title: Endovascular treatment of ruptured intracranial aneurysms: Indications, techniques and results.
abstract: Rupture of an intracranial aneurysm is a diagnostic and therapeutic emergency. Occlusion of the aneurysm with coils is the first line treatment and should be performed promptly to avoid any further rupture, which carries a poor prognosis. Most aneurysms are accessible to this type of treatment. The risks of coiling, which are mostly thromboembolic and less commonly hemorrhagic due to peroperative rupture, are low. The use of stents or a flow diverter requires dual anti-aggregation which increases their risks so that their use are restricted to specific situations such as dissecting aneurysms. Endovascular treatment is effective in the long and short term prevention of recurrent hemorrhage provided that patients are followed up by imaging, which allows possible early recanalization to be detected early and treated if necessary.
authors.affiliation: Department of diagnostic and therapeutic neuroradiology, Neurology Hospital, Central Hospital, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy cedex, France. Electronic address: r.anxionnat@chu-nancy.fr.
authors.forename: R
authors.initials: R
authors.lastname: Anxionnat
authors.affiliation: Department of diagnostic and therapeutic neuroradiology, Neurology Hospital, Central Hospital, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy cedex, France.
authors.forename: R
authors.initials: R
authors.lastname: Tonnelet
authors.affiliation: Department of diagnostic and therapeutic neuroradiology, Neurology Hospital, Central Hospital, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy cedex, France.
authors.forename: A L
authors.initials: AL
authors.lastname: Derelle
authors.affiliation: Department of diagnostic and therapeutic neuroradiology, Neurology Hospital, Central Hospital, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy cedex, France.
authors.forename: L
authors.initials: L
authors.lastname: Liao
authors.affiliation: Department of diagnostic and therapeutic neuroradiology, Neurology Hospital, Central Hospital, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy cedex, France.
authors.forename: C
authors.initials: C
authors.lastname: Barbier
authors.affiliation: Department of diagnostic and therapeutic neuroradiology, Neurology Hospital, Central Hospital, 29, avenue du Maréchal-de-Lattre-de-Tassigny, CO 60034, 54035 Nancy cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Bracard
mesh_terms: D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000628:therapy*; D002533:Cerebral Angiography; D042241:Early Diagnosis; D061345:Early Medical Intervention; D004621:Embolization, Therapeutic / Q000295:instrumentation* / Q000379:methods*; D004630:Emergencies; D004867:Equipment Design; D006801:Humans; D021621:Imaging, Three-Dimensional; D002532:Intracranial Aneurysm / Q000175:diagnosis / Q000628:therapy*; D015607:Stents; D013345:Subarachnoid Hemorrhage / Q000175:diagnosis / Q000628:therapy; D013526:Surgical Mesh; D014057:Tomography, X-Ray Computed
keywords: Emergency; Encephalon; Hematoma; Subarachnoid hemorrhage; Vascular accident