Ica bifurcation aneurysms – clinical features and surgical outcome in a tertiary referral center in south india

Shivhare, Pankaj; Vaidya, Pradeepanand; Garhwal, Gograj; Raj, Nithin; Gohil, Jaypalsinh A.; Sawant, Ninad; Nair, Prakash; Kesavapisharady, Krishnakumar; Abraham, Mathew

doi:10.5137/1019-5149.jtn.25915-19.3

Cited by 1 publication

(3 citation statements)

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“…In addition, ICA bifurcation region aneurysms can be spontaneous, traumatic or secondary to radiation (24,25). They can be bilateral mirror-like or can involve multiple lesions associated with other aneurysms (even up to 50% in patients with ICA bifurcation region aneurysms) (6,8,19,(26)(27)(28).…”

Section: Other Classificationsmentioning

confidence: 99%

“…In addition, open surgery may be helpful for treating ICA bifurcation region aneurysms with intracerebral hematomas that require decompression (42). However, deep retraction is needed for surgical exposure and clipping of ICA bifurcation region aneurysms to achieve good exposure, the high position of the aneurysm with respect to the skull base increases the difficulty of microsurgery, and the attachment of the aneurysm dome to the surrounding brain parenchyma and rich perforators in this region also increases the difficulty of microsurgery (8). Undeniably, EVT can now be used for intracranial aneurysms based on robust randomized controlled trial data.…”

Section: Open Surgery and Evt Statusmentioning

confidence: 99%

“…Ruptured or daughter-sac/multilobed, large or giant, growing ICA bifurcation region aneurysms may need treatment, including open surgery and endovascular treatment (EVT) (7)(8)(9)(10). Currently, EVT, including traditional coiling, flow diverter (FD) and Woven EndoBridge device (WEB) (MicroVention, Tustin, California, United States) deployment, has been used for the treatment of ICA bifurcation region aneurysms (11,12).…”

Section: Introductionmentioning

confidence: 99%

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Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms

Liu,

Guo,

Zhang

et al. 2024

Front. Neurol.

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Intracranial internal carotid artery (ICA) bifurcation region aneurysms are uncommon. When treatment is necessary for ICA, endovascular treatment (EVT) can be a useful option. Due to the complexity of these aneurysms and the variability of EVT techniques, EVT for ICA bifurcation aneurysms is challenging. Currently, it is necessary to perform a review to explore this issue further. In this review, the following issues were discussed: the anatomy of the ICA bifurcation region; the classification, natural history and EVT status of ICA bifurcation region aneurysms; the technique used for identifying ICA bifurcation region aneurysms; and the prognosis and complications of EVT for ICA bifurcation region aneurysms. According to the review and our experience, traditional coiling is currently the preferred therapy for ICA bifurcation region aneurysms. In addition, in select cases, new devices, such as flow diverters and Woven EndoBridge devices, can also be used to treat ICA bifurcation region aneurysms. Generally, EVT is an alternative treatment option for ICA bifurcation region aneurysms.

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