Comprehensive Overview of Contemporary Management Strategies for Cerebral Aneurysms

Amitoz Manhas; Shahid M Nimjee; Abhishek Agrawal; Jonathan Zhang; Orlando Diaz; Ali R Zomorodi; Tony Smith; Ciarán J Powers; Eric Sauvageau; Richard P Klucznik; Andrew Ferrell; Kiarash Golshani; Philip E Stieg; Gavin W Britz

doi:10.1016/j.wneu.2015.05.064

Comprehensive Overview of Contemporary Management Strategies for Cerebral Aneurysms

World Neurosurg. 2015 Oct;84(4):1147-60. doi: 10.1016/j.wneu.2015.05.064. Epub 2015 Jun 11.

Authors

Affiliations

¹ Division of Neurosurgery, Duke University Medical Center, Durham, North Carolina, USA.
² Department of Neurological Surgery, The Ohio State University Wexner Medical Center, Columbus, Ohio, USA.
³ Department of Neurosurgery & Radiology, Brigham and Women's Hospital, Boston, Massachusetts, USA.
⁴ Department of Neurosurgery, Methodist Hospital, Houston, Texas, USA.
⁵ Department of Neurosurgery and Radiology, Methodist Hospital, Houston, Texas, USA.
⁶ Department of Radiology, Duke University Medical Center, Durham, North Carolina, USA.
⁷ Department of Radiology, Methodist Hospital, Houston, Texas, USA.
⁸ Department of Radiology, University of Tennessee, Knoxville, Tennessee, USA.
⁹ Department of Neurological Surgery, University of California, Irvine, Orange, California, USA.
¹⁰ Department of Neurological Surgery, Cornell University Medical Center, New York, New York, USA.
¹¹ Department of Neurosurgery, Methodist Hospital, Houston, Texas, USA. Electronic address: gbritz@tmhs.org.

PMID: 26072457
DOI: 10.1016/j.wneu.2015.05.064

Abstract

Aneurysmal subarachnoid hemorrhage (SAH) remains an important health issue in the United States. Despite recent improvements in the diagnosis and treatment of cerebral aneurysms, the mortality rate following aneurysm rupture. In those patients who survive, up to 50% are left severely disabled. The goal of preventing the hemorrhage or re-hemorrhage can only be achieved by successfully excluding the aneurysm from the circulation. This article is a comprehensive review by contemporary vascular neurosurgeons and interventional neuroradiolgists on the modern management of cerebral aneurysms.

Keywords: Cerebral aneurysm; Endovascular surgery; Management; Microsurgery; Subarachnoid hemorrhage.

Publication types

Review

MeSH terms

Aneurysm, Ruptured / surgery
Disease Management
Humans
Intracranial Aneurysm / mortality
Intracranial Aneurysm / surgery*
Intracranial Aneurysm / therapy*
Neurosurgical Procedures / methods*
Quality of Life
Surgical Instruments