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Giant intracranial aneurysms are defined as greater than 25mm in diameter. They share the same surgical challenges and strategies as so-called complex aneurysms, sometimes smaller in size but presenting with similar complex anatomy. The surgical difficulties arise from the size of the sack, the presence of intraluminal thrombus, the thickness of the arterial wall, and the complexity of arterial branching on the neck. Preoperative imaging gathers complementary information from magnetic resonance imaging, computed tomographic angiography, and rotational catheter-based angiography with three-dimensional reconstruction including balloon-test occlusion. The therapeutic decision-making needs a multidisciplinary approach including endovascular, neurosurgical and anesthesiological expertises. The microsurgical treatment needs a step-by-step preoperative planning with anticipation of possible pitfalls and alternative strategies. Classical principles of aneurysm surgery have to be tailored to face the difficulties arising from the size of the sack and from the arterial wall calcifications.
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
August 2012,
Nan fang yi ke da xue xue bao = Journal of Southern Medical University,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
October 2003,
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
October 1996,
Missouri medicine,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
June 1978,
Missouri medicine,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
August 1979,
Virginia medical,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
September 2001,
Zhonghua wai ke za zhi [Chinese journal of surgery],
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
January 1978,
Acta neurochirurgica,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
December 1972,
Journal of neurosurgery,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
July 2009,
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences,
J-P Lejeune, and
L Thines, and
F Proust, and
B Riegel, and
M Koussa, and
C Decoene
June 2018,
World neurosurgery,
