Is flow diversion the death of cerebral bypass and coiling/stent-assisted coiling for giant cavernous aneurysms? A critical review on comparative outcomes and ongoing clinical trials Review uri icon


MeSH Major

  • Cerebral Revascularization
  • Endovascular Procedures
  • Intracranial Aneurysm
  • Neurosurgical Procedures
  • Stents


  • The classic surgical treatment for symptomatic giant aneurysms originating from the cavernous segment of the carotid artery has been either microsurgical direct clip-reconstruction or carotid occlusion followed by additional cerebral bypass for those patients who fail in a balloon test occlusion. Nevertheless the emergence of new endovascular techniques, especially flow-diverting devices, has promised to revolutionize the treatment of giant cavernous aneurysms, possibly avoiding major microsurgical operations. In this review the authors summarize the current "state-of-art" of treatment of giant cavernous aneurysms, comparing the overall outcomes, complications, morbidity and mortality rates of new flow-diverting devices in relation to traditional microsurgical series.

publication date

  • October 2013



  • Review



  • eng

Digital Object Identifier (DOI)

  • 10.1007/s10143-013-0459-9

PubMed ID

  • 23595654

Additional Document Info

start page

  • 505

end page

  • 11; discussion 511-2


  • 36


  • 4