Türk Nöroşirürji Dergisi 2018 , Vol 28 , Num 1
Endovascular Treatment of Supraclinoidal Internal Carotid Artery Aneurysms
Ergün DAĞLIOĞLU1,Erhan TÜRKOĞLU2
1Sağlık Bilimleri Üniversitesi, Ankara Numune Sağlık Uygulama ve Araştırma Merkezi, Beyin ve Sinir Cerrahisi Kliniği, Ankara, Türkiye
2Sağlık Bilimleri Üniversitesi, Dışkapı Yıldırım Beyazıt Sağlık Uygulama ve Araştırma Merkezi, Beyin ve Sinir Cerrahisi Kliniği, Ankara, Türkiye
Supraclinoid aneursyms are typically defined as intradural aneursyms that arise from the internal carotid artery (ICA) distal to the distal dural ring, or the roof of the cavernous sinus, to the carotid terminus. As a result of recent advances in devices, techniques, and knowledge, endovascular management of supraclinoid aneurysms have come into favor. Endovascular treatment with balloonor stent-assisted coil embolization and, more recently, flow diversion technology is being used more frequently for the treatment of paraclinoid and supraclinoid aneurysms. Treatment of large or giant aneurysms with flow diverter technology is also presented. Blister-type aneurysms are a featured intracranial pathology and pose a significant risk to patients even after treatment because of the tenuous wall. When deciding on the treatment of a supraclinoid ICA aneurysm, neurosurgeons should extensively evaluate radiological studies, vascular anatomy, the patients" co-morbidities, the aneurysm"s size and morphology, and ruptured versus unruptured presentation. Anahtar Kelimeler : Supraclinoid, Superior hypophyseal artery, Blister aneurysm, Anterior choroideal artery, Posterior communicating artery, Ophthalmic artery