Low flow extra-intracranial bypass with endovascular deconstruction in the treatment of giant aneurysm after failure of endovascular and surgical reconstruction

Abstract

Treatment of giant aneurysm is always complex, requiring a close cooperation between the interventional radiologist, neurosurgeon and neurointensivist and careful planning of each therapeutic step. Clipping, coiling with different techniques (stent assisted, pipeline endovascular device, flow diverter), extra-intracranial (EC-IC) bypass surgery and trapping may be used.

Three patients, successfully treated with endovascular approach combined with a low flow EC-IC bypass are reported.

Keywords

• Low
• flow
• extra-intracranial
• bypass
• with
• deconstruction
• treatment
• giant
• aneurysm
• after
• failure
• endovascular
• surgical
• reconstruction