We describe giant aneurysms (> 25 mm in diameter) discussing endovascular techniques and reporting the outcome of treated cases.
The endovascular technique to be adopted must be chosen after careful morphologic analysis of the aneurysm. Currently, the best solution is probably occlusion of the parent vessel thereby eliminating the mass effect and excluding the aneurysm from flow.
DrakeCG: Giant intracranial aneurysms: Experience with surgical treatment in 174 patients. Clin Neurosurg26: 12–95, 1979.
2.
DerutyRMottoleseC: Spontaneous progressive thrombosis and surgical resection of a giant aneurysm of the posterior cerebral artery in an 18-year-old. Neurol Res9: 169–176, 1987.
3.
SakataSFujiiK: Aneurysms of the posterior cerebral artery: Report of eleven cases- surgical approaches and procedures. Neurosurgery32: 163–167, 1993.
4.
DrakeCG: Giant posterior cerebral aneurysms: 66 patients. In: DrakeCGPeerlessSJHruesniemiJA (eds): Surgery of Vertebrobasilar Aneurysms: London, Ontario, Experience on 1767 Patients. New York: Springer Verlag: 230–248, 1996.
5.
FerranteLAcquiM: Aneurysms of the posterior cerebral artery: Do they present specific characteristics?Acta Neurochir (Wien)138: 840–852, 1996.
6.
RoweJGMolyneuxAJ: Endovascular treatment of intracranial aneurysms: A minimally invasive approach with advantages for elderly patients. Age Ageing25: 372–376, 1996.
7.
RufenachtDAMandaiSLevrierO: Endovascular treatment of intracranial aneurysms. Am J Neuroradiol17: 1658–1660, 1996.
8.
ThielenKRNicholsDA: Endovascular treatment of cerebral aneurysms following incomplete clipping. J Neurosurg87: 184–189, 1997.
9.
LempertTEHalbachVV: Endovascular treatment of pseudoaneurysms with electrolitically detachable coils. Am J Neuroradiol19: 907–911, 1998.
10.
StrotherCM: Continued progress in the evolution of endovascular therapy. Am J Neuroradiol19: 190, 1998.
11.
ZampieriPBeltramelloA: Follow-up a lungo termine dopo occlusione endovascolare dell'arteria carotide interna per il trattamento degli aneurismi giganti paraclinoidei. Rivista di neuroradiologia14 (suppl 3), 2001.
12.
MoretJPierotL: Remodelling of the arterial wall of the parent vessel in the endovascular treatment of intracranial aneurysms. Neuroradiology36: 83, 1994.
13.
CottierJPPascoA: Utility of balloon-assisted Guglielmi detachable coiling in treatment of 49 cerebral aneurysms: A retrospective, multicentre study. Am J Neuroradiol22: 345–351, 2001.
14.
CiceriEChiappariniL: Trattamento combinato con stent e polimeo liquido (Onix®) in un caso di aneurisma gigante intracranico. Rivista di Neuroradiologia14 (suppl 3) 231–234, 2001.
