The role of cerebral revascularization in patients with intracranial aneurysms

Cerebral revascularization offers an important adjunct to parent-vessel lig ation in the treatment of large and otherwise inaccessible intracranial ane urysms. Good or excellent outcomes can be expected in approximately 80% of patients. Poor outcomes and ischemic complications were highest in posterio r circulation lesions. Cranial neuropathies from mass effect associated wit h giant aneurysms of the cavernous and intradural internal carotid artery w ill improve and be cured in the majority of patients treated with universal revascularization approach. In combination with open parent vessel ligatio n or endovascular occlusion, durable protection from subarachnoid hemorrhag e can be achieved.