Management of Cerebral Aneurysms: Review of the Past, Present, and Future Literature
PDF (Español)
XML (Español)

Keywords

Subarachnoid hemorrhage
Aneurysm
Neurosurgery
Endovascular procedures
Brain
Peru

Abstract

Introduction: The management of cerebral aneurysms has evolved over the centuries. This review provides a summary of how medical, endovascular and surgical management has been developed in the approach to these pathologies that cause great morbidity and mortality in the population.

Objective: To evaluate the medical, endovascular, and surgical management of ruptured and unruptured cerebral aneurysms over time, from the first times they were treated to the innovations that are being carried out.

Methods: A review of articles searched in the PubMed database was carried out, searching for Mesh Terms with selected words related to the topic.

Study Design: Review.

Methods: Selection of studies with PubMed keywords, and according to consensus of all authors. Data extraction in Rayyan.

Keywords: subarachnoid hemorrhage, microaneurysm, neurosurgery, endovascular procedures.

 

https://doi.org/10.22379/anc.v40i1.1216
PDF (Español)
XML (Español)

References

Villa-Uriol MC, Larrabide I, Pozo JM, Kim M, Camara O, De Craene M, et al. Toward integrated management of cerebral aneurysms. Phil Trans R Soc A. 2010;368:2961-82. https://doi.org/10.1098/rsta.2010.0095

Ferrari G. Cerebral aneurysm and complications: diagnosis and treatment. Neuroradiol J. 2002;15(5):501-6. https://doi.org/10.1177/197140090201500503

Wermer MJ, van der Schaaf IC, Algra A, Rinkel GJ. Risk of rupture of unruptured intracranial aneurysms in relation to patient and aneurysm characteristics: an updated meta-analysis. Stroke. 2007;38(4):1404-10. https://doi.org/10.1161/01.STR.0000260955.51401.cd

National Institute of Neurological Disorders and Stroke. Aneurismas cerebrales. Bethesda (MD): NIH; 2020 [citado 2023 dic. 6]. Disponible en: https://catalog.ninds.nih.gov/sites/default/files/publications/aneurismas-cerebrales.pdf

Zanaty M, Chalouhi N, Tjoumakaris SI, Rosenwasser RH, Jabbour PM. Endovascular Management of Cerebral Aneurysm. Transl Stroke Res. 2014;5:199-206. https://doi.org/10.1007/s12975-013-0311-0

Warschewske G, Benndorf G, Lehmann TH, Lanksch W. Spontaneous thrombosis of an intracranial giant aneurysm. Interv Neuroradiol. 1999;5(4): 327-32. https://doi.org/10.1177/159101999900500410

Vaquero Puerta C, San Norberto E, Brizuela JA, Revilla Á, Estévez I, Fuente R, et al. Apuntes de la historia del tratamiento de los aneurismas. An Real Acad Med Cir Vall. 2015;52:85-99.

Peña Quiñones G. Galeno de Pérgamo y las ciencias neurológicas. Medicina. 2007;29(1):34-9.

Radhakrishnan D, Menon D. Haemodynamic effects of intravenous nimodipine following aneurysmal subarachnoid haemorrhage: implications for monitoring. Anaesthesia. 1997;52(5):489-91. https://doi.org/10.1111/j.1365-2044.1997.112-az0105.x

Langelaar G, Leeuwenkamp O, Sterkman L, Torreman M, Hesselink J. The effect of nimodipine monotherapy and combined treatment with ketamine and lignocaine in aneurysmal subarachnoid haemorrhage. J Int Med Res. 1996;24(5):425-32. https://doi.org/10.1177/030006059602400504

Serbinenko F. Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg. 1974;41(2):125-45. https://doi.org/10.3171/jns.1974.41.2.0125

Taylor W, Rodesch G. Recent Advances: Interventional neuroradiology. BMJ. 1995;311:789-92. https://doi.org/10.1136/bmj.311.7008.789

Dandy W. Intracranial aneurysm of the internal carotid artery cured by operation. Ann Surg. 1938;107(5):654-9. https://doi.org/10.1097/00000658-193805000-00003

Pool JL, Potts DG. Aneurysms and arteriovenous anomalies of the brain: diagnosis and treatment. Nueva York: Hoeber Medical Division, Harper & Row; 1965.

Aoki T, Nishimura M, Matsuoka T, Yamamoto K, Furuyashiki T, Kataoka H, et al. PGE2-EP2 signalling in endothelium is activated by haemodynamic stress and induces cerebral aneurysm through an amplifying loop via NF-?B. Brit J Pharmacol. 2011;163(6):1237-49. https://doi.org/10.1111/j.1476-5381.2011.01358.x

Hua Y, Xue J, Sun F, Zhu L, Xie M. Aspirin inhibits MMP-2 and MMP-9 expressions and activities through upregulation of PPAR?/? and TIMP gene expressions in ox-LDL-stimulated macrophages derived from human monocytes. Pharmacology. 2009;83(1):18-25. https://doi.org/10.1159/000166183

Guo G, Ott CE, Grünhagen J, Muñoz-García B, Pletschacher A, Kallenbach K, et al. Indomethacin prevents the progression of thoracic aortic aneurysm in marfan syndrome mice. Aorta. 2013;1(1):5-12. https://doi.org/10.12945/j.aorta.2013.13.007

Mazumder M, Bhattacharya P, Borah A. Inhibition of matrix metalloproteinase-2 and 9 by Piroxicam confer neuroprotection in cerebral ischemia: An in silico evaluation of the hypothesis. Med Hypotheses. 2014;83(6):697-701. https://doi.org/10.1016/j.mehy.2014.09.021

Connolly E, Rabinstein A, Carhuapoma J, Derdeyn C, Dion J, Higashida R, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage. Stroke. 2012;43(6):1711-37. https://doi.org/10.1161/STR.0b013e3182587839

Wilson S, Hirsch N, Appleby I. Management of subarachnoid haemorrhage in a non-neurosurgical centre. Anaesthesia. 2005;60(5):470-85. https://doi.org/10.1111/j.1365-2044.2005.04152.x

Hillman J, Fridriksson S, Nilsson O, Yu Z, Saveland H, Jakobsson KE. Immediate administration of tranexamic acid and reduced incidence of early rebleeding after aneurysmal subarachnoid hemorrhage: a prospective randomized study. J Neurosurg. 2002;97:771-8. https://doi.org/10.3171/jns.2002.97.4.0771

Baharoglu MI, Germans MR, Rinkel GJ, Algra A, Vermeulen M, van Gijn J, et al. Antifibrinolytic therapy for aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev. 2013;8:CD001245. https://doi.org/10.1002/14651858.CD001245.pub2

Hasan D, Vermeulen M, Wijdicks EFM, Hijdra A, van Gijn J. Effect of fluid intake and antihypertensive treatment on cerebral ischaemia after subarachnoid haemorrhage. Stroke 1989;20:1511-5. https://doi.org/10.1161/01.STR.20.11.1511

Rinkel GJE, Feigin VL, Algra A, van Gijn J. Circulatory volume expansion for aneurysmal haemorrhage. Cochrane Database Syst Rev. 2004;2004(4):CD000483. https://doi.org/10.1002/14651858.cd000483.pub2

Diringer MN, Bleck TP, Hemphill JC III, Menon D, Shutter L, Vespa P, et al. Critical care management of patients following aneurysmal subarachnoid hemorrhage: recommendations from the Neurocritical Care Society’s Multidisciplinary Consensus Conference. Neurocrit Care. 2011;15:211-40. https://doi.org/10.1007/s12028-011-9605-9

Ransom E, Mocco J, Komotar R, Sahni D, Chang J, Hahn D, et al. External ventricular drainage response in poor grade aneurysmal subarachnoid hemorrhage: effect on preoperative grading and prognosis. Neurocrit Care. 2007;6(3):174-80. https://doi.org/10.1007/s12028-007-0019-7

Mayberg MR, Batjer HH, Dacey R, Diringer M, Haley EC, Heros RC, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage. A statement for healthcare professionals from a special writing group of the Stroke Council, American Heart Association. Stroke. 1994;25:2315-28. https://doi.org/10.1161/01.STR.25.11.2315

Naidech AM, Kreiter KT, Janjua N, Ostapkovich N, Parra A, Commichau C, et al. Phenytoin exposure is associated with functional and cognitive disability after subarachnoid hemorrhage. Stroke. 2005 Mar;36(3):583-7. https://doi.org/10.1161/01.STR.0000141936.36596.1e

de Oliveira Manoel AL, Turkel-Parrella D, Duggal A, Murphy A, McCredie V, Marotta TR. Managing aneurysmal subarachnoid hemorrhage: It takes a team. Clevel Clin J Med. 2015 mzo.;82(3):177-92. https://doi.org/10.3949/ccjm.82a.14021

Naraoka M, Matsuda N, Shimamura N, Asano K, Akasaka K, Takemura A, et al. Long-acting statin for aneurysmal subarachnoid hemorrhage: A randomized, double-blind, placebo-controlled trial. J Cereb Blood Flow Metab. 2017;38(7):1190-8. https://doi.org/10.1177/0271678X17724682

Pasternak J, McGregor D, Lanier W, Schroeder D, Rusy D, Hindman B, et al. Effect of nitrous oxide use on long-term neurologic and neuropsychological outcome in patients who received temporary proximal artery occlusion during cerebral aneurysm clipping surgery. Anesthesiology. 2009;110(3):563-73. https://doi.org/10.1097/ALN.0b013e318197ff81

Bijlenga P, Gondar R, Schilling S, Morel S, Hirsch S, Cuony J, et al. Phases score for the management of intracranial aneurysm. Stroke. 2017;48(8):2105-12. https://doi.org/10.1161/STROKEAHA.117.017391

Pagiola I, Mihalea C, Caroff J, Ikka L, Chalumeau V, Iacobucci M, et al. The phases score: To treat or not to treat? retrospective evaluation of the risk of rupture of intracranial aneurysms in patients with aneurysmal subarachnoid hemorrhage. J Neuroradiol. 2020;47(5):349-52. https://doi.org/10.1016/j.neurad.2019.06.003

Lindgren A, Vergouwen MDI, van der Schaaf I, Algra A, Wermer M, Clarke MJ, et al. Endovascular coiling versus neurosurgical clipping for people with aneurysmal subarachnoid haemorrhage. Cochrane Database Syst Rev. 2018;8:CD003085. https://doi.org/10.1002/14651858.CD003085.pub3

Rice H, Martínez Galdámez M, Holtmannspötter M, Spelle L, Lagios K, Ruggiero M, et al. Periprocedural to 1-year safety and efficacy outcomes with the Pipeline Embolization Device with Shield technology for intracranial aneurysms: a prospective, post-market, multi-center study. J NeuroIntervent Surg. 2020;12:1107-12. https://doi.org/10.1136/neurintsurg-2020-015943

Campos JK, Cheaney II B, Lien BV, Zarrin DA, Vo CD, Colby GP, et al. Advances in endovascular aneurysm management: flow modulation techniques with braided mesh devices. Stroke Vasc Neurol. 2020;5:e000347. https://doi.org/10.1136/svn-2020-000347

Meling TR, Sorteberg A, Bakke S, Slettebø H, Hernesniemi J, Sorteberg W. Blood-blister like aneurysms of the internal carotid artery trunk causing subarachnoid hemorrhage: treatment and outcome. J Neurosurg. 2008;108:662-71. https://doi.org/10.3171/JNS/2008/108/4/0662

Molyneux A, Kerr R, Birks J, Ramzi N, Yarnold J, Sneade M, et al. Risk of recurrent subarachnoid haemorrhage, death, or dependence and standardised mortality ratios after clipping or coiling of an intracranial aneurysm in the International Subarachnoid Aneurysm Trial (ISAT): long-term follow-up. Lancet. 2009;8:427-33. https://doi.org/10.1016/S1474-4422(09)70080-8

Jeon P, Kim BM, Kim DI, Park SI, Kim KH, Kim DJ, et al. Reconstructive endovascular treatment of fusiform or ultrawide-neck circumferential aneurysms with multiple overlapping enterprise stents and coiling. Am J Neuroradiol. 2012;33(5):965-71. https://doi.org/10.3174/ajnr.A2857

Ryu CW, Park S, Shin HS, Koh JS. Complications in stent- assisted endovascular therapy of ruptured intracranial aneurysm and relevance to antiplatelet administration: a systematic review. Am J Neuroradiol. 2015;36(9):1682-88. https://doi.org/10.3174/ajnr.A4365

Gonzalez NR, Duckwiler G, Jahan R, Murayama Y, Viñuela F. Challenges in the endovascular treatment of giant intracranial aneurysms. Neurosurgery. 2006;59(5):S3-113-24. https://doi.org/10.1227/01.NEU.0000237559.93852.F1

Kang X, Guo S, Lei Y, Wei W, Liu H, Huang L, et al. Endovascular coiling versus surgical clipping for the treatment of unruptured cerebral aneurysms. Medicine. 2020;99(13):e19654. https://doi.org/10.1097/MD.0000000000019654

Yao Z, Hu X, Ma L, You C, He M. Timing of surgery for aneurysmal subarachnoid hemorrhage: A systematic review and meta-analysis. Int J Surg. 2017;48:266-74. https://doi.org/10.1016/j.ijsu.2017.11.033

Todd M, Hindman B, Clarke W, Torner J. Mild Intraoperative Hypothermia during Surgery for Intracranial Aneurysm. N Engl J Med. 2005;352(2):135-45. https://doi.org/10.1056/NEJMoa040975

Campos J, Ball B, Cheaney II B, Sweidan A, Hasjim B, Hsu F, et al. Multimodal management of giant cerebral aneurysms: review of literature and case presentation. Stroke Vasc Neurol. 2020;5(1):22-8. https://doi.org/10.1136/svn-2019-000304

Eliava SH, Shekhtman OD, Pilipenko YV, Okishev DN, Kheireddin AS, Kisar’ev SA, et al. Intraoperative indocyanine green fluorescence angiography in surgery of brain aneurysms. The first experience with using the technique and literature review. Zh Vopr Neirokhir Im N N Burdenko. 2015;79(1):33-41. https://doi.org/10.17116/neiro201579133-41

Shi L, Yuan Y, Guo Y, Yu J. Intracranial post-embolization residual or recurrent aneurysms: Current management using surgical clipping. Interv Neuroradiol. 2016;22(4):413-9. https://doi.org/10.1177/1591019916647193

da Silva H, Messina-Lopez M, Sekhar L. Bypasses and Reconstruction for Complex Brain Aneurysms. Methodist DeBakey Cardiovasc J. 2014;10(4):224. https://doi.org/10.14797/mdcj-10-4-224

Ferns SP, Sprengers ME, van Rooiji WJ, Rinkel GJ, van Rijn JC, Bipat S, et al. Coiling of intracranial aneurysms: a systematic review on initial occlusion and reopening and retreatments rates. Stroke. 2009;40:e523-9. https://doi.org/10.1161/STROKEAHA.109.553099

Armoiry X, Turjman F, Hartmann D, Sivan-Hoffmann R, Riva R, Labeyrie P, et al. Endovascular treatment of intracranial aneurysms with the WEB device: a systematic review of clinical outcomes. Am J Neuroradiol. 2015;37(5):868-72. https://doi.org/10.3174/ajnr.A4611

Murias Quintana E, Gil García A, Vega Valdés P, Morales Deza E, Escudero Augusto D, Viña Soria L, et al. Tratamiento combinado, mediante embolización y cirugía, de los aneurismas cerebrales rotos con hematoma cerebral e hipertensión intracraneal: Análisis retrospectivo y revisión de la bibliografía. Radiología. 2019;61(1):42-50. https://doi.org/10.1016/j.rx.2018.09.003

Lawton MT, Lang MJ. The future of open vascular neurosurgery: perspectives on cavernous malformations, AVMs, and bypasses for complex aneurysms. J Neurosurg. 2019;130(5):1409-25. https://doi.org/10.3171/2019.1.JNS182156

Lawton MT. Seven bypasses, tenets and techniques for revascularization. 1.a ed. Nueva York: Thieme; 2018. https://doi.org/10.1055/b-0038-162202

López Rojo S. Criterios de indicación de reparación quirúrgica abierta o endovascular en aneurismas de aorta abdominal infrarrenal [tesis de grado; digital]. [Valladolid]: Universidad de Valladolid; 2020. 24 p. https://uvadoc.uva.es/bitstream/handle/10324/41582/TFG-M-M1792.pdf?sequence=1

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Downloads

Download data is not yet available.