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Paediatric aneurysms - Review of endovascular treatment strategies

P Bhogal1, M Aguilar Pérez1, C Wendl2

  • 1Neuroradiological Clinic, Neurocenter, Klinikum Stuttgart, Stuttgart, Germany.

Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia
|September 10, 2017
PubMed

Insights

Paediatric aneurysms are rare vascular brain abnormalities. Management requires a multidisciplinary team, analyzing underlying causes and employing diverse treatments like coils or microsurgical clipping for individualized strategies.

Area of Science:

  • Neurology
  • Vascular Surgery
  • Pediatric Medicine

Background:

  • Paediatric aneurysms are uncommon vascular lesions with unique presentations compared to adult aneurysms.
  • They result from diverse pathological mechanisms, necessitating specialized diagnostic and therapeutic approaches.
  • Effective management hinges on a comprehensive, multidisciplinary team effort.

Purpose of the Study:

  • To review the diverse types of paediatric aneurysms.
  • To present a spectrum of paediatric aneurysmal disease cases.
  • To discuss current and emerging treatment modalities for paediatric intracranial aneurysms.

Main Methods:

  • Literature review of paediatric aneurysm types and pathology.
  • Case series presentation illustrating the spectrum of disease.
  • Discussion of endovascular techniques (coils, flow diverters, liquid embolic agents) and microsurgical clipping.

Main Results:

  • Paediatric aneurysms exhibit varied presentations and underlying pathologies.
  • A range of treatment options are available, including endovascular and surgical interventions.
  • Successful outcomes depend on tailored treatment strategies.

Conclusions:

  • Paediatric intracranial aneurysms require individualized management plans.
  • A multidisciplinary approach is crucial for optimal patient care.
  • Continued research into novel treatment strategies is warranted.

Keywords:
CoilDissectionFlow diversionInfectionPaediatric aneurysmParent artery occlusion

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