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Journal of Korean Neurosurgical Society 2009;45(3): 133-142.
doi: https://doi.org/10.3340/jkns.2009.45.3.133
Surgical Management of Intracranial Aneurysms in the Endovascular Era : Review Article.
Alexander M Mason, C Michael Cawley, Daniel L Barrow
Department of Neurosurgery, Emory University School of Medicine, Atlanta, GA, USA. Daniel.barrow@emoryhealthcare.org
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.
Key Words: Aneurysm; Subarachnoid hemorrhage; Aneurysm clip; Endovascular treatment
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