Giant Intracranial Aneurysms

Inhaltsverzeichnis

• Anatomical Definition.
• Mechanisms of Formation: Pathologic Features.
• Macroscopic Findings.
• Microscopic and Ultrastructural Findings.
• Natural History of Giant Intracranial Aneurysms.
• Mechanisms of Formation: Hemodynamic Features.
• Review of the Literature.
• Model Experiments.
• Clinical Study.
• Incidence and Distribution.
• Topographic Types.
• Giant Intracranial Aneurysms in Childhood.
• Neuroradiological Features.
• Plain Skull Radiographs.
• Angiography.
• Computed Tomography.
• Magnetic Resonance Imaging.
• Radionuclide Brain Scanning.
• Direct Surgical Treatment by Neck Occlusion.
• General Technical Considerations.
• Direct Surgical Approaches According to Topographic Type.
• Direct Surgical Treatment by Wrapping and Intravascular Thrombosis.
• Wrapping.
• Intravascular Thrombosis.
• Extracorporeal Circulation.
• Surgical Occlusion of the Carotid Axis (Cervical Common Carotid Artery and Cervical Internal Carotid Artery).
• Effects of Carotid Occlusion.
• Carotid Artery Occlusion in Giant Aneurysms.
• Surgical Occlusion of the Vertebrobasilar Axis (Vertebral Artery and Basilar Trunk).
• Hemodynamic Effects of Occlusion in the Vertebrobasilar System.
• Results in the Treatment of Giant Aneurysms.
• Intracranial Occlusion of the Parent Artery.
• Proximal Occlusion.
• Trapping.
• Tolerance of Occlusion.
• Implantable Vascular Occluder.
• Extra-intracranial Bypass.
• Methods.
• Patency.
• Applications in Giant Aneurysms.
• Tests for the Tolerance of Therapeutic Occlusion.
• Selection of Patients.
• Management by the Intravascular Approach.
• Background.
• Materials Used.
• Clinical Experience and Therapeutic Indications.
• General Conclusions.