State-of-Art Surgical Treatment of Dissecting Anterior Circulation Intracranial Aneurysms

Vladimir Balik, Yasuhiro Yamada, Sandeep Talari, Yamashiro Kei, Hirotoshi Sano, Igor Sulla, Daisuke Suyama, Tukasa Kawase, Kiyoshi Takagi, Katsumi Takizawa, Yoko Kato

Research output: Contribution to journalReview articlepeer-review

1 Citation (Scopus)

Abstract

Intracranial dissecting aneurysms (IDAs) are an important cause of subarachnoid hemorrhage, stroke, or compression of intracranial structures. Since the availability of endovascular treatment and the advantage of intraprocedural anticoagulation, an endovascular strategy has become the mainstay of their therapy. But in some cases selective aneurysm obliteration by the endovascular approach is impossible or associated with an unacceptable risk of morbidity. This is particularly true when the IDA is a blood blister-like aneurysm or when dissection affects peripheral branches of the internal carotid artery. The literature dealing with surgical treatment of IDAs in the anterior circulation is heterogeneous, and formulation of general recommendations concerning the surgical strategy remains difficult. The aim of this study was to conduct a systematic review of the current knowledge on incidence, pathogenesis, clinical presentation, and diagnostic procedures with a special emphasis on the surgical treatment of intracranial dissections of anterior circulation.

Original languageEnglish
Pages (from-to)67-77
Number of pages11
JournalJournal of Neurological Surgery, Part A: Central European Neurosurgery
Volume78
Issue number1
DOIs
Publication statusPublished - 01-01-2017

All Science Journal Classification (ASJC) codes

  • Surgery
  • Clinical Neurology

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