Abstract

usiform aneurysms (FAs) are circumferential lesions of an entire vessel segment and are difficult to treat, espeF cially compared with their saccular counterparts. Although saccular aneurysms are generally accepted as treatable by direct clipping or coil embolization, there is ongoing debate about which therapy is best suited for FAs. Depending on aneurysm location and specific preference of the treating neurovascular center, FAs are usually treated by endovascular stent placement (with growing emphasis on flow diverters), proximal occlusion alone (endovascular or surgical), or cerebrovascular bypass surgery in combination with proximal or distal aneurysm occlusion (1, 2).

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