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Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy 

Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
Chapter:
Giant Cavernous-Segment Internal Carotid Artery Aneurysm Presenting with Cranial Neuropathy
Author(s):

Jacob F. Baranoski

, Tyler S. Cole

, Colin J. Przybylowski

, Rami O. Almefty

, Dale Ding

, Andrew F. Ducruet

, and Felipe C. Albuquerque

DOI:
10.1093/med/9780190887728.003.0014
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date: 14 April 2021

Abstract: This chapter discusses issues surrounding the management of giant cavernous carotid artery aneurysms. These aneurysms most commonly present with symptoms of cranial neuropathy. They present a unique treatment challenge given their location and often large size. Endovascular flow diversion has emerged as the mainstay of treatment, although parent vessel sacrifice, high-flow bypass, and surgical trapping are important alternatives. Evaluation of the nature of collateral circulation and the tolerance of the intracranial circulation to carotid artery sacrifice should also be part of the work-up. The technical details of endovascular flow diversion strategy are described, as well as the management of known post-procedural complications.

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