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Current treatment strategies for intracranial aneurysms: An overview

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journal contribution
posted on 06.12.2018, 11:31 by Junjie Zhao, Hao Lin, Richard Summers, Mingmin Yang, Brian CousinsBrian Cousins, Janice Tsui
Intracranial aneurysm is a leading cause of stroke. Its treatment has evolved over the past 2 decades. This review summarizes the treatment strategies for intracranial aneurysms from 3 different perspectives: open surgery approach, transluminal treatment approach, and new technologies being used or trialed. We introduce most of the available treatment techniques in detail, including contralateral clipping, wrapping and clipping, double catheters assisting coiling and waffle-cone technique, and so on. Data from major trials such as Analysis of Treatment by Endovascular approach of Non-ruptured Aneurysms (ATENA), Internal Subarachnoid Trial (ISAT), Clinical and Anatomical Results in the Treatment of Ruptured Intracranial Aneurysms (CLARITY), and Barrow Ruptured Aneurysm Trial (BRAT) as well as information from other clinical reports and local experience are reviewed to suggest a clinical pathway for treating different types of intracranial aneurysms. It will be a valuable supplement to the current existing guidelines. We hope it could help assisting real-time decision-making in clinical practices and also encourage advancements in managing the disease.

Funding

This work was supported by EPSRC (grant number 509360).

History

School

  • Science

Department

  • Chemistry

Published in

Angiology

Volume

69

Issue

1

Pages

17 - 30

Citation

ZHAO, J. ... et al., 2018. Current treatment strategies for intracranial aneurysms: An overview. Angiology, 69(1), pp. 17-30.

Publisher

© The Authors. Published by Sage.

Version

VoR (Version of Record)

Publisher statement

This work is made available according to the conditions of the Creative Commons Attribution 4.0 International (CC BY 4.0) licence. Full details of this licence are available at: http://creativecommons.org/licenses/ by/4.0/

Acceptance date

28/02/2017

Publication date

2018

Notes

This is an Open Access Article. It is published by Sage under the Creative Commons Attribution 4.0 Unported Licence (CC BY). Full details of this licence are available at: http://creativecommons.org/licenses/by/4.0/

ISSN

0003-3197

eISSN

1940-1574

Language

en