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World Neurosurg. 2014 Dec;82(6):1077-85. doi: 10.1016/j.wneu.2014.03.042. Epub 2014 Mar 30.

Evolution of management strategies for cavernous carotid aneurysms: a review.

Author information

1
Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA.
2
Department of Neurosurgery, Jawaharlal Institute of Postgraduate Medical Education and Research, Puduchery, India.
3
Center of Neuromodulation, Wexner Medical center, The Ohio State University, Columbus, Ohio, USA.
4
Department of Neurosurgery, Louisiana State University Health Sciences Center, Shreveport, Louisiana, USA. Electronic address: ananda@lsuhsc.edu.

Abstract

OBJECTIVE:

Cavernous carotid aneurysms are considered benign lesions with indolent natural history. Apart from idiopathic aneurysms, traumatic, iatrogenic, and mycotic aneurysms are common in the cavernous segment of the carotid artery. With rapid advances in endovascular therapy, management of cavernous carotid aneurysms has evolved. Our aim was to review the management options available for cavernous carotid aneurysms.

METHODS:

The English literature was searched for various studies describing the management of cavernous carotid aneurysms and the evolution of various treatments was studied.

RESULTS:

Numerous treatment options are available such as conservative management, Hunterian ligation, surgical clipping, and endovascular therapy. The introduction of flow-diverting stents has revolutionized the management of these lesions. The evolution of various treatment strategies are described.

CONCLUSIONS:

A thorough knowledge of all the options is paramount to individualize therapy. We discuss the indications of treatment, various management options for cavernous carotid aneurysms and their outcomes.

KEYWORDS:

Carotid aneurysm; Cavernous aneurysm; Coiling; ICA aneurysm; Stenting

PMID:
24690538
DOI:
10.1016/j.wneu.2014.03.042
[Indexed for MEDLINE]
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