AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on August 21, 2008
doi: 10.3174/ajnr.A1267
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American Journal of Neuroradiology 30:12-18, January 2009
© 2009 American Society of Neuroradiology

Review Article

Endovascular Treatment of Large and Giant Aneurysms

W.J. van Rooija and M. Sluzewskia

a From the Department of Radiology, St. Elisabeth Ziekenhuis, Tilburg; the Netherlands

Please address correspondence to W.J. van Rooij, MD, PhD, Department of Radiology, St. Elisabeth Ziekenhuis, Hilvarenbeekseweg 60, 5022 GC Tilburg, the Netherlands; e-mail: radiol{at}knmg.nl

SUMMARY: Very large and giant (≥15 mm) cerebral aneurysms have a poor natural history, with high risk of subarachnoid hemorrhage or progressive symptoms of mass effect. Several endovascular techniques may be applied for treatment, depending on location, size, anatomy and presence of collateral circulation. The authors reviewed their clinical experience in endovascular treatment of 232 very large and giant aneurysms and present their perspective on the present state of the art in endovascular therapy for these aneurysms.




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Copyright © 2010 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X