title: [Microsurgical management of intracranial giant aneurysms].
abstract: OBJECTIVE
  To study the surgical timing, strategy and outcome of intracranial giant aneurysms.
  
  
  METHODS
  The clinical and surgical data of 15 cases of intracranial giant aneurysms treated between January, 2001 and January, 2010 were analyzed. Aneurysm clipping was performed in 8 cases, aneurysm trapping with extracranial-intracranial (EC-IC) bypass in 1 case, parent artery occlusion with EC-IC bypass using great saphenous vein graft in 3 cases, aneurysm resection with aneurysm wall suture in 1 case, and exclusive aneurysm trapping in 2 cases.
  
  
  RESULTS
  Deaths occurred in 2 (13%) of the cases. Good surgical outcomes were achieved in 12 cases (80%), and poor outcome was found in 1 case (7%) after the surgery.
  
  
  CONCLUSIONS
  Individualized surgical planning is suggested for microsurgical management of intracranial giant aneurysms, and the operation should be performed by surgeons having sufficient microsurgical experience and capable of vessel reconstruction.
authors.affiliation: Department of Neurosurgery and Interventional Radiology, Third Affiliated Hospital of Southern Medical University, Guangzhou, China. 13802990238@139.com
authors.forename: Lijin
authors.initials: L
authors.lastname: Huang
authors.forename: Wenfeng
authors.initials: W
authors.lastname: Feng
authors.forename: Songtao
authors.initials: S
authors.lastname: Qi
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008866:Microsurgery; D008875:Middle Aged; D019635:Neurosurgical Procedures; D012189:Retrospective Studies; D016896:Treatment Outcome