Cerebral aneurysm treatment: Treatment Options and Emerging Technologies

63 Pages·2016·14.47 MB·English

by  Vivek Deshmukh

Advancements in
Neurovascular Surgery
Vivek R. Deshmukh, MD, FACS
Director, Cerebrovascular and Endovascular
Neurosurgery
Chairman, Department of Neurosurgery
Providence Brain and Spine Institute
Neurovascular Surgery
 Cerebral Aneurysm
 Vascular Malformations of the Brain and
Spinal Cord
 Stroke Care
 Carotid and Vertebral Atheromatous
Disease
 Vascular compression syndromes
Neurovascular Service
 Neurosurgery
 Interventional Radiology
 Stroke Neurology
 Neurocritical care
 Diagnostic Radiology
 Rehab medicine
 Radiation oncology
Neurovascular
 Surgical and Endovascular
Treatments are complementary
Intracranial aneurysms
 1-5% of the population
 Weakening of the blood
vessel wall resulting in
outpouching
 Risk of rupture
 Size- <5 mm less than 1% per
year
 Location- Basilar tip, acom
artery, pcom artery
 Patient specific factors-
tobacco use, hypertension
Treatment options
 Clip ligation
 Coil embolization
 Stent coiling
 Pipeline embolization
 Cerebral bypass
Stent-Coil animation
Pipeline animation
53 year old female