Giant Cerebral Aneurysms and Their Flow-Divert Stent Treatment
DOI:
https://doi.org/10.61788/njn.spec.18.12Keywords:
Flow divert stent, SILK, Intracranial aneurysmAbstract
The purpose of the article is to show the very rare bone-wound brain aneurysm found in our practice in Azerbaijan. Material and methods. In our clinical practice, between 2000 and 2018, surgical treatment of 118 cerebral aneurysms was performed. Only 3 of them have giants (25mm>) aneurysm. Clinical observation and screening images were kept under control. Results. 2 of 3 patients applied to our clinic with hemorrhage. One patient was hospitalized with emergency hemicraniotamia, but there was not possible to save his life. His aneurysm was not threated. Other 2 patient's aneurysms were operated: First case was unruptured giant Pcom aneurysm. Successfuly ocluded with 2 flow divert stent implantation. Second patient received 2-stage endovascular treatment. Coiling and later flow-divert stent implantation. Conclusion. The evidence of giant aneurysms is 1%. Nevertheless, these aneurysms tend to bleed extremely high. On the other hand, rupture the giant’s aneurysms scarring in death. Because of microsurgical cliping is quite risky, these patients are usually going to endovascular threatment. Recently, the use of flow-diverts stents has decreased the rysk of intraoperative complications and increase occlusion of aneurysms. These stents, which are currently being applied in our country, showed a low risk and high percentage of occlusion of aneurysms.
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