Intracranial Aneurysms

  • Andrew S. Ferrell
  • Abhishek Agrawal
  • Kiarash Golshani
  • Tony P. Smith
  • Gavin W. Britz
Chapter

Abstract

Saccular intracranial aneurysms are focal, abnormal outpouchings of cerebral arteries. Craniotomy and microsurgical clip ligation has traditionally been the best treatment option. Current evidence however suggests that in lesions amenable to endovascular treatment, outcomes are better than surgery, although the rates of incomplete treatment, recurrence, and rebleeding are higher. This chapter will define the pathophysiology and natural history of these lesions, briefly discuss surgical and endovascular therapies, and provide a basic description of endovascular techniques for aneurysm embolization.

Keywords

Intracranial Aneurysm Coil Embolization Endovascular Therapy Parent Vessel Aneurysm Neck 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    International Study of Unruptured Intracranial Aneurysms Investigators (1998) Unruptured intracranial aneurysms–risk of rupture and risks of surgical intervention. N Engl J Med 339(24):1725–1733CrossRefGoogle Scholar
  2. 2.
    Schievink WI (1997) Intracranial aneurysms. N Engl J Med 336(1):28–40PubMedCrossRefGoogle Scholar
  3. 3.
    Rinkel GJ, Djibuti M, Algra A, van Gijn J (1998) Prevalence and risk of rupture of intracranial aneurysms: a systematic review. Stroke 29(1):251–256PubMedCrossRefGoogle Scholar
  4. 4.
    Brisman JL, Song JK, Newell DW (2006) Cerebral aneurysms. N Engl J Med 355(9):928–939PubMedCrossRefGoogle Scholar
  5. 5.
    af Bjorkesten G, Halonen V (1965) Incidence of intracranial vascular lesions in patients with subarachnoid hemorrhage investigated by four-vessel angiography. J Neurosurg 23(1):29–32PubMedCrossRefGoogle Scholar
  6. 6.
    Qureshi AI, Suarez JI, Parekh PD, Sung G, Geocadin R, Bhardwaj A, Tamargo RJ, Ulatowski JA (1998) Risk factors for multiple intracranial aneurysms. Neurosurgery 43(1):22–26PubMedCrossRefGoogle Scholar
  7. 7.
    Ellamushi HE, Grieve JP, Jager HR, Kitchen ND (2001) Risk factors for the formation of multiple intracranial aneurysms. J Neurosurg 94(5):728–732PubMedCrossRefGoogle Scholar
  8. 8.
    Juvela S (2000) Risk factors for multiple intracranial aneurysms. Stroke 31(2):392–397PubMedCrossRefGoogle Scholar
  9. 9.
    Kaminogo M, Yonekura M, Shibata S (2003) Incidence and outcome of multiple intracranial aneurysms in a defined population. Stroke 34(1):16–21PubMedCrossRefGoogle Scholar
  10. 10.
    Nehls DG, Flom RA, Carter LP, Spetzler RF (1985) Multiple intracranial aneurysms: determining the site of rupture. J Neurosurg 63(3):342–348PubMedCrossRefGoogle Scholar
  11. 11.
    Krings T, Piske RL, Lasjaunias PL (2005) Intracranial arterial aneurysm vasculopathies: targeting the outer vessel wall. Neuroradiology 47(12):931–937PubMedCrossRefGoogle Scholar
  12. 12.
    Hashimoto T, Meng H, Young WL (2006) Intracranial aneurysms: links among inflammation, hemodynamics and vascular remodeling. Neurol Res 28(4):372–380PubMedCrossRefGoogle Scholar
  13. 13.
    Harrigan MR, Deveikis JP (2009) Handbook of cerebrovascular disease and neurointerventional technique. Humana Press, Dordecht/New YorkCrossRefGoogle Scholar
  14. 14.
    Hademenos GJ, Massoud TF, Turjman F, Sayre JW (1998) Anatomical and morphological factors correlating with rupture of intracranial aneurysms in patients referred for endovascular treatment. Neuroradiology 40(11):755–760PubMedCrossRefGoogle Scholar
  15. 15.
    Crompton MR (1966) Mechanism of growth and rupture in cerebral berry aneurysms. Br Med J 1(5496):1138–1142PubMedCrossRefGoogle Scholar
  16. 16.
    Greenberg MS (2010) Handbook of neurosurgery. Greenberg Graphics, TampaGoogle Scholar
  17. 17.
    Wijdicks EF, Kallmes DF, Manno EM, Fulgham JR, Piepgras DG (2005) Subarachnoid hemorrhage: neurointensive care and aneurysm repair. Mayo Clin Proc 80(4):550–559PubMedCrossRefGoogle Scholar
  18. 18.
    Labovitz DL, Halim AX, Brent B, Boden-Albala B, Hauser WA, Sacco RL (2006) Subarachnoid hemorrhage incidence among Whites, Blacks and Caribbean Hispanics: the Northern Manhattan Study. Neuroepidemiology 26(3):147–150PubMedCrossRefGoogle Scholar
  19. 19.
    Johnston SC, Selvin S, Gress DR (1998) The burden, trends, and demographics of mortality from subarachnoid hemorrhage. Neurology 50(5):1413–1418PubMedCrossRefGoogle Scholar
  20. 20.
    Wiebers DO, Whisnant JP, Sundt TM Jr, O’Fallon WM (1987) The significance of unruptured intracranial saccular aneurysms. J Neurosurg 66(1):23–29PubMedCrossRefGoogle Scholar
  21. 21.
    Juvela S, Porras M, Heiskanen O (1993) Natural history of unruptured intracranial aneurysms: a long-term follow-up study. J Neurosurg 79(2):174–182PubMedCrossRefGoogle Scholar
  22. 22.
    Wiebers DO, Whisnant JP, O’Fallon WM (1981) The natural history of unruptured intracranial aneurysms. N Engl J Med 304(12):696–698PubMedCrossRefGoogle Scholar
  23. 23.
    Winn HR, Almaani WS, Berga SL, Jane JA, Richardson AE (1983) The long-term outcome in patients with multiple aneurysms. Incidence of late hemorrhage and implications for treatment of incidental aneurysms. J Neurosurg 59(4):642–651PubMedCrossRefGoogle Scholar
  24. 24.
    Mount LA, Brisman R (1974) Treatment of multiple aneurysms – symptomatic and asymptomatic. Clin Neurosurg 21:166–170PubMedGoogle Scholar
  25. 25.
    King JT Jr, Berlin JA, Flamm ES (1994) Morbidity and mortality from elective surgery for asymptomatic, unruptured, intracranial aneurysms: a meta-analysis. J Neurosurg 81(6):837–842PubMedCrossRefGoogle Scholar
  26. 26.
    Solomon RA, Fink ME, Pile-Spellman J (1994) Surgical management of unruptured intracranial aneurysms. J Neurosurg 80(3):440–446PubMedCrossRefGoogle Scholar
  27. 27.
    Raaymakers TW, Rinkel GJ, Limburg M, Algra A (1998) Mortality and morbidity of surgery for unruptured intracranial aneurysms: a meta-analysis. Stroke 29(8):1531–1538PubMedCrossRefGoogle Scholar
  28. 28.
    Wiebers DO, Whisnant JP, Huston J 3rd, Meissner I, Brown RD Jr, Piepgras DG, Forbes GS, Thielen K, Nichols D, O’Fallon WM, Peacock J, Jaeger L, Kassell NF, Kongable-Beckman GL, Torner JC (2003) Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362(9378):103–110PubMedCrossRefGoogle Scholar
  29. 29.
    Roger VL, Go AS, Lloyd-Jones DM, Adams RJ, Berry JD, Brown TM, Carnethon MR, Dai S, de Simone G, Ford ES, Fox CS, Fullerton HJ, Gillespie C, Greenlund KJ, Hailpern SM, Heit JA, Ho PM, Howard VJ, Kissela BM, Kittner SJ, Lackland DT, Lichtman JH, Lisabeth LD, Makuc DM, Marcus GM, Marelli A, Matchar DB, McDermott MM, Meigs JB, Moy CS, Mozaffarian D, Mussolino ME, Nichol G, Paynter NP, Rosamond WD, Sorlie PD, Stafford RS, Turan TN, Turner MB, Wong ND, Wylie-Rosett J (2011) Heart disease and stroke statistics – 2011 update: a report from the American Heart Association. Circulation 123(4):e18–e209PubMedCrossRefGoogle Scholar
  30. 30.
    Lloyd-Jones D, Adams RJ, Brown TM, Carnethon M, Dai S, De Simone G, Ferguson TB, Ford E, Furie K, Gillespie C, Go A, Greenlund K, Haase N, Hailpern S, Ho PM, Howard V, Kissela B, Kittner S, Lackland D, Lisabeth L, Marelli A, McDermott MM, Meigs J, Mozaffarian D, Mussolino M, Nichol G, Roger VL, Rosamond W, Sacco R, Sorlie P, Stafford R, Thom T, Wasserthiel-Smoller S, Wong ND, Wylie-Rosett J (2010) Executive summary: heart disease and stroke statistics – 2010 update: a report from the American Heart Association. Circulation 121(7):948–954PubMedCrossRefGoogle Scholar
  31. 31.
    Lloyd-Jones D, Adams R, Carnethon M, De Simone G, Ferguson TB, Flegal K, Ford E, Furie K, Go A, Greenlund K, Haase N, Hailpern S, Ho M, Howard V, Kissela B, Kittner S, Lackland D, Lisabeth L, Marelli A, McDermott M, Meigs J, Mozaffarian D, Nichol G, O’Donnell C, Roger V, Rosamond W, Sacco R, Sorlie P, Stafford R, Steinberger J, Thom T, Wasserthiel-Smoller S, Wong N, Wylie-Rosett J, Hong Y (2009) Heart disease and stroke statistics – 2009 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 119(3):480–486PubMedCrossRefGoogle Scholar
  32. 32.
    Rosamond W, Flegal K, Furie K, Go A, Greenlund K, Haase N, Hailpern SM, Ho M, Howard V, Kissela B, Kittner S, Lloyd-Jones D, McDermott M, Meigs J, Moy C, Nichol G, O’Donnell C, Roger V, Sorlie P, Steinberger J, Thom T, Wilson M, Hong Y (2008) Heart disease and stroke statistics – 2008 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 117(4):e25–e146PubMedCrossRefGoogle Scholar
  33. 33.
    Rosamond W, Flegal K, Friday G, Furie K, Go A, Greenlund K, Haase N, Ho M, Howard V, Kissela B, Kittner S, Lloyd-Jones D, McDermott M, Meigs J, Moy C, Nichol G, O’Donnell CJ, Roger V, Rumsfeld J, Sorlie P, Steinberger J, Thom T, Wasserthiel-Smoller S, Hong Y (2007) Heart disease and stroke statistics – 2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 115(5):e69–e171PubMedCrossRefGoogle Scholar
  34. 34.
    Thom T, Haase N, Rosamond W, Howard VJ, Rumsfeld J, Manolio T, Zheng ZJ, Flegal K, O’Donnell C, Kittner S, Lloyd-Jones D, Goff DC Jr, Hong Y, Adams R, Friday G, Furie K, Gorelick P, Kissela B, Marler J, Meigs J, Roger V, Sidney S, Sorlie P, Steinberger J, Wasserthiel-Smoller S, Wilson M, Wolf P (2006) Heart disease and stroke statistics – 2006 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 113(6):e85–e151PubMedCrossRefGoogle Scholar
  35. 35.
    Kobayashi S, Orz Y, George B, Lee KC, Alexander MJ, Spetzler RF, Hashi K, Weir B, Yoshimoto T, Debrun G, Sengupta RP, Solomon RA (1999) Treatment of unruptured cerebral aneurysms. Surg Neurol 51(4):355–362PubMedCrossRefGoogle Scholar
  36. 36.
    Ausman JI (1999) The New England Journal of Medicine report on unruptured intracranial aneurysms: a critique. Surg Neurol 51(2):227–229PubMedCrossRefGoogle Scholar
  37. 37.
    Juvela S (2002) Natural history of unruptured intracranial aneurysms: risks for aneurysm formation, growth, and rupture. Acta Neurochir Suppl 82:27–30PubMedGoogle Scholar
  38. 38.
    Mullan S, Raimondi AJ, Dobben G, Vailati G, Hekmatpanah J (1965) Electrically induced thrombosis in intracranial aneurysms. J Neurosurg 22(6):539–547PubMedCrossRefGoogle Scholar
  39. 39.
    Luessenhop AJ, Velasquez AC (1964) Observations on the tolerance of the intracranial arteries to catheterization. J Neurosurg 21:85–91PubMedCrossRefGoogle Scholar
  40. 40.
    Debrun G, Lacour P, Caron JP, Hurth M, Comoy J, Keravel Y (1978) Detachable balloon and calibrated-leak balloon techniques in the treatment of cerebral vascular lesions. J Neurosurg 49(5):635–649PubMedCrossRefGoogle Scholar
  41. 41.
    Hieshima GB, Grinnell VS, Mehringer CM (1981) A detachable balloon for therapeutic transcatheter occlusions. Radiology 138(1):227–228PubMedGoogle Scholar
  42. 42.
    Gianturco C, Anderson JH, Wallace S (1975) Mechanical devices for arterial occlusion. Am J Roentgenol Radium Ther Nucl Med 124(3):428–435PubMedGoogle Scholar
  43. 43.
    Bederson JB, Awad IA, Wiebers DO, Piepgras D, Haley EC Jr, Brott T, Hademenos G, Chyatte D, Rosenwasser R, Caroselli C (2000) Recommendations for the management of patients with unruptured intracranial aneurysms: a statement for healthcare professionals from the Stroke Council of the American Heart Association. Stroke 31(11):2742–2750PubMedCrossRefGoogle Scholar
  44. 44.
    Dammert S, Krings T, Moller-Hartmann W, Ueffing E, Hans FJ, Willmes K, Mull M, Thron A (2004) Detection of intracranial aneurysms with multislice CT: comparison with conventional angiography. Neuroradiology 46(6):427–434PubMedCrossRefGoogle Scholar
  45. 45.
    White PM, Teasdale EM, Wardlaw JM, Easton V (2001) Intracranial aneurysms: CT angiography and MR angiography for detection prospective blinded comparison in a large patient cohort. Radiology 219(3):739–749PubMedGoogle Scholar
  46. 46.
    Kangasniemi M, Makela T, Koskinen S, Porras M, Poussa K, Hernesniemi J (2004) Detection of intracranial aneurysms with two-dimensional and three-dimensional multislice helical computed tomographic angiography. Neurosurgery 54(2):336–340PubMedCrossRefGoogle Scholar
  47. 47.
    Chappell ET, Moure FC, Good MC (2003) Comparison of computed tomographic angiography with digital subtraction angiography in the diagnosis of cerebral aneurysms: a meta-analysis. Neurosurgery 52(3):624–631PubMedCrossRefGoogle Scholar
  48. 48.
    Harrison MJ, Johnson BA, Gardner GM, Welling BG (1997) Preliminary results on the management of unruptured intracranial aneurysms with magnetic resonance angiography and computed tomographic angiography. Neurosurgery 40(5):947–955PubMedCrossRefGoogle Scholar
  49. 49.
    White PM, Wardlaw JM, Easton V (2000) Can noninvasive imaging accurately depict intracranial aneurysms? A systematic review. Radiology 217(2):361–370PubMedGoogle Scholar
  50. 50.
    Tipper G, U-King-Im JM, Price SJ, Trivedi RA, Cross JJ, Higgins NJ, Farmer R, Wat J, Kirollos R, Kirkpatrick PJ, Antoun NM, Gillard JH (2005) Detection and evaluation of intracranial aneurysms with 16-row multislice CT angiography. Clin Radiol 60(5):565–572PubMedCrossRefGoogle Scholar
  51. 51.
    Okahara M, Kiyosue H, Yamashita M, Nagatomi H, Hata H, Saginoya T, Sagara Y, Mori H (2002) Diagnostic accuracy of magnetic resonance angiography for cerebral aneurysms in correlation with 3D-digital subtraction angiographic images: a study of 133 aneurysms. Stroke 33(7):1803–1808PubMedCrossRefGoogle Scholar
  52. 52.
    Guan YS, Wang MQ (2008) Endovascular embolization of intracranial aneurysms. Angiology 59(3):342–351PubMedCrossRefGoogle Scholar
  53. 53.
    Bendok BR, Hanel RA, Hopkins LN (2003) Coil embolization of intracranial aneurysms. Neurosurgery 52(5):1125–1130; discussion 1130PubMedCrossRefGoogle Scholar
  54. 54.
    Anxionnat R, Bracard S, Ducrocq X, Trousset Y, Launay L, Kerrien E, Braun M, Vaillant R, Scomazzoni F, Lebedinsky A, Picard L (2001) Intracranial aneurysms: clinical value of 3D digital subtraction angiography in the therapeutic decision and endovascular treatment. Radiology 218(3):799–808PubMedGoogle Scholar
  55. 55.
    Tanoue S, Kiyosue H, Kenai H, Nakamura T, Yamashita M, Mori H (2000) Three-dimensional reconstructed images after rotational angiography in the evaluation of intracranial aneurysms: surgical correlation. Neurosurgery 47(4):866–871PubMedCrossRefGoogle Scholar
  56. 56.
    Thornton J, Bashir Q, Aletich VA, Debrun GM, Ausman JI, Charbel FT (2000) What percentage of surgically clipped intracranial aneurysms have residual necks? Neurosurgery 46(6):1294–1298PubMedCrossRefGoogle Scholar
  57. 57.
    David CA, Vishteh AG, Spetzler RF, Lemole M, Lawton MT, Partovi S (1999) Late angiographic follow-up review of surgically treated aneurysms. J Neurosurg 91(3):396–401PubMedCrossRefGoogle Scholar
  58. 58.
    Johnston SC, Wilson CB, Halbach VV, Higashida RT, Dowd CF, McDermott MW, Applebury CB, Farley TL, Gress DR (2000) Endovascular and surgical treatment of unruptured cerebral aneurysms: comparison of risks. Ann Neurol 48(1):11–19PubMedCrossRefGoogle Scholar
  59. 59.
    Johnston SC, Dudley RA, Gress DR, Ono L (1999) Surgical and endovascular treatment of unruptured cerebral aneurysms at university hospitals. Neurology 52(9):1799–1805PubMedCrossRefGoogle Scholar
  60. 60.
    Johnston SC, Zhao S, Dudley RA, Berman MF, Gress DR (2001) Treatment of unruptured cerebral aneurysms in California. Stroke 32(3):597–605PubMedCrossRefGoogle Scholar
  61. 61.
    Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, Sandercock P (2005) International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion. Lancet 366(9488):809–817PubMedCrossRefGoogle Scholar
  62. 62.
    Derdeyn CP, Barr JD, Berenstein A, Connors JJ, Dion JE, Duckwiler GR, Higashida RT, Strother CM, Tomsick TA, Turski P (2003) The international subarachnoid aneurysm trial (ISAT): a position statement from the Executive Committee of the American Society of Interventional and Therapeutic Neuroradiology and the American Society of Neuroradiology. AJNR Am J Neuroradiol 24(7):1404–1408PubMedGoogle Scholar
  63. 63.
    Qureshi AI, Suri MF, Khan J, Kim SH, Fessler RD, Ringer AJ, Guterman LR, Hopkins LN (2001) Endovascular treatment of intracranial aneurysms by using Guglielmi detachable coils in awake patients: safety and feasibility. J Neurosurg 94(6):880–885PubMedCrossRefGoogle Scholar
  64. 64.
    Wakhloo AK, Gounis MJ, Sandhu JS, Akkawi N, Schenck AE, Linfante I (2007) Complex-shaped platinum coils for brain aneurysms: higher packing density, improved biomechanical stability, and midterm angiographic outcome. AJNR Am J Neuroradiol 28(7):1395–1400PubMedCrossRefGoogle Scholar
  65. 65.
    Gonzalez N, Murayama Y, Nien YL, Martin N, Frazee J, Duckwiler G, Jahan R, Gobin YP, Vinuela F (2004) Treatment of unruptured aneurysms with GDCs: clinical experience with 247 aneurysms. AJNR Am J Neuroradiol 25(4):577–583PubMedGoogle Scholar
  66. 66.
    Reul J, Spetzger U, Weis J, Sure U, Gilsbach JM, Thron A (1997) Endovascular occlusion of experimental aneurysms with detachable coils: influence of packing density and perioperative anticoagulation. Neurosurgery 41(5):1160–1165PubMedCrossRefGoogle Scholar
  67. 67.
    Kawanabe Y, Sadato A, Taki W, Hashimoto N (2001) Endovascular occlusion of intracranial aneurysms with Guglielmi detachable coils: correlation between coil packing density and coil compaction. Acta Neurochir (Wien) 143(5):451–455CrossRefGoogle Scholar
  68. 68.
    Linfante I, Akkawi NM, Perlow A, Andreone V, Wakhloo AK (2005) Polyglycolide/polylactide-coated platinum coils for patients with ruptured and unruptured cerebral aneurysms: a single-center experience. Stroke 36(9):1948–1953PubMedCrossRefGoogle Scholar
  69. 69.
    Sluzewski M, van Rooij WJ, Slob MJ, Bescos JO, Slump CH, Wijnalda D (2004) Relation between aneurysm volume, packing, and compaction in 145 cerebral aneurysms treated with coils. Radiology 231(3):653–658PubMedCrossRefGoogle Scholar
  70. 70.
    Abrahams JM, Diamond SL, Hurst RW, Zager EL, Grady MS (2000) Topic review: surface modifications enhancing biological activity of guglielmi detachable coils in treating intracranial aneurysms. Surg Neurol 54(1):34–40PubMedCrossRefGoogle Scholar
  71. 71.
    Uchiyama N, Kida S, Nomura M, Hasegawa M, Yamashima T, Yamashita J, Matsui O (2000) Significance of volume embolization ratio as a predictor of recanalization on endovascular treatment of cerebral aneurysms with Guglielmi detachable coils. Interv Neuroradiol 6:59–63PubMedGoogle Scholar
  72. 72.
    Murayama Y, Nien YL, Duckwiler G, Gobin YP, Jahan R, Frazee J, Martin N, Vinuela F (2003) Guglielmi detachable coil embolization of cerebral aneurysms: 11 years’ experience. J Neurosurg 98(5):959–966PubMedCrossRefGoogle Scholar
  73. 73.
    Cloft HJ, Kallmes DF (2002) Cerebral aneurysm perforations complicating therapy with Guglielmi detachable coils: a meta-analysis. AJNR Am J Neuroradiol 23(10):1706–1709PubMedGoogle Scholar
  74. 74.
    Tummala RP, Chu RM, Madison MT, Myers M, Tubman D, Nussbaum ES (2001) Outcomes after aneurysm rupture during endovascular coil embolization. Neurosurgery 49(5):1059–1066PubMedGoogle Scholar
  75. 75.
    Brisman JL, Niimi Y, Song JK, Berenstein A (2008) Aneurysmal rupture during coiling: low incidence and good outcomes at a single large volume center. Neurosurgery 62(6 Suppl 3):1538–1551PubMedGoogle Scholar
  76. 76.
    Brisman JL, Niimi Y, Song JK, Berenstein A (2005) Aneurysmal rupture during coiling: low incidence and good outcomes at a single large volume center. Neurosurgery 57(6):1103–1109PubMedCrossRefGoogle Scholar
  77. 77.
    Layton KF, Cloft HJ, Kallmes DF (2006) Cerebral aneurysm perforations during treatment with detachable coils. Use of remodelling balloon inflation to achieve hemostasis. Interv Neuroradiol 12(1):31–35PubMedGoogle Scholar
  78. 78.
    Henkes H, Fischer S, Weber W, Miloslavski E, Felber S, Brew S, Kuehne D (2004) Endovascular coil occlusion of 1811 intracranial aneurysms: early angiographic and clinical results. Neurosurgery 54(2):268–280PubMedCrossRefGoogle Scholar
  79. 79.
    Brilstra EH, Rinkel GJ, van der Graaf Y, van Rooij WJ, Algra A (1999) Treatment of intracranial aneurysms by embolization with coils: a systematic review. Stroke 30(2):470–476PubMedCrossRefGoogle Scholar
  80. 80.
    Shanno GB, Armonda RA, Benitez RP, Rosenwasser RH (2001) Assessment of acutely unsuccessful attempts at detachable coiling in intracranial aneurysms. Neurosurgery 48(5):1066–1072PubMedCrossRefGoogle Scholar
  81. 81.
    Lylyk P, Ferrario A, Pasbon B, Miranda C, Doroszuk G (2005) Buenos Aires experience with the neuroform self-expanding stent for the treatment of intracranial aneurysms. J Neurosurg 102(2):235–241PubMedCrossRefGoogle Scholar
  82. 82.
    Brisman JL, Song JK, Niimi Y, Berenstein A (2005) Treatment options for wide-necked intracranial aneurysms using a self-expandable hydrophilic coil and a self-expandable stent combination. AJNR Am J Neuroradiol 26(5):1237–1240PubMedGoogle Scholar
  83. 83.
    Raymond J, Guilbert F, Weill A, Georganos SA, Juravsky L, Lambert A, Lamoureux J, Chagnon M, Roy D (2003) Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke 34(6):1398–1403PubMedCrossRefGoogle Scholar
  84. 84.
    Byrne JV, Sohn MJ, Molyneux AJ, Chir B (1999) Five-year experience in using coil embolization for ruptured intracranial aneurysms: outcomes and incidence of late rebleeding. J Neurosurg 90(4):656–663PubMedCrossRefGoogle Scholar
  85. 85.
    Cognard C, Weill A, Castaings L, Rey A, Moret J (1998) Intracranial berry aneurysms: angiographic and clinical results after endovascular treatment. Radiology 206(2):499–510PubMedGoogle Scholar
  86. 86.
    Thornton J, Debrun GM, Aletich VA, Bashir Q, Charbel FT, Ausman J (2002) Follow-up angiography of intracranial aneurysms treated with endovascular placement of guglielmi detachable coils. Neurosurgery 50(2):239–249PubMedGoogle Scholar
  87. 87.
    Campi A, Ramzi N, Molyneux AJ, Summers PE, Kerr RS, Sneade M, Yarnold JA, Rischmiller J, Byrne JV (2007) Retreatment of ruptured cerebral aneurysms in patients randomized by coiling or clipping in the International Subarachnoid Aneurysm Trial (ISAT). Stroke 38(5):1538–1544PubMedCrossRefGoogle Scholar
  88. 88.
    Slob MJ, Sluzewski M, van Rooij WJ, Roks G, Rinkel GJ (2004) Additional coiling of previously coiled cerebral aneurysms: clinical and angiographic results. AJNR Am J Neuroradiol 25(8):1373–1376PubMedGoogle Scholar
  89. 89.
    Molyneux AJ, Kerr RS, Birks J, Ramzi N, Yarnold J, Sneade M, Rischmiller J (2009) Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet Neurol 8(5):427–433PubMedCrossRefGoogle Scholar
  90. 90.
    Naggara ON, White PM, Guilbert F, Roy D, Weill A, Raymond J (2010) Endovascular treatment of intracranial unruptured aneurysms: systematic review and meta-analysis of the literature on safety and efficacy. Radiology 256(3):887–897PubMedCrossRefGoogle Scholar
  91. 91.
    Plowman RS, Clarke A, Clarke M, Byrne JV (2011) Sixteen-year single-surgeon experience with coil embolization for ruptured intracranial aneurysms: recurrence rates and incidence of late rebleeding. Clinical article. J Neurosurg 114(3):863–874PubMedCrossRefGoogle Scholar
  92. 92.
    Wajnberg E, de Souza JM, Marchiori E, Gasparetto EL (2009) Single-center experience with the Neuroform stent for endovascular treatment of wide-necked intracranial aneurysms. Surg Neurol 72(6):612–619PubMedCrossRefGoogle Scholar
  93. 93.
    Lylyk P, Miranda C, Ceratto R, Ferrario A, Scrivano E, Luna HR, Berez AL, Tran Q, Nelson PK, Fiorella D (2009) Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience. Neurosurgery 64(4):632–642PubMedCrossRefGoogle Scholar
  94. 94.
    Lubicz B, Leclerc X, Gauvrit JY, Lejeune JP, Pruvo JP (2005) Three-dimensional packing with complex orbit coils for the endovascular treatment of intracranial aneurysms. AJNR Am J Neuroradiol 26(6):1342–1348PubMedGoogle Scholar
  95. 95.
    Lubicz B, Piotin M, Mounayer C, Spelle L, Moret J (2005) Selective endovascular treatment of intracranial aneurysms with a liquid embolic: a single-center experience in 39 patients with 41 aneurysms. AJNR Am J Neuroradiol 26(4):885–893PubMedGoogle Scholar
  96. 96.
    Boulos AS, Levy EI, Bendok BR, Kim SH, Qureshi AI, Guterman LR, Hopkins LN (2004) Evolution of neuroendovascular intervention: a review of advancement in device technology. Neurosurgery 54(2):438–452PubMedCrossRefGoogle Scholar
  97. 97.
    Lubicz B, Leclerc X, Gauvrit JY, Lejeune JP, Pruvo JP (2005) Endovascular treatment of intracranial aneurysms with matrix coils: a preliminary study of immediate post-treatment results. AJNR Am J Neuroradiol 26(2):373–375PubMedGoogle Scholar
  98. 98.
    Murayama Y, Vinuela F, Tateshima S, Akiba Y (2000) Endovascular treatment of experimental aneurysms by use of a combination of liquid embolic agents and protective devices. AJNR Am J Neuro­radiol 21(9):1726–1735PubMedGoogle Scholar
  99. 99.
    Weber W, Siekmann R, Kis B, Kuehne D (2005) Treatment and follow-up of 22 unruptured wide-necked intracranial aneurysms of the internal carotid artery with Onyx HD 500. AJNR Am J Neuroradiol 26(8):1909–1915PubMedGoogle Scholar
  100. 100.
    Piske RL, Kanashiro LH, Paschoal E, Agner C, Lima SS, Aguiar PH (2009) Evaluation of Onyx HD-500 embolic system in the treatment of 84 wide-neck intracranial aneurysms. Neurosurgery 64(5):E865–E875PubMedCrossRefGoogle Scholar
  101. 101.
    Tevah J, Senf R, Cruz J, Fava M (2011) Endovascular treatment of complex cerebral aneurysms with onyx hd-500((R)) in 38 patients. J Neuroradiol 38:283–290PubMedCrossRefGoogle Scholar
  102. 102.
    Murayama Y, Tateshima S, Gonzalez NR, Vinuela F (2003) Matrix and bioabsorbable polymeric coils accelerate healing of intracranial aneurysms: long-term experimental study. Stroke 34(8):2031–2037PubMedCrossRefGoogle Scholar
  103. 103.
    Cloft HJ, Kallmes DF (2004) Aneurysm packing with HydroCoil Embolic System versus platinum coils: initial clinical experience. AJNR Am J Neuroradiol 25(1):60–62PubMedGoogle Scholar
  104. 104.
    Yoshino Y, Niimi Y, Song JK, Silane M, Berenstein A (2004) Endovascular treatment of intracranial aneurysms: comparative evaluation in a terminal bifurcation aneurysm model in dogs. J Neurosurg 101(6):996–1003PubMedCrossRefGoogle Scholar
  105. 105.
    Cloft HJ (2006) HydroCoil for endovascular aneurysm occlusion (HEAL) study: periprocedural results. AJNR Am J Neuroradiol 27(2):289–292PubMedGoogle Scholar
  106. 106.
    Cloft HJ (2007) HydroCoil for endovascular aneurysm occlusion (HEAL) study: 3–6 month angiographic follow-up results. AJNR Am J Neuroradiol 28(1):152–154PubMedGoogle Scholar
  107. 107.
    White PM, Raymond J (2009) Endovascular coiling of cerebral aneurysms using “bioactive” or coated-coil technologies: a systematic review of the literature. AJNR Am J Neuroradiol 30(2):219–226PubMedCrossRefGoogle Scholar
  108. 108.
    White PM, Lewis SC, Gholkar A, Sellar RJ, Nahser H, Cognard C, Forrester L, Wardlaw JM (2011) Hydrogel-coated coils versus bare platinum coils for the endovascular treatment of intracranial aneurysms (HELPS): a randomised controlled trial. Lancet 377(9778):1655–1662PubMedCrossRefGoogle Scholar
  109. 109.
    Sorteberg A, Bakke SJ (2008) The hydrodynamic effect of bare platinum coils versus hydrogel-coated platinum coils. Interv Neuroradiol 14(4):403–413PubMedGoogle Scholar
  110. 110.
    Kang HS, Han MH, Kwon BJ, Kwon OK, Kim SH, Choi SH, Chang KH (2005) Short-term outcome of intracranial aneurysms treated with polyglycolic acid/lactide copolymer-coated coils compared to historical controls treated with bare platinum coils: a single-center experience. AJNR Am J Neuroradiol 26(8):1921–1928PubMedGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Andrew S. Ferrell
    • 1
  • Abhishek Agrawal
    • 1
  • Kiarash Golshani
    • 1
  • Tony P. Smith
    • 1
  • Gavin W. Britz
    • 1
  1. 1.Department of RadiologyDuke UniversityDurhamUSA

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