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Partial Trapping Strategies for Managing Complex Intracranial Aneurysms.

Giuseppe Esposito1, Jorn Fierstra2, Luca Regli2

  • 1Department of Neurosurgery, University Hospital Zurich, University of Zurich, Frauenklinikstrasse 10, Zurich, CH-8091, Switzerland. giuseppe.esposito@usz.ch.

Acta Neurochirurgica. Supplement
|September 18, 2016
PubMed
Summary

This chapter explores partial trapping and flow-replacement bypass surgery for complex intracranial aneurysms (IAs). These techniques offer solutions for challenging cases requiring advanced neurosurgical management.

Keywords:
BypassComplex aneurysmIntracranialPartial trappingRevascularization

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Area of Science:

  • Neurosurgery
  • Vascular Neurology
  • Interventional Neuroradiology

Background:

  • Complex intracranial aneurysms (IAs) pose significant management challenges.
  • Traditional treatment strategies may be insufficient for certain IA morphologies.

Purpose of the Study:

  • To elucidate the rationale behind partial trapping strategies for complex IAs.
  • To discuss the application of flow-replacement bypass surgery in conjunction with trapping techniques.

Main Methods:

  • Review of neurosurgical techniques for IA management.
  • Discussion of hemodynamic principles in IA treatment.
  • Case examples illustrating partial trapping and bypass surgery.

Main Results:

  • Partial trapping offers a tailored approach to complex IA obliteration.
  • Flow-replacement bypass surgery can restore adequate cerebral perfusion during trapping.

Conclusions:

  • Partial trapping strategies, when combined with flow-replacement bypass, provide a viable option for complex intracranial aneurysms.
  • These advanced techniques expand the neurosurgical armamentarium for challenging vascular lesions.