Sole stenting of large and giant intracranial aneurysms with self-expanding intracranial stents—limits and complications

Endovascular treatment for large and giant fusiform aneurysms of the vertebrobasilar arteries

“…In our series, one death and 1 aneurismal enlargement of five patients (40%) treated with stent alone was noted. Based on the potential risk of severe complications from limited cases, we agreed with the suggestion by Pavlisa et al [5] that results of stent alone in treating large and giant aneurysms may be unpredictable and those patients should be followed up closely after treatment.…”

“…These reconstructive techniques were suggested to alter the flow dynamics and foster the thrombus formation within the aneurysm while preserving the blood flow in the parent vessels [7]. Initial effectiveness and potential complications of stent reconstruction in treating large or giant fusiform vertebrobasilar aneurysms have been reported by some authors [1,4,5,7]. However, compared with anterior circulation aneurysms, Wakhloo et al [1] found a higher recanalization rate in posterior circulation aneurysms following stent or stentassisted coiling (33% versus 6%).…”

“…The studies concerning stent alone in treating large and giant aneurysms are still limited. Pavlisa et al [5] reported their experiences in treating large or giant aneurysms by sole stenting. In their series, positive response to stenting occurred in five of seven patients, but complete occlusion of the aneurysms were only observed in two patients.…”

“…These lesions have a poor natural history with 80% of untreated patents dead or severely disabled [1,2]. Recently, endovascular treatment has been reported as an potentially effective method for treating these lesions, though the numbers of the publications were still limited [1][2][3][4][5][6]. In the present study, we reported our experience of treating large and giant fusiform aneurysms of vertebrobasilar arteries using various endovascular methods.…”

Microsurgical Management of Giant Intracranial Aneurysms: A Single Surgeon Experience from Louisiana State University, Shreveport

“…The preliminary reports published in the literature are encouraging (34,38,40,46,48,62). It has The variables gender, age, location (code 1 for posterior), and clinical status (code 1 for good Hunt and Hess grade and code 2 for poor Hunt and Hess grade) were selected as covariates.…”