Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms

Intracranial internal carotid artery (ICA) bifurcation region aneurysms are uncommon. When treatment is necessary for ICA, endovascular treatment (EVT) can be a useful option. Due to the complexity of these aneurysms and the variability of EVT techniques, EVT for ICA bifurcation aneurysms is challen...

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Main Authors: Xu Liu, Yunbao Guo, Kun Zhang, Jinlu Yu
Format: Article
Language:English
Published: Frontiers Media S.A. 2024-03-01
Series:Frontiers in Neurology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fneur.2024.1344388/full
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author Xu Liu
Yunbao Guo
Kun Zhang
Jinlu Yu
author_facet Xu Liu
Yunbao Guo
Kun Zhang
Jinlu Yu
author_sort Xu Liu
collection DOAJ
description Intracranial internal carotid artery (ICA) bifurcation region aneurysms are uncommon. When treatment is necessary for ICA, endovascular treatment (EVT) can be a useful option. Due to the complexity of these aneurysms and the variability of EVT techniques, EVT for ICA bifurcation aneurysms is challenging. Currently, it is necessary to perform a review to explore this issue further. In this review, the following issues were discussed: the anatomy of the ICA bifurcation region; the classification, natural history and EVT status of ICA bifurcation region aneurysms; the technique used for identifying ICA bifurcation region aneurysms; and the prognosis and complications of EVT for ICA bifurcation region aneurysms. According to the review and our experience, traditional coiling is currently the preferred therapy for ICA bifurcation region aneurysms. In addition, in select cases, new devices, such as flow diverters and Woven EndoBridge devices, can also be used to treat ICA bifurcation region aneurysms. Generally, EVT is an alternative treatment option for ICA bifurcation region aneurysms.
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spelling doaj.art-a87d343b42bc43d1bf62bcd89fed74312024-03-28T13:15:35ZengFrontiers Media S.A.Frontiers in Neurology1664-22952024-03-011510.3389/fneur.2024.13443881344388Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysmsXu Liu0Yunbao Guo1Kun Zhang2Jinlu Yu3Department of Neurosurgery, First Hospital of Jilin University, Changchun, ChinaDepartment of Neurosurgery, First Hospital of Jilin University, Changchun, ChinaDepartment of Cerebrovascular Disease, Henan Provincial People’s Hospital of Zhengzhou University, Zhengzhou, ChinaDepartment of Neurosurgery, First Hospital of Jilin University, Changchun, ChinaIntracranial internal carotid artery (ICA) bifurcation region aneurysms are uncommon. When treatment is necessary for ICA, endovascular treatment (EVT) can be a useful option. Due to the complexity of these aneurysms and the variability of EVT techniques, EVT for ICA bifurcation aneurysms is challenging. Currently, it is necessary to perform a review to explore this issue further. In this review, the following issues were discussed: the anatomy of the ICA bifurcation region; the classification, natural history and EVT status of ICA bifurcation region aneurysms; the technique used for identifying ICA bifurcation region aneurysms; and the prognosis and complications of EVT for ICA bifurcation region aneurysms. According to the review and our experience, traditional coiling is currently the preferred therapy for ICA bifurcation region aneurysms. In addition, in select cases, new devices, such as flow diverters and Woven EndoBridge devices, can also be used to treat ICA bifurcation region aneurysms. Generally, EVT is an alternative treatment option for ICA bifurcation region aneurysms.https://www.frontiersin.org/articles/10.3389/fneur.2024.1344388/fullinternal carotid artery bifurcationaneurysmendovascular treatmentprognosiscomplication
spellingShingle Xu Liu
Yunbao Guo
Kun Zhang
Jinlu Yu
Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms
Frontiers in Neurology
internal carotid artery bifurcation
aneurysm
endovascular treatment
prognosis
complication
title Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms
title_full Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms
title_fullStr Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms
title_full_unstemmed Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms
title_short Endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms
title_sort endovascular treatment of intracranial internal carotid artery bifurcation region aneurysms
topic internal carotid artery bifurcation
aneurysm
endovascular treatment
prognosis
complication
url https://www.frontiersin.org/articles/10.3389/fneur.2024.1344388/full
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AT kunzhang endovasculartreatmentofintracranialinternalcarotidarterybifurcationregionaneurysms
AT jinluyu endovasculartreatmentofintracranialinternalcarotidarterybifurcationregionaneurysms