Research Article| Volume 6, ISSUE 4, P253-257, April 1997

Download started.


Decision-making for intracranial aneurysm treatment: When to select surgery, and when to select endovascular therapy

  • Neil A. Martin
    Address reprint requests to Neil A. Martin, MD, Division of Neurosurgery, UCLA School of Medicine, Los Angeles, CA 90095-7039.
    Division of Neurosurgery, UCLA School of Medicine, Los Angeles, CA., USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'


      Subscribe to Journal of Stroke and Cerebrovascular Diseases
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect


        • Dott NM
        Intracranial aneurysms: cerebral arterioradiography: surgical treatment.
        Edinburgh Med J. 1933; 40: 219-240
        • Dandy WE
        Intracranial aneurysm of the internal carotid: cured by operation.
        Ann Surg. 1938; 107: 654-659
        • Kassell NF
        • Torner JC
        • Jane JA
        • et al.
        The international cooperative study on the timing of aneurysm surgery. Part 2: Surgical results.
        J Neurosurg. 1990; 73: 37-47
        • Drake CG
        • Vanderlinden RG
        The late consequences of incomplete surgical treatment of cerebral aneurysms.
        J Neurosurg. 1967; 27: 226-238
        • Lin T
        • Fox AJ
        • Drake CG
        Regrowth of aneurysm sacs from residual neck following aneurysm clipping.
        J Neurosurg. 1989; 70: 556-560
        • Serbinenko FA
        Balloon catheterization and occlusion of major cerebral vessels.
        J Neurosurg. 1974; 41: 125-145
        • Higashida RT
        • Halbach VV
        • Barnwell SL
        • Dowd CF
        • Dormandy B
        • Bell J
        • et al.
        Treatment of intracranial aneurysms with preservation of the parent vessel: results of percutaneous balloon embolization in 84 patients.
        Am J Neuroradiol. 1990; 11: 633-640
        • Higashida RT
        • Halbach VV
        • Cahan LD
        • et al.
        Detachable balloon embolization therapy of posterior circulation intracranial aneurysms.
        J Neurosurg. 1991; 71: 512-519
        • Guglielmi G
        • Vinuela F
        • Sepetka I
        • et al.
        Electrothrombosis of saccular aneurysm via endovascular approach. Part 1: electrochemical basis, technique, and experimental results.
        J Neurosurg. 1991; 75: 1-7
        • Guglielmi G
        • Vinuela F
        • Dion J
        • Duckwiler G
        Electrothrombosis of saccular aneurysm via endovascular approach. Part 2: preliminary clinical experience.
        J Neurosurg. 1991; 75: 8-14
        • Guglielmi G
        • Vinuela F
        • Duckwiler G
        • Dion J
        • Lylyk P
        • Berenstein A
        • et al.
        Endovascular treatment of posterior circulation aneurysms by electrothrombosis using electrically detachable coils.
        J Neurosurg. 1992; 77: 515-524
        • Zubillaga F
        • Guglielmi G
        • Vinuela F
        • Duckwiler GR
        Endovascular occlusion of intracranial aneurysm with electrically detachable coils: correlation of aneurysm neck size and treatment results.
        Am J Neuroradiol. 1994; 15: 815-820
        • Gurian JH
        • Martin NA
        • King WA
        • Duckwiler GR
        • Guglielmi G
        • Vinuela F
        Neurosurgical management of cerebral aneurysm following unsuccessful or incomplete endovascular embolization.
        J Neurosurg. 1995; 83: 843-853