Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms

被引:2
作者
Liu, Xu [1 ]
Guo, Yunbao [1 ]
Zhang, Kun [2 ]
Yu, Jinlu [1 ]
机构
[1] First Hosp Jilin Univ, Dept Neurosurg, Changchun, Peoples R China
[2] Zhengzhou Univ, Henan Prov Peoples Hosp, Dept Cerebrovascular Dis, Zhengzhou, Peoples R China
关键词
internal carotid artery bifurcation; aneurysm; endovascular treatment; prognosis; complication; COIL EMBOLIZATION; MICROSURGICAL ANATOMY; CEREBRAL ANEURYSMS; NATURAL COURSE; WEB TREATMENT; FLOW; SAFETY; CONFIGURATION; EXPERIENCE; FEATURES;
D O I
10.3389/fneur.2024.1344388
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
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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页数:13
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