Table 1

Literature review of giant intracranial aneurysms treated with combined concomitant endovascular and microsurgical interventions.

ReferencesPatients with giant aneurysms (n)Aneurysm locationTreatment modalitiesOutcomes
Serbinenko et al 49 9Internal carotid arteryVascular bypass and endovascular parent artery occlusionNo associated morbidity or mortality
Arnautovic et al 45 8Paraclinoid internal carotid arteryClip ligation with endovascular temporary balloon occlusion6 patients considered ‘good’ outcome
1 patient stroke causing hemiplegia
1 patient death
Hoh et al 50 ≤5 (does not differentiate giant from fusiform aneurysm)Paraclinoid internal carotid artery, basilar artery, middle cerebral artery and anterior cerebral arteryEndovascular occlusion with either vascular bypass, clip ligation or both2 patients GOS 5
2 patients GOS 4
1 patient death
Ponce et al 48 9Anterior communicating artery, basilar artery, posterior cerebral artery and cavernous internal carotid arteryVascular bypass and endovascular parent artery occlusion3 patients no morbidity
1 patient hydrocephalus
3 patients epidural haematomas
1 patient ischaemic stroke
2 patients death
Lawton et al 46 ≤15 (does not differentiate which giant aneurysms were treated by alternative meansDoes not specify locationVascular bypass and endovascular aneurysm occlusion or endovascular and surgical trapping1 patient death
  • GOS, Glasgow Outcome Score.