Endovascular occlusion of the intracranial aneurysms--an alternative for surgical treatment

• Published in: Acta chirurgica Iugoslavica Vol. 55; no. 2; pp. 97 - 105
• Main Authors: Tasic, G.M., Rakic, M.Lj, Jovanovic, V.T., Djurovic, B.M., Nikolic, I.M., Jokic, M.B., Radulovic, D.V., Bogosavljevic, V.M.
• Format: Journal Article
• Language: Serbian; English
• Published: Serbia 2008
• Subjects: Adult; Aged; Cerebral Angiography; Embolization, Therapeutic; Female; Humans; Intracranial Aneurysm - classification; Intracranial Aneurysm - diagnosis; Intracranial Aneurysm - therapy; Male; Middle Aged; Tomography, X-Ray Computed
• ISSN: 0354-950X; 2406-0887
• DOI: 10.2298/ACI0802097T

Aneurysms on cerebral blood vessels due to their localization, size, relationship with neurovascular structures, even today, represent besides the constant progress of the diagnostic techniques and instruments in the operating theaters, a great therapeutic challenge. Gigantic aneurysms, aneurysms localized within the cavernous sinus and aneurysms of the vertebrobasilary confluence carry a great perioperative risk of mortality and morbidity. In fact, development of the endovascular procedures for the occlusion of their lumen made possible great progress in the treatment of aneurysms of this localization. In a not so small number of cases endovascular procedure means remodeling of the lumen of the main blood vessel. Endovascular obliteration of aneurysms has a certain advantage as regards the surgical treatment of aneurysms in which, on the basis of the expected natural course and presumed operative risk, may be judged that there exists unacceptably great operative risk. We present a personal series and results in 6 patients with aneurysms of various localizations.