8. Giant/large aneurysms
Stent-assisted coiling – safe,
follow-up and possible repeat
treatment
Flow diverters - evolving,
paraclinoidal aneurysms, ?risk
(Parent vessel occlusion – may
be the ideal treatment for
cavernous aneurysms)
Fusiform giant ICA with no
collaterals– need bypass
16. Fusiform-dissecting aneurysms &
blister aneurysms
Extremely difficult to treat
Overlapping stents with coils as much
as possible to buy time/promote
thrombosis
Continued growth common- early check
Flow diverter
However ,
Distal fusiform dissecting
aneurysms..
Stent/FD not possible ---
bypass/surgical reconstruction..
39. Referred for surgery
Giant fusiform needing bypass
Dysplastic bifurcation needing
stenting/angulated vessels
Distal dissecting, partially
thrombosed aneurysm
Aneurysm with symptomatic
hematoma
Mass effect
Cost/follow-up/re-treatment
issues
40.
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43. For more information on
Stroke & Neurovascular Interventions
URL
www.sanif.co.in
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