BACKGROUND AND PURPOSE Paraclinoid aneurysms represent challenging lesions for which endovascular techniques have gained widespread application in their treatment. A new endovascular strategy, flow diversion, is gaining importance in the treatment of these aneurysms. Before embracing flow diversion in larger numbers of patients with paraclinoid aneurysms, it is important to know the safety and ...

BACKGROUND AND PURPOSE The development of more effective intracranial aneurysm therapy depends on the ability to test various intravascular occlusion devices and techniques in preclinical animal models. This requires the creation of experimental aneurysms, which, ideally, should mimic the size and geometric features of human intracranial aneurysms. The purpose of this study was to characterize ...

BACKGROUND AND PURPOSE Coiling of very small (< or = 3 mm) aneurysms is considered controversial because of technical difficulties and a higher rate of procedural aneurysm ruptures. In this study, we report clinical and angiographic results of coiling of aneurysms 3 mm or smaller in comparison with larger aneurysms in a large, single-center cohort of patients. MATERIALS AND METHODS Between 19...

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An intracranial aneurysm with a diameter larger than 25 mm is considered a giant aneurysm (GA), and represent about 3-5% of all aneurysms. They are divided into two forms, specifically saccular and fusiform. Fusiform aneurysms are rare, making up only 1% of all intracranial aneurysms. They frequently involve the internal carotid artery (ICA) or the basilar or vertebral arteries, and rarely blee...

Durability of Treatment of Intracranial Aneurysms With Hydrocoils Is Not Different From Standard Platinum Coils To the Editor: With interest we read the article by Gaba et al1 about the use of Hydrocoils for 50 intracranial aneurysms. The results were compared with a matched historical control group of 57 aneurysms treated with standard coils. We have some concerns about the methodology. First ...

BACKGROUND AND PURPOSE 3D computed tomographic angiography (3DCTA) has been used recently for the evaluation of intracerebral aneurysms, but it is difficult to use this technique to visualize aneurysms near the base of the skull because of the presence of bone. Subtracted 3DCTA could replace digital subtraction angiography (DSA) for evaluation of aneurysms near the base of the skull if the 2 me...

BACKGROUND AND PURPOSE Development of hemodynamic modifying devices to treat intracranial aneurysms is an active area of research. The asymmetrical vascular stent (AVS), a stent containing a low-porosity patch, is such device. We evaluate AVS efficacy in an in vivo intracranial aneurysm model. METHODS We created 24 elastase rabbit model aneurysms: 13 treated with the AVS, 5 treated with stand...

Two types of balloon are usually employed to perform balloon-assisted coil placement in cerebral aneurysms: oval, guide-dependent balloons for sidewall aneurysms and round balloons for bifurcation aneurysms. We report on the use of a new, more compliant, guide-dependent oval balloon microcatheter to seal wide-neck bifurcation aneurysms with coils during endovascular occlusion.

BACKGROUND AND PURPOSE Treatment of intracranial aneurysms by interventional neurovascular techniques may be useful as a therapeutic alternative. We describe two cases of recurrent aneurysms after endovascular treatment using detachable balloons. CASE DESCRIPTION Two cases are reported of recurrence 2 years after endovascular treatment of cerebral aneurysms (posterior communicating in both ca...