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Surgical indications and techniques for failed coiled aneurysms

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Advances and Technical Standards in Neurosurgery

Part of the book series: Advances and Technical Standards in Neurosurgery ((NEUROSURGERY,volume 36))

Abstract

For two decades, endovascular coiling has revolutionized the treatment of intracranial aneurysms. However, as with all techniques, it has limitations and endovascular radiologists and neurosurgeons are regularly confronted by what we call “failed” coiled aneurysms. Failed coiled aneurysms can occur in different situations: a) presence of a significant remnant at the end of an endovascular procedure; b) recanalization of an initially satisfactory occlusion; and c) coil extrusion deemed too thrombogenic or threatening the blood flow in the parent vessel. We and other teams around the world have developed strategies to manage these difficult cases. Here, we compare our own experience with other reports in the literature.

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Authors and Affiliations

  1. Department of Neurosurgery, University Hospital St-Luc, Université Catholique de Louvain (UCL), Brussels, Belgium

    C. Raftopoulos & G. Vaz

Authors
  1. C. Raftopoulos
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  2. G. Vaz
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Editor information

Editors and Affiliations

  1. Cambridge

    J. D. Pickard

  2. Ankara

    N. Akalan

  3. Prague

    V. Benes Jr.

  4. Roma

    C. Di Rocco

  5. Ljubljana

    V. V. Dolenc

  6. Lisbon

    J. Lobo Antunes

  7. Bonn

    J. Schramm

  8. Lyon

    M. Sindou

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Raftopoulos, C., Vaz, G. (2011). Surgical indications and techniques for failed coiled aneurysms. In: Pickard, J.D., et al. Advances and Technical Standards in Neurosurgery. Advances and Technical Standards in Neurosurgery, vol 36. Springer, Vienna. https://doi.org/10.1007/978-3-7091-0179-7_8

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  • DOI: https://doi.org/10.1007/978-3-7091-0179-7_8

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-7091-0178-0

  • Online ISBN: 978-3-7091-0179-7

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