.date.issued2022-02
dc.date.submitted2021-01-13
dc.identifier.issn0344-5607
dc.identifier.others10143-021-01543-z
dc.identifier.other1543
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/333807
dc.description.abstractTreatment techniques and management guidelines for intracranial aneurysms (IAs) have been continually developing and this rapid development has altered treatment decision-making for clinicians. IAs are treated in one of two ways: surgical treatments such as microsurgical clipping with or without bypass techniques, and endovascular methods such as coiling, balloon- or stent-assisted coiling, or intravascular flow diversion and intrasaccular flow disruption. In certain cases, a single approach may be inadequate in completely resolving the IA and successful treatment requires a combination of microsurgical and endovascular techniques, such as in complex aneurysms. The treatment option should be considered based on factors such as age; past medical history; comorbidities; patient preference; aneurysm characteristics such as location, morphology, and size; and finally the operator's experience. The purpose of this review is to provide practicing neurosurgeons with a summary of the techniques available, and to aid decision-making by highlighting ideal or less ideal cases for a given technique. Next, we illustrate the evolution of techniques to overcome the shortfalls of preceding techniques. At the outset, we emphasize that this decision-making process is dynamic and will be directed by current best scientific evidence, and future technological advances.
dc.languageen
dc.publisherSpringer Science and Business Media LLC
dc.subjectReview
dc.subjectSubarachnoid hemorrhage
dc.subjectAneurysms
dc.subjectClipping
dc.subjectEndovascular embolization
dc.subjectCoiling
dc.subjectStents
dc.subjectFlow diversion
dc.titleThe evolution of intracranial aneurysm treatment techniques and future directions.
dc.typeArticle
dc.date.updated2022-02-09T16:20:18Z
prism.endingPage25
prism.issueIdentifier1
prism.publicationNameNeurosurg Rev
prism.startingPage1
prism.volume45
dc.identifier.doi10.17863/CAM.81225
dcterms.dateAccepted2021-04-07
rioxxterms.versionofrecord10.1007/s10143-021-01543-z
rioxxterms.versionVoR
rioxxterms.licenseref.urihttp://creativecommons.org/licenses/by/4.0/
dc.contributor.orcidLee, Keng Siang [0000-0003-2308-0579]
dc.contributor.orcidZhang, John JY [0000-0002-8567-3807]
dc.contributor.orcidJohnson, Jeremiah N [0000-0003-4743-911X]
dc.contributor.orcidTeo, Mario [0000-0002-0051-3303]
dc.identifier.eissn1437-2320
cam.issuedOnline2021-04-23


Files in this item

Thumbnail
Thumbnail

This item appears in the following Collection(s)

Show simple item record