Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery.
Autor(a) principal: | |
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Data de Publicação: | 2023 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Brazilian Journal of Implantology and Health Sciences |
Texto Completo: | https://bjihs.emnuvens.com.br/bjihs/article/view/628 |
Resumo: | This review article discusses treatment techniques for cerebral aneurysms, with a focus on endovascular embolization and open surgery. Cerebral aneurysms are serious medical conditions that require immediate intervention to prevent potentially fatal complications. Endovascular embolization is a minimally invasive approach that has demonstrated effectiveness in occluding aneurysms and reducing complications. Clinical studies have shown a complete occlusion rate of 79.3% one year after the procedure, with lower morbidity compared to open surgery. However, careful patient selection is crucial. On the other hand, open surgery, although more invasive, is highly effective, with a long-term complete occlusion rate of 95%. The choice between the techniques should be individualized, considering the aneurysm's anatomy, the patient's overall health, and other clinical variables. Continual technological advancements are shaping the evolution of these techniques, with innovative devices and approaches enhancing their effectiveness and safety. However, this review identifies some limitations, including the lack of directly comparing the two techniques in randomized controlled trials and the need for long-term studies to assess the durability of interventions. Future research is recommended to focus on prospective long-term studies with appropriate control groups, as well as the investigation of new technologies and approaches to enhance the treatment of cerebral aneurysms. |
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Brazilian Journal of Implantology and Health Sciences |
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Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery.Cirurgia de Aneurisma Cerebral: Uma revisão das técnicas de tratamento de aneurismas cerebrais, incluindo a embolização endovascular e a cirurgia aberta.Aneurisma cerebralembolização endovascularcirurgia abertatratamentocomplicaçõesCerebral aneurysm; endovascular embolization; open surgery; treatment; complications.This review article discusses treatment techniques for cerebral aneurysms, with a focus on endovascular embolization and open surgery. Cerebral aneurysms are serious medical conditions that require immediate intervention to prevent potentially fatal complications. Endovascular embolization is a minimally invasive approach that has demonstrated effectiveness in occluding aneurysms and reducing complications. Clinical studies have shown a complete occlusion rate of 79.3% one year after the procedure, with lower morbidity compared to open surgery. However, careful patient selection is crucial. On the other hand, open surgery, although more invasive, is highly effective, with a long-term complete occlusion rate of 95%. The choice between the techniques should be individualized, considering the aneurysm's anatomy, the patient's overall health, and other clinical variables. Continual technological advancements are shaping the evolution of these techniques, with innovative devices and approaches enhancing their effectiveness and safety. However, this review identifies some limitations, including the lack of directly comparing the two techniques in randomized controlled trials and the need for long-term studies to assess the durability of interventions. Future research is recommended to focus on prospective long-term studies with appropriate control groups, as well as the investigation of new technologies and approaches to enhance the treatment of cerebral aneurysms.Este artigo de revisão aborda as técnicas de tratamento de aneurismas cerebrais, com foco na embolização endovascular e na cirurgia aberta. Os aneurismas cerebrais são condições médicas sérias que requerem intervenção imediata para evitar complicações potencialmente fatais. A embolização endovascular é uma abordagem minimamente invasiva que demonstrou eficácia na oclusão de aneurismas e na redução de complicações. Estudos clínicos mostraram uma taxa de oclusão completa de 79,3% após um ano do procedimento, com menor morbidade em comparação com a cirurgia aberta. No entanto, a seleção criteriosa dos pacientes é fundamental. Por outro lado, a cirurgia aberta, embora mais invasiva, é altamente eficaz, com uma taxa de oclusão completa de 95% em longo prazo. A escolha entre as técnicas deve ser individualizada, considerando a anatomia do aneurisma, a saúde geral do paciente e outras variáveis clínicas. Avanços tecnológicos contínuos estão moldando a evolução dessas técnicas, com dispositivos e abordagens inovadoras melhorando sua eficácia e segurança. No entanto, esta revisão identifica algumas limitações, incluindo a falta de ensaios clínicos randomizados controlados diretamente comparando as duas técnicas e a necessidade de estudos de longo prazo para avaliar a durabilidade das intervenções. Recomenda-se que futuras pesquisas se concentrem em estudos prospectivos de longo prazo com grupos de controle apropriados, bem como na investigação de novas tecnologias e abordagens para aprimorar o tratamento de aneurismas cerebrais.Specialized Dentistry Group2023-10-05info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://bjihs.emnuvens.com.br/bjihs/article/view/62810.36557/2674-8169.2023v5n5p414-425Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 414-425Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 414-425Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 414-4252674-8169reponame:Brazilian Journal of Implantology and Health Sciencesinstname:Grupo de Odontologia Especializada (GOE)instacron:GOEporhttps://bjihs.emnuvens.com.br/bjihs/article/view/628/764Copyright (c) 2023 Giovana Pesce Guastaldi, Lucas Amaral Campos, Lauriane Ferreria Morlin, Rafael Guedes Ferreira, Giulio da Silva Bacelarhttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessGuastaldi, Giovana PesceCampos, Lucas AmaralMorlin, Lauriane FerreriaFerreira, Rafael GuedesBacelar, Giulio da Silva2023-10-06T12:24:39Zoai:ojs.bjihs.emnuvens.com.br:article/628Revistahttps://bjihs.emnuvens.com.br/bjihsONGhttps://bjihs.emnuvens.com.br/bjihs/oaijournal.bjihs@periodicosbrasil.com.br2674-81692674-8169opendoar:2023-10-06T12:24:39Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE)false |
dc.title.none.fl_str_mv |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. Cirurgia de Aneurisma Cerebral: Uma revisão das técnicas de tratamento de aneurismas cerebrais, incluindo a embolização endovascular e a cirurgia aberta. |
title |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. |
spellingShingle |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. Guastaldi, Giovana Pesce Aneurisma cerebral embolização endovascular cirurgia aberta tratamento complicações Cerebral aneurysm; endovascular embolization; open surgery; treatment; complications. |
title_short |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. |
title_full |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. |
title_fullStr |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. |
title_full_unstemmed |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. |
title_sort |
Brain Aneurysm Surgery: A review of cerebral aneurysm treatment techniques, including endovascular embolization and open surgery. |
author |
Guastaldi, Giovana Pesce |
author_facet |
Guastaldi, Giovana Pesce Campos, Lucas Amaral Morlin, Lauriane Ferreria Ferreira, Rafael Guedes Bacelar, Giulio da Silva |
author_role |
author |
author2 |
Campos, Lucas Amaral Morlin, Lauriane Ferreria Ferreira, Rafael Guedes Bacelar, Giulio da Silva |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Guastaldi, Giovana Pesce Campos, Lucas Amaral Morlin, Lauriane Ferreria Ferreira, Rafael Guedes Bacelar, Giulio da Silva |
dc.subject.por.fl_str_mv |
Aneurisma cerebral embolização endovascular cirurgia aberta tratamento complicações Cerebral aneurysm; endovascular embolization; open surgery; treatment; complications. |
topic |
Aneurisma cerebral embolização endovascular cirurgia aberta tratamento complicações Cerebral aneurysm; endovascular embolization; open surgery; treatment; complications. |
description |
This review article discusses treatment techniques for cerebral aneurysms, with a focus on endovascular embolization and open surgery. Cerebral aneurysms are serious medical conditions that require immediate intervention to prevent potentially fatal complications. Endovascular embolization is a minimally invasive approach that has demonstrated effectiveness in occluding aneurysms and reducing complications. Clinical studies have shown a complete occlusion rate of 79.3% one year after the procedure, with lower morbidity compared to open surgery. However, careful patient selection is crucial. On the other hand, open surgery, although more invasive, is highly effective, with a long-term complete occlusion rate of 95%. The choice between the techniques should be individualized, considering the aneurysm's anatomy, the patient's overall health, and other clinical variables. Continual technological advancements are shaping the evolution of these techniques, with innovative devices and approaches enhancing their effectiveness and safety. However, this review identifies some limitations, including the lack of directly comparing the two techniques in randomized controlled trials and the need for long-term studies to assess the durability of interventions. Future research is recommended to focus on prospective long-term studies with appropriate control groups, as well as the investigation of new technologies and approaches to enhance the treatment of cerebral aneurysms. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-10-05 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/628 10.36557/2674-8169.2023v5n5p414-425 |
url |
https://bjihs.emnuvens.com.br/bjihs/article/view/628 |
identifier_str_mv |
10.36557/2674-8169.2023v5n5p414-425 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://bjihs.emnuvens.com.br/bjihs/article/view/628/764 |
dc.rights.driver.fl_str_mv |
https://creativecommons.org/licenses/by/4.0 info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
https://creativecommons.org/licenses/by/4.0 |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Specialized Dentistry Group |
publisher.none.fl_str_mv |
Specialized Dentistry Group |
dc.source.none.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences ; Vol. 5 No. 5 (2023): BJIHS QUALIS B3; 414-425 Brazilian Journal of Implantology and Health Sciences ; Vol. 5 Núm. 5 (2023): BJIHS QUALIS B3; 414-425 Brazilian Journal of Implantology and Health Sciences ; v. 5 n. 5 (2023): BJIHS QUALIS B3; 414-425 2674-8169 reponame:Brazilian Journal of Implantology and Health Sciences instname:Grupo de Odontologia Especializada (GOE) instacron:GOE |
instname_str |
Grupo de Odontologia Especializada (GOE) |
instacron_str |
GOE |
institution |
GOE |
reponame_str |
Brazilian Journal of Implantology and Health Sciences |
collection |
Brazilian Journal of Implantology and Health Sciences |
repository.name.fl_str_mv |
Brazilian Journal of Implantology and Health Sciences - Grupo de Odontologia Especializada (GOE) |
repository.mail.fl_str_mv |
journal.bjihs@periodicosbrasil.com.br |
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1796798439633190912 |