Literature review of giant intracranial aneurysms treated with combined concomitant endovascular and microsurgical interventions.
References | Patients with giant aneurysms (n) | Aneurysm location | Treatment modalities | Outcomes |
Serbinenko et al 49 | 9 | Internal carotid artery | Vascular bypass and endovascular parent artery occlusion | No associated morbidity or mortality |
Arnautovic et al 45 | 8 | Paraclinoid internal carotid artery | Clip ligation with endovascular temporary balloon occlusion | 6 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 artery | Endovascular occlusion with either vascular bypass, clip ligation or both | 2 patients GOS 5 2 patients GOS 4 1 patient death |
Ponce et al 48 | 9 | Anterior communicating artery, basilar artery, posterior cerebral artery and cavernous internal carotid artery | Vascular bypass and endovascular parent artery occlusion | 3 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 means | Does not specify location | Vascular bypass and endovascular aneurysm occlusion or endovascular and surgical trapping | 1 patient death |
GOS, Glasgow Outcome Score.