When is endovascular treatment of aneurysms indicated in the treatment of hemorrhagic stroke?

Updated: Apr 22, 2019
  • Author: David S Liebeskind, MD, FAAN, FAHA, FANA; Chief Editor: Andrew K Chang, MD, MS  more...
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Answer

Endovascular treatment of aneurysms may be favored over surgical clipping under the following circumstances [55] :

  • The aneurysm is in a location that is difficult to access surgically, such as the cavernous internal carotid artery (ICA) or the basilar terminus

  • The aneurysm is small-necked and located in the posterior fossa

  • The patient is elderly

  • The patient has a poor clinical grade


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