Introduction:Very large and giant aneurysms are among the most challenging cerebrovascular pathologies in neurosurgery.
Methods:The aim of this paper is to review the current literature on the management of very large and giant aneurysms and to describe representative cases illustrating possible treatment strategies.
Results:In view of the poor natural history, active management using multiprofessional individualized approaches is required to achieve aneurysm occlusion, relief of mass effect, and obliteration of the embolic source. Both reconstructive (clipping, coiling, stent-assisted coiling, flow diversion [FD]) and deconstructive techniques (parent artery occlusion [PAO], PAO in conjunction with bypass surgery, and strategies of flow modification) are available to achieve definitive treatment with acceptable morbidity.
Conclusions:Patients harboring such lesions should be managed at high-volume cerebrovascular centers by multidisciplinary teams trained in all techniques of open and endovascular neurosurgery.

Matthias Gmeiner

Andreas Gruber

Acta Neurochirurgica Supplement

In addition to the regular journal, "Acta Neurochirurgica" publishes 3-4 supplement volumes per year. These comprise proceedings of international meetings or other material of general neurosurgical interest.

In addition to the regular journal, "Acta Neurochirurgica", the supplement publishes 3-4 volumes per year. These volumes include proceedings from international meetings and other materials of general interest in neurosurgery.

《Acta Neurochirurgica, Supplementum》是《Acta Neurochirurgica》期刊的补充刊物，每年出版3-4卷。这些补充卷包含国际会议的会议记录或其他与神经外科相关的一般性材料。

Current Strategies in the Treatment of Intracranial Large and Giant Aneurysms

ivySCI AI Smartly Parses PDF, Answers Researchers' Questions, and Helps You Understand Papers in Seconds

Journal Info