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Recent Advances in Cerebral Aneurysms

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Endovascular Surgery of Cerebral Aneurysms

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Abstract

Cerebral aneurysms are relatively common, and if found incidentally (unruptured aneurysm), have a relatively benign clinical course with a low annual risk of rupture. Subarachnoid hemorrhage following aneurysmal bleed lead to significant morbidity and mortality, even with the best possible care. Our understanding of the pathogenesis, natural history, diagnostic imaging, treatment modalities and outcomes of cerebral aneurysms has significantly increased in recent years. Despite these advances, providing optimal management requires consideration of several factors and has to be tailored for each patient. This chapter will provide the caretakers involved in the management of cerebral aneurysms with an insight into the recent advances in cerebral aneurysms and review the recent advances made in various aspects of cerebral aneurysms from pathogenesis to management. The different functional pathways and their histological/molecular markers contributing to the development of cerebral aneurysms are reviewed. The advances made in imaging modalities like vessel wall imaging and computational flow dynamics are elaborated. This chapter provides an update on the debate between the two primary modalities of treatment, clipping, and coiling. The recent advances made in microneurosurgery for the cerebral aneurysm to make it more safe and acceptable are described. Endovascular interventions continue to evolve, and this chapter throws some light on the latest advances in next-generation endovascular techniques for treating cerebral aneurysms.

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Authors and Affiliations

  1. Department of Neurosurgery, SVIMS, Tirupati, Andhra Pradesh, India

    V. V. Ramesh Chandra, B. C. M. Prasad, T. Goutham & K. Venkat

  2. Department of Neurosurgery, GGH, Kurnool, Kurnool, Andhra Pradesh, India

    D. Sasank

  3. Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

    Xianli Lv

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  1. V. V. Ramesh Chandra
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  2. B. C. M. Prasad
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  3. T. Goutham
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  4. K. Venkat
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Editors and Affiliations

  1. Department of Neurosurgery, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua University, Beijing, China

    Xianli Lv

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Ramesh Chandra, V.V., Prasad, B.C.M., Goutham, T., Venkat, K., Sasank, D., Lv, X. (2022). Recent Advances in Cerebral Aneurysms. In: Lv, X. (eds) Endovascular Surgery of Cerebral Aneurysms. Springer, Singapore. https://doi.org/10.1007/978-981-16-7102-9_14

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  • DOI: https://doi.org/10.1007/978-981-16-7102-9_14

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  • Online ISBN: 978-981-16-7102-9

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