title: General technical considerations for the endovascular management of cerebral aneurysms.
abstract: Cerebral aneurysms pose a threat to patients because of their risk of rupture causing subarachnoid hemorrhage, and the goal of treatment is the exclusion of the aneurysm from the circulation to prevent bleeding (in the case of unruptured aneurysms) or rebleeding. This article analyzes the general technical factors associated with the endovascular treatment of cerebral aneurysms. It discusses issues with transarterial access; imaging of aneurysm size, morphology, and regional anatomy to determine the endovascular plan; the techniques for the major endovascular aneurysm devices; and periprocedural management issues to reduce potential treatment-related complications.
authors.affiliation: Department of Neurosurgery, Cedars-Sinai Medical Center, 127 South San Vicente Boulevard, ASHP Building, Suite A6303, Los Angeles, CA 90048, USA.
authors.forename: Paula
authors.initials: P
authors.lastname: Eboli
authors.affiliation: University Neurosurgery Associates, 2335 E. Kashian Lane, Suite 301, UCSF-Fresno, Fresno, CA, USA.
authors.forename: Robert W
authors.initials: RW
authors.lastname: Ryan
authors.affiliation: Department of Neurosurgery, Cedars-Sinai Medical Center, 127 South San Vicente Boulevard, ASHP Building, Suite A6303, Los Angeles, CA 90048, USA. Electronic address: michael.alexander@cshs.org.
authors.forename: Michael J
authors.initials: MJ
authors.lastname: Alexander
mesh_terms: D057510:Endovascular Procedures; D006801:Humans; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000601:surgery*; D016896:Treatment Outcome
keywords: Cerebral aneurysms; Coil embolization; Endovascular techniques; Flow diversion; Stent assistance