Endovascular Treatment of Intracranial Aneurysms

1 Introduction to Intracranial Aneurysms.- 1.1 Introduction.- 1.2 History.- 1.3 Aetiology of Intracranial Aneurysms.- 1.4 Morbid Anatomy: Macroscopic and Microscopic Appearances.- 1.5 Natural History.- References.- 2 Symptomatology.- 2.1 Introduction.- 2.2 Aneurysmal Subarachnoid Haemorrhage.- 2.3 Complications of Subarachnoid Haemorrhage.- 2.4 Symptomatology of Unruptured Intracranial Aneurysms.- 2.5 Anterior Cerebral Circulation Aneurysms.- 2.6 Posterior Cerebral Circulation Aneurysms.- References.- 3 Imaging for Intracranial Aneurysms.- 3.1 Introduction.- 3.2 Detection of Bleeding Due to Intracranial Aneurysm Rupture.- 3.3 Detection of Intracranial Aneurysms Acutely After Subarachnoid Haemorrhage.- 3.4 Imaging for Symptomatic Unruptured and Asymptomatic Aneurysms.- 3.5 Imaging for Endovascular Treatment.- References.- 4 Endovascular Treatments.- 4.1 Development of Treatments.- 4.2 Treatment Types.- References.- 5 Treatment by Endosaccular Packing with the Guglielmi Detachable Coil.- 5.1 Introduction.- 5.2 Electrothrombosis and the Electrolytic Process.- 5.3 The Guglielmi Detachable Coil.- 5.4 Techniques of Coil Embolisation.- 5.5 Delayed Complications and Their Management.- References.- 6 Coil Embolisation of Saccular Aneurysms at Specific Sites.- 6.1 Introduction.- 6.2 Internal Carotid Artery Aneurysms.- 6.3 Aneurysms of the Anterior Cerebral Arteries.- 6.4 Aneurysms of the Middle Cerebral Arteries.- 6.5 Aneurysms of the Posterior Circulation.- 6.6 Posterior Cerebral Artery Aneurysms.- 6.7 Basilar Termination Aneurysms.- 6.8 Basilar Trunk Aneurysms.- 6.9 Vertebral Artery/Posterior Inferior Cerebellar Artery Aneurysms.- References.- 7 Results of Endovascular Treatment.- 7.1 Introduction.- 7.2 Results of Endovascular Treatment of Parent Artery Occlusion.- 7.3 Resultsof Endovascular Treatment by Endosaccular Packing.- 7.4 Conclusions.- References.- 8 Future Developments.- 8.1 Current Development of the GDC Technique.- 8.2 Alternative and Combination Methods of Endosaccular Embolisation.- 8.3 Future Developments.- References.