• Neurosurgical review · Oct 2013

    Review

    Is flow diversion the death of cerebral bypass and coiling/stent-assisted coiling for giant cavernous aneurysms? A critical review on comparative outcomes and ongoing clinical trials.

    • Tobias A Mattei, Andrew S Ferrell, and Gavin W Britz.
    • Department of Neurosurgery, University of Illinois College of Medicine at Peoria, 828 NE Glen Oak, #302, Peoria, IL, 61603, USA, tobias.a.mattei@osfhealthcare.org.
    • Neurosurg Rev. 2013 Oct 1; 36 (4): 505-11; discussion 511-2.

    AbstractThe classic surgical treatment for symptomatic giant aneurysms originating from the cavernous segment of the carotid artery has been either microsurgical direct clip-reconstruction or carotid occlusion followed by additional cerebral bypass for those patients who fail in a balloon test occlusion. Nevertheless the emergence of new endovascular techniques, especially flow-diverting devices, has promised to revolutionize the treatment of giant cavernous aneurysms, possibly avoiding major microsurgical operations. In this review the authors summarize the current "state-of-art" of treatment of giant cavernous aneurysms, comparing the overall outcomes, complications, morbidity and mortality rates of new flow-diverting devices in relation to traditional microsurgical series.

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