Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지
DOI QR코드

DOI QR Code

Surgical Management of Intracranial Aneurysms in the Endovascular Era : Review Article

  • Published : 2009.03.28
Download PDF
⟨ Previous Next ⟩

Abstract

The advent of endovascular therapy for intracranial aneurysms and the rapid advances in that field have supplanted microsurgical treatment for many intracranial aneurysms. Applying current outcome data and other parameters, nuances of selecting the modality of treatment for intracranial aneurysms are reviewed. Patient factors, such a age, co-morbidities, vasospasm and other medical conditions, are addressed. A custom-tailored multimodality treatment paradigm for the management of ruptured and unruptured aneurysms will maximize the favorable results seen in this difficult patient population.

Keywords

References

  1. Abe M, Tabuchi K, Yokoyama H, Uchino A : Blood blisterlike aneurysms of the internal carotid artery. J Neurosurg 89 : 419-424, 1998 https://doi.org/10.3171/jns.1998.89.3.0419
  2. Adams HP Jr, Kassell NF, Torner JC, Haley EC Jr : Predicting cerebral ischemia after aneurysmal subarachnoid hemorrhage : influences of clinical condition, CT results, and antifibrinolytic therapy. A report of the Cooperative Aneurysm Study. Neurology 37 : 1586-1591,1987 https://doi.org/10.1212/WNL.37.10.1586
  3. Andaluz N, Zuccarello M : Fenestration of the lamina terminalis as a valuable adjunct in aneurysm surgery. Neurosurgery 55 : 1050-1059, 2004 https://doi.org/10.1227/01.NEU.0000140837.63105.78
  4. Aziz A, Khaled M, Andaluz N : Basilar bifurcation aneurysms : strategies for surgical approach selection. Neurosurgery Quarterly 17 : 101-112, 2007 https://doi.org/10.1097/WNQ.0b013e3180332483
  5. Barrow DL : Bad science ISAT : the impact on neurosurgical practice. Clin Neurosurg 51 : 126-131, 2004
  6. Bederson JB, Zabramski JM, Spetzler RF : Treatment of fusiform intracranial aneurysms by circumferential wrapping with clip reinforcement. J Neurosurg 77 : 478-480, 1992 https://doi.org/10.3171/jns.1992.77.3.0478
  7. Berman MF, Solomon RA, Mayer SA, Johnston SC, Yung PP : Impact of hospital-related factors on outcome after treatment of cerebral aneurysms. Stroke 34 : 2200-2207, 2003 https://doi.org/10.1161/01.STR.0000086528.32334.06
  8. Byrne JV, Sohn MJ, Molyneux AJ, Chir B : Five-year experience in using coil embolization for ruptured intracranial aneurysms : outcomes and incidence of late rebleeding. J Neurosurg 90 : 656-663, 1999 https://doi.org/10.3171/jns.1999.90.4.0656
  9. Campi A, Ramzi N, Molyneux AJ, Summers PE, Kerr RS, Sneade M, et al : Retreatment of ruptured cerebral aneurysms in patients randomized by coiling or clipping in the International Subarachnoid Aneurysm Trial (ISAT). Stroke 38 : 1538-1544, 2007 https://doi.org/10.1161/STROKEAHA.106.466987
  10. Chiaradio JC, Guzman L, Padilla L, Chiaradio MP : Intravascular graft stent treatment of a ruptured fusiform dissecting aneurysm of the intracranial vertebral artery : technical case report. Neurosurgery 50 : 213-216; discussion 216-217, 2002 https://doi.org/10.1097/00006123-200201000-00034
  11. Cowan JA Jr, Dimick JB, Wainess RM, Upchurch GR Jr, Thompson BG : Outcomes after cerebral aneurysm clip occlusion in the United States : the need for evidence-based hospital referral. J Neurosurg 99 : 947-952 https://doi.org/10.3171/jns.2003.99.6.0947
  12. Cowan JA Jr, Ziewacz J, Dimick JB, Upchurch GR Jr, Thompson BG : Use of endovascular coil embolization and surgical clip occlusion for cerebral artery aneurysms. J Neurosurg 107 : 530-535, 2007 https://doi.org/10.3171/JNS-07/09/0530
  13. de Oliveira JG, Beck J, Ulrich C, Rathert J, Raabe A, Seifert V : Comparison between clipping and coiling on the incidence of cerebral vasospasm after aneurysmal subarachnoid hemorrhage : a systematic review and meta-analysis. Neurosurg Rev 30 : 22-30; discussion 30-31, 2007 https://doi.org/10.1007/s10143-006-0045-5
  14. Dehdashti AR, Mermillod B, Rufenacht DA, Reverdin A, de Tribolet N : Does treatment modality of intracranial ruptured aneurysms influence the incidence of cerebral vasospasm and clinical outcome? Cerebrovasc Dis 17 : 53-60, 2004 https://doi.org/10.1159/000073898
  15. Dorsch NW : Therapeutic approaches to vasospasm in subarachnoid hemorrhage. Curr Opin Crit Care 8 : 128-133, 2002 https://doi.org/10.1097/00075198-200204000-00007
  16. Forrest JB, Rehder K, Cahalan MK, Goldsmith CH : Multicenter study of general anesthesia. III. Predictors of severe perioperative adverse outcomes. Anesthesiology 76 : 3-15, 1992 https://doi.org/10.1097/00000542-199201000-00002
  17. Haley EC Jr, Kassell NF, Torner JC : The International Cooperative Study on the Timing of Aneurysm Surgery. The North American experience. Stroke 23 : 205-214, 1992
  18. Heiskanen O, Poranen A, Kuurne T, Valtonen S, Kaste M : Acute surgery for intracerebral haematomas caused by rupture of an intracranial arterial aneurysm. A prospective randomized study. Acta Neurochir (Wien) 90 : 81-83, 1988 https://doi.org/10.1007/BF01560559
  19. Henkes H, Fischer S, Liebig T, Weber W, Reinartz J, Miloslavski E, et al : Repeated endovascular coil occlusion in 350 of 2759 intracranial aneurysms : safety and effectiveness aspects. Neurosurgery 58 : 224-232; discussion 224-232, 2006 https://doi.org/10.1227/01.NEU.0000194831.54183.3F
  20. Henkes H, Fischer S, Weber W, Miloslavski E, Felber S, Brew S, et al : Endovascular coil occlusion of 1811 intracranial aneurysms: early angiographic and clinical results. Neurosurgery 54 : 268-280; discussion 280-285, 2004 https://doi.org/10.1227/01.NEU.0000103221.16671.F0
  21. Henkes H, Reinartz J, Preiss H, Miloslavski E, Kirsch M, Kühne D : Endovascular treatment of small intracranial aneurysms : three alternatives to coil occlusion. Minim Invasive Neurosurg 49 : 65-69, 2006 https://doi.org/10.1055/s-2005-919150
  22. Higashida RT, Smith W, Gress D, Urwin R, Dowd CF, Balousek PA, et al : Intravascular stent and endovascular coil placement for a ruptured fusiform aneurysm of the basilar artery. Case report and review of the literature. J Neurosurg 87 : 944-949, 1997 https://doi.org/10.3171/jns.1997.87.6.0944
  23. Hope JK, Byrne JV, Molyneux AJ : Factors influencing successful angiographic occlusion of aneurysms treated by coil embolization. AJNR Am J Neuroradiol 20 : 391-399, 1999
  24. Im SH, Han MH, Kwon BJ, Jung C, Kim JE, Han DH : Aseptic meningitis after embolization of cerebral aneurysms using hydrogelcoated coils : report of three cases. AJNR Am J Neuroradiol 28 : 511-512, 2007
  25. Ishikawa T, Nakamura N, Houkin K, Nomura M : Pathological consideration of a 'blister-like' aneurysm at the superior wall of the internal carotid artery : case report. Neurosurgery 40 : 403-405; discussion 405-406 https://doi.org/10.1097/00006123-199702000-00038
  26. Kassell NF, Torner JC : Aneurysmal rebleeding : a preliminary report from the Cooperative Aneurysm Study. Neurosurgery 13 : 479-481, 1983 https://doi.org/10.1227/00006123-198311000-00001
  27. Kassell NF, Torner JC, Jane JA, Haley EC Jr, Adams HP : The International Cooperative Study on the Timing of Aneurysm Surgery. Part 2 : Surgical results. J Neurosurg 73 : 37-47, 1990 https://doi.org/10.3171/jns.1990.73.1.0037
  28. Kazekawa K, Tsutsumi M, Aikawa H, Iko M, Kodama T, Go Y, et al : Internal carotid aneurysms presenting with mass effect symptoms of cranial nerve dysfunction : efficacy and imitations of endosaccular embolization with GDC. Radiat Med 21 : 80-85, 2003
  29. Keller E, Krayenbuhl N, Bjeljac M, Yonekawa Y : Cerebral vasospasm : results of a structured multimodal treatment. Acta Neurochir Suppl 94 : 65-73, 2005 https://doi.org/10.1007/3-211-27911-3_11
  30. Krischek B, Kasuya H, Onda H, Hori T : Nicardipine prolongedrelease implants for preventing cerebral vasospasm after subarachnoid hemorrhage : effect and outcome in the first 100 patients. Neurol Med Chir (Tokyo) 47 : 389-394; discussion 394-396, 2007 https://doi.org/10.2176/nmc.47.389
  31. Laidlaw JD, Siu KH : Ultra-early surgery for aneurysmal subarachnoid hemorrhage : outcomes for a consecutive series of 391 patients not selected by grade or age. J Neurosurg 97 : 250-258; discussion 247-249, 2002 https://doi.org/10.3171/jns.2002.97.2.0250
  32. Lawton MT, Quinõnes-Hinojosa A, Chang EF, Yu T : Thrombotic intracranial aneurysms : classification scheme and management strategies in 68 patients. Neurosurgery 56 : 441-454; discussion 441-454, 2005 https://doi.org/10.1227/01.NEU.0000153927.70897.A2
  33. Lawton MT, Quinones-Hinojosa A, Sanai N, Malek JY, Dowd CF : Combined microsurgical and endovascular management of complex intracranial aneurysms. Neurosurgery 52 : 263-274; discussion 274-275, 2003
  34. Malisch TW, Guglielmi G, Vi$\tilde{n} $uela F, Duckwiler G, Gobin YP, Martin NA, et al : Unruptured aneurysms presenting with mass effect symptoms : response to endosaccular treatment with Guglielmi detachable coils. Part I. Symptoms of cranial nerve dysfunction. J Neurosurg 89 : 956-961, 1998 https://doi.org/10.3171/jns.1998.89.6.0956
  35. Mayberg MR, Batjer HH, Dacey R, Diringer M, Haley EC, Heros RC, et al : Guidelines for the management of aneurysmal subarachnoid hemorrhage. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Circulation 90 : 2592-2605, 1994 https://doi.org/10.1161/01.CIR.90.5.2592
  36. Meyers PM, Lavine SD, Fitzsimmons BF, Commichau C, Parra A, Mayer SA, et al : Chemical meningitis after cerebral aneurysm treatment using two second-generation aneurysm coils : report of two cases. Neurosurgery 55 : 1222, 2004 https://doi.org/10.1227/01.NEU.0000140987.71791.DF
  37. Miyaoka M, Sato K, Ishii S : A clinical study of the relationship of timing to outcome of surgery for ruptured cerebral aneurysms. A retrospective analysis of 1622 cases. J Neurosurg 79 : 373-378, 1993 https://doi.org/10.3171/jns.1993.79.3.0373
  38. Molyneux AJ, Ellison DW, Morris J, Byrne JV : Histological findings in giant aneurysms treated with Guglielmi detachable coils. Report of two cases with autopsy correlation. J Neurosurg 83 : 129-132, 1995 https://doi.org/10.3171/jns.1995.83.1.0129
  39. Murayama Y, Nien YL, Duckwiler G, Gobin YP, Jahan R, Frazee J, et al : Guglielmi detachable coil embolization of cerebral aneurysms: 11 years’ experience. J Neurosurg 98 : 959-966, 2003 https://doi.org/10.3171/jns.2003.98.5.0959
  40. Pedersen T, Eliasen K, Henriksen E : A prospective study of mortality associated with anaesthesia and surgery : risk indicators of mortality in hospital. Acta Anaesthesiol Scand 34 : 176-182, 1990 https://doi.org/10.1111/j.1399-6576.1990.tb03066.x
  41. Pickett GE, Laitt RD, Herwadkar A, Hughes DG : Visual pathway compromise after hydrocoil treatment of large ophthalmic aneurysms. Neurosurgery 61 : E873-E874; discussion E874, 2007 https://doi.org/10.1227/01.NEU.0000298918.55119.7C
  42. Prat R, Galeano I : Early surgical treatment of middle cerebral artery aneurysms associated with intracerebral haematoma. Clin Neurol Neurosurg 109 : 431-435, 2007 https://doi.org/10.1016/j.clineuro.2007.03.005
  43. Qureshi AI, Suarez JI, Parekh PD, Sung G, Geocadin R, Bhardwaj A, et al : Risk factors for multiple intracranial aneurysms. Neurosurgery 43 : 22-26; discussion 26-27, 1998 https://doi.org/10.1097/00006123-199807000-00013
  44. Raymond J, Guilbert F, Weill A, Georganos SA, Juravsky L, Lambert A, et al : Long-term angiographic recurrences after selective endovascular treatment of aneurysms with detachable coils. Stroke 34 : 1398-1403, 2003 https://doi.org/10.1161/01.STR.0000073841.88563.E9
  45. Sekula RF Jr, Cohen DB, Quigley MR, Jannetta PJ : Primary treatment of a blister-like aneurysm with an encircling clip graft : technical case report. Neurosurgery 59 (1 Suppl 1) : E168; discussion E168, 2006
  46. Shigeta H, Kyoshima K, Nakagawa F, Kobayashi S : Dorsal internal carotid artery aneurysms with special reference to angiographic presentation and surgical management. Acta Neurochir (Wien) 119 : 42-48, 1992 https://doi.org/10.1007/BF01541780
  47. Sluzewski M, Menovsky T, van Rooij WJ, Wijnalda D : Coiling of very large or giant cerebral aneurysms : long-term clinical and serial angiographic results. AJNR Am J Neuroradiol 24 : 257-262, 2003
  48. Solomon RA, Mayer SA, Tarmey JJ : Relationship between the volume of craniotomies for cerebral aneurysm performed at New York state hospitals and in-hospital mortality. Stroke 27 : 13-17, 1996
  49. Taylor CL, Yuan Z, Selman WR, Ratcheson RA, Rimm AA : Mortality rates, hospital length of stay, and the cost of treating subarachnoid hemorrhage in older patients : institutional and geographical differences. J Neurosurg 86 : 583-588, 1997 https://doi.org/10.3171/jns.1997.86.4.0583
  50. Tsutsumi K, Ueki K, Morita A, Usui M, Kirino T : Risk of aneurysm recurrence in patients with clipped cerebral aneurysms : results of long-term follow-up angiography. Stroke 32 : 1191-1194, 2001
  51. Tumialán LM, Zhang YJ, Cawley CM, Dion JE, Tong FC, Barrow DL : Intracranial hemorrhage associated with stent-assisted coil embolization of cerebral aneurysms : a cautionary report. J Neurosurg 108 : 1122-1129, 2008 https://doi.org/10.3171/JNS/2008/108/6/1122
  52. Vinuela F, Duckwiler G, Mawad M : Guglielmi detachable coil embolization of acute intracranial aneurysm : perioperative anatomical and clinical outcome in 403 patients. J Neurosurg 86 : 475-482, 1997 https://doi.org/10.3171/jns.1997.86.3.0475
  53. Wiebers DO : Patients with small, asymptomatic, unruptured intra-cranial aneurysms and no history of subarachnoid hemorrhage should generally be treated conservatively : for. Stroke 36 : 408-409, 2005 https://doi.org/10.1161/01.STR.0000152270.22970.48
  54. Yundt KD, Grubb RL Jr, Diringer MN, Powers WJ : Cerebral hemodynamic and metabolic changes caused by brain retraction after aneurysmal subarachnoid hemorrhage. Neurosurgery 40 : 442-450; discussion 450-451, 1997 https://doi.org/10.1097/00006123-199703000-00003
  55. Zhang YJ, Barrow DL, Cawley CM, Dion JE : Neurosurgical management of intracranial aneurysms previously treated with endovascular therapy. Neurosurgery 52 : 283-293; discussion 293-295, 2003

Cited by

  1. What is the Role of Clipping Surgery for Ruptured Cerebral Aneurysms in the Endovascular Era? A Review of Recent Technical Advances and Problems to be Solved vol.50, pp.9, 2009, https://doi.org/10.2176/nmc.50.800
  2. Intraoperative Misadventures: Complication Avoidance and Management in Aneurysm Surgery : vol.58, pp.None, 2011, https://doi.org/10.1227/neu.0b013e3182275574
  3. Reappraisal of Anatomic Outcome Scales of Coiled Intracranial Aneurysms in the Prediction of Recanalization vol.53, pp.6, 2013, https://doi.org/10.3340/jkns.2013.53.6.342
  4. A long-term study of durability and risk factors for aneurysm recurrence after microsurgical clip ligation vol.126, pp.3, 2017, https://doi.org/10.3171/2016.2.jns152059
  5. A long-term study of durability and risk factors for aneurysm recurrence after microsurgical clip ligation vol.126, pp.3, 2017, https://doi.org/10.3171/2016.2.jns152059
  6. Microsurgical versus endovascular interventions for blood-blister aneurysms of the internal carotid artery: systematic review of literature and meta-analysis on safety and efficacy vol.127, pp.6, 2017, https://doi.org/10.3171/2016.9.jns161526
  7. Microsurgical versus endovascular interventions for blood-blister aneurysms of the internal carotid artery: systematic review of literature and meta-analysis on safety and efficacy vol.127, pp.6, 2017, https://doi.org/10.3171/2016.9.jns161526
  8. Subarachnoid hemorrhage after surgical treatment of unruptured intracranial aneurysms vol.129, pp.2, 2009, https://doi.org/10.3171/2017.3.jns162984
  9. Subarachnoid hemorrhage after surgical treatment of unruptured intracranial aneurysms vol.129, pp.2, 2009, https://doi.org/10.3171/2017.3.jns162984
  10. Treatment of Unruptured Cerebral Artery Aneurysm: A Meta-Analysis vol.11, pp.5, 2009, https://doi.org/10.22376/ijpbs/lpr.2021.11.5.l61-80