Cavernous carotid aneurysms: to treat or not to treat?

被引：51
作者：
Eddleman, Christopher S. [1 ]
Hurley, Michael C. [2 ]
Bendok, Bernard R. [1 ,2 ]
Batjer, H. Hunt [1 ]
机构：
[1] Northwestern Univ, Dept Neurol Surg, Feinberg Sch Med, Chicago, IL 60611 USA
[2] Northwestern Univ, Dept Radiol, Feinberg Sch Med, Chicago, IL 60611 USA
来源：
NEUROSURGICAL FOCUS | 2009年 / 26卷 / 05期
关键词：
cavernous carotid aneurysm; vascular surgery; microsurgery; endovascular therapy; EXTRACRANIAL-INTRACRANIAL BYPASS; RETROGRADE SUCTION DECOMPRESSION; GIANT PARACLINOID ANEURYSMS; EXPANDING NITINOL STENT; OF-THE-LITERATURE; ENDOVASCULAR TREATMENT; ARTERY ANEURYSM; SINUS ANEURYSMS; TRIGEMINAL ARTERY; BALLOON OCCLUSION;
D O I：
10.3171/2009.2.FOCUS0920
中图分类号：
R74 [神经病学与精神病学];
学科分类号：
摘要：
Most cavernous carotid aneurysms (CCAs) are considered benign lesions, most often asymptomatic, and to have a natural history with a low risk of life-threatening complications. However, several conditions may exist in which treatment of these aneurysms should be considered. Several options are currently available regarding the management of CCAs with resultant good outcomes, namely expectant management, luminal preservation strategies with or without addressing the aneurysm directly, and Hunterian strategies with or without revascularization procedures. In this article, we discuss the sometimes difficult decision regarding whether to treat CCAs. We consider the natural history of several types of CCAs, the clinical presentation, the current modalities of CCA management and their outcomes to aid in the management of this heterogeneous group of cerebral aneurysms. (DOI: 10.3171/2009.2.FOCUS0920)
引用
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页码：1 / 20
页数：10
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