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Related Concept Videos

Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Aneurysm IV: Nursing Management01:22

Aneurysm IV: Nursing Management

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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Venous Thrombosis III: Interprofessional Care01:29

Venous Thrombosis III: Interprofessional Care

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Venous thrombosis requires effective prevention and treatment strategies to improve patient outcomes and reduce potential complications.Prevention StrategiesHealthcare providers must prioritize preventing venous thromboembolism (VTE) for all adult patients upon admission. Interventions depend on bleeding and thrombosis risk, medical history, current medications, diagnoses, planned procedures, and patient preferences. Patients on bed rest should change positions every two hours and, if not...
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Aneurysm I: Introduction01:30

Aneurysm I: Introduction

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An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
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Related Experiment Video

Updated: Aug 2, 2025

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
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[Ruptured Cerebral Aneurysm:Endovascular Techniques and Devices].

Masakazu Okawa1, Akira Ishii

  • 1Department of Neurosurgery, Kyoto University Faculty of Medicine.

No Shinkei Geka. Neurological Surgery
|April 13, 2023
PubMed
Summary

Intrasaccular embolization devices are crucial for treating ruptured aneurysms, especially wide-neck types. Emerging technologies like the Woven EndoBridge device show promise for improved aneurysm treatment outcomes.

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Area of Science:

  • Endovascular neurosurgery
  • Cerebrovascular disease management

Context:

  • Coil embolization is the standard for ruptured aneurysms but has limitations for wide-neck configurations.
  • Devices in the parent vessel necessitate antiplatelet therapy, making intrasaccular devices preferable for ruptured cases.
  • Current intrasaccular devices have size limitations and require large catheters.

Purpose:

  • To review the current landscape and future potential of intrasaccular devices for aneurysm treatment, particularly in ruptured cases.
  • To highlight the advantages and limitations of existing and emerging technologies.
  • To discuss strategies for treating large/giant aneurysms and the role of novel coatings.

Summary:

  • Intrasaccular embolization devices are crucial for ruptured aneurysms, especially wide-neck types, avoiding antiplatelet therapy. The Woven EndoBridge device is emerging as a promising option.
  • Staged embolization may enhance outcomes for large/giant aneurysms.
  • Hydrophilic metal coatings are being developed to potentially reduce antiplatelet agent requirements, though data in ruptured cases is pending.

Impact:

  • The Woven EndoBridge device may see increased adoption, offering a viable alternative for complex aneurysms.
  • Advancements in intrasaccular device technology could expand treatment options and improve patient outcomes.
  • Further research into novel coatings may reduce the need for antiplatelet therapy in aneurysm treatment.