The high risk of rebleeding of ruptured aneurysms imposes the need of their early exclusion from arterial circulation. The onset of endovascular technique of embolization gives a new chance, making, time by time, necessary the choice for the best treatment. The advantages and limits of surgical option are well known and consolidated. The results of endovascular technique are similar in the acute phase, but it lacks an adequate follow up and a clear definition of some technical knowledges. Clinical and anatomical data and a serious analysis of specific technical difficulties of both methods must condition the choice of treatment. Present experience allows us to give sure indications only for certain cases, whereas final landmarks are indisposable in many other situations. However, the team discussion between the neurosurgeon, the neuroradiologist and the neuroreanimator must be the crucial point of the decisional way in every single case.

Gaini, S., Sganzerla, E., Fiori, L., Marina, R., Citerio, G. (1998). Surgical versus endovascular treatment in cerebral aneurysm. The opinion of a neurosurgeon [Trattamento chirurgico o endovascolare dell'aneurisma cerebrale. Il parere del neurochirurgo.]. MINERVA ANESTESIOLOGICA, 64(4), 177-179.

Surgical versus endovascular treatment in cerebral aneurysm. The opinion of a neurosurgeon [Trattamento chirurgico o endovascolare dell'aneurisma cerebrale. Il parere del neurochirurgo.]

GAINI, SERGIO MARIA
Primo
;
SGANZERLA, ERIK PIETRO
Secondo
;
CITERIO, GIUSEPPE
Ultimo
1998

Abstract

The high risk of rebleeding of ruptured aneurysms imposes the need of their early exclusion from arterial circulation. The onset of endovascular technique of embolization gives a new chance, making, time by time, necessary the choice for the best treatment. The advantages and limits of surgical option are well known and consolidated. The results of endovascular technique are similar in the acute phase, but it lacks an adequate follow up and a clear definition of some technical knowledges. Clinical and anatomical data and a serious analysis of specific technical difficulties of both methods must condition the choice of treatment. Present experience allows us to give sure indications only for certain cases, whereas final landmarks are indisposable in many other situations. However, the team discussion between the neurosurgeon, the neuroradiologist and the neuroreanimator must be the crucial point of the decisional way in every single case.
Articolo in rivista - Articolo scientifico
Surgical treatment; endovascular treatment; cerebral aneurysm
Italian
177
179
3
Gaini, S., Sganzerla, E., Fiori, L., Marina, R., Citerio, G. (1998). Surgical versus endovascular treatment in cerebral aneurysm. The opinion of a neurosurgeon [Trattamento chirurgico o endovascolare dell'aneurisma cerebrale. Il parere del neurochirurgo.]. MINERVA ANESTESIOLOGICA, 64(4), 177-179.
Gaini, S; Sganzerla, E; Fiori, L; Marina, R; Citerio, G
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/55262
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