Skip to main content
Springer Nature Link
Log in

The role of endovascular treatment for pediatric aneurysms

  • Original Paper
  • Published:
Child's Nervous System Aims and scope Submit manuscript

Abstract

Objectives

To review all cases of pediatric aneurysms, we treated and evaluated their characteristics. The objective of the study is to compare between surgical and endovascular approaches regarding treatment and outcome.

Methods

All cases of pediatric intracranial aneurysms diagnosed and managed by our team in the last 12 years were prospectively collected in our vascular malformation data base and reviewed.

Conclusion

Pediatric aneurysms differ in their features when compared to adult aneurysms. Over the last years, there has been a gradual shift from traditional surgical approaches towards endovascular treatment of pediatric aneurysms. In our experience, patients treated by endovascular means had a better outcome than when treated by surgery. Whenever possible, endovascular treatment for pediatric aneurysms is the recommended approach. This offers both constructive and deconstructive techniques. Improved understanding with respect to the etiology of pediatric aneurysms will be the next step that will likely lead us to even better treatment decisions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Subscribe and save

Springer+ Basic
$34.99 /Month
  • Get 10 units per month
  • Download Article/Chapter or eBook
  • 1 Unit = 1 Article or 1 Chapter
  • Cancel anytime
Subscribe now

Buy Now

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Kanaan I, Lesjaunias P, Coats R (1995) The spectrum of intracranial aneurysms in pediatrics. Minim Invasive Neurosurg 38:1–9

    CAS  PubMed  Google Scholar 

  2. Herman JM, Rekate HL, Spetzler RF (1991–1992) Pediatric intracranial aneurysms: simple and complex cases. Pediatr Neurosurg 17:66–73

    Google Scholar 

  3. Proust F, Toussaint P, Garnieri J, Hannequin D, Legars D, Houtteville JP, Freger P (2000) Pediatric cerebral aneurysms. J Neurosurg 94:733–739

    Google Scholar 

  4. Lasjaunias P (1997) Vascular diseases in neonates, infants and children. Chapter 5: Aneurysms in children. Springer, Berlin Heidelberg New York

    Google Scholar 

  5. Meyer FB, Sundt TM Jr, Fode NC, Morgan MK, Forbes GS, Mellinger JF (1989) Cerebral aneurysms in childhood and adolescence. J Neurosurg 70:420–425

    CAS  PubMed  Google Scholar 

  6. Patel AN, Richardson AE (1971) Ruptured intracranial aneurysms in the first two decades of life. A study of 58 patients. J Neurosurg 35:571–576

    CAS  PubMed  Google Scholar 

  7. Amacher LA, Drake CG (1975) Cerebral artery aneurysms in infancy, childhood and adolescence. Child Brain 1:72–80

    CAS  Google Scholar 

  8. Gerosa M, Licata C, Fiore DL, Iraci G (1980) Intracranial aneurysms of childhood. Child Brain 6:295–302

    CAS  Google Scholar 

  9. Allison JW, Davis PC, Sato Y, James CA, Haque SS, Angtuaco EJC, Glasier CM (1998) Intracranial aneurysms in infants and children. Pediatr Radiol 28:223–229

    Article  CAS  PubMed  Google Scholar 

  10. Pasqualin A, Mazza C, Cavazzani P, Scienza R, Da Pian R (1986) Intracranial aneurysms and subarachnoid hemorrhage in children and adolescents. Childs Nerv Syst 2:185–190

    Article  CAS  PubMed  Google Scholar 

  11. Storrs BB, Humphreys RP, Hendrick EB, Hoffman HJ (1982) Intracranial aneurysms in the pediatric age-group. Childs Brain 9:358–361

    CAS  PubMed  Google Scholar 

  12. Almeida GM, Pindaro J, Plese P, Bianco E, Shibata MK (1977) Intracranial arterial aneurysms in infancy and childhood. Childs Brain 3:193–199

    CAS  PubMed  Google Scholar 

  13. Ostergaard JR, Voldby B (1983) Intracranial arterial aneurysms in children and adolescents. J Neurosurg 58:832–837

    CAS  PubMed  Google Scholar 

  14. Laughlin S, Terbrugge KG, Willinsky RA, Armstrong DC, Montanera WJ, Humphreys RP (1997) Endovascular management of pediatric intracranial (in press)

  15. Lasjaunias PL, Campi A, Rodesch G, Alvarez H, Kanaan I, Taylor W (1997) Aneurysmal disease in children. Review of 20 cases with intracranial arterial localisations. Interv Neuroradiol 3:215–229

    Google Scholar 

  16. terBrugge KG (1999) Neurointerventional procedures in the pediatric age group. Childs Nerv Syst 15:751–754

    Article  CAS  PubMed  Google Scholar 

  17. Cohen JE, Ferrario A, Caratto R, Miranda C, Lylyk P (2003) Reconstructive endovascular approach for cavernous aneurysm in infancy. Neurol Res 25:492–496

    Article  PubMed  Google Scholar 

  18. Al-Qahtani S, Tampieri D, Brassard R, Shiran D, Mellanson D (2003) Coil embolization of an aneurysm associated with an infraoptic anterior cerebral artery in a child. Am J Neuroradiol 24:990–991

    PubMed  Google Scholar 

  19. Massimi L, Moret J, Tamburrini G, Di Rocco C (2003) Dissecting giant vertebro-basilar aneurysms. Childs Nerv Syst 19:204–210

    Article  PubMed  Google Scholar 

  20. Grosso S, Mostardini R, Venturi C, Bracco S, Casasco A, Berardi R, Balestri P (2002) Recurrent torticollis caused by dissecting vertebral artery aneurysm in a pediatric patient: results of endovascular treatment by use of coil embolization: case report. Neurosurgery 50:204–207, (discussion 207–208)

    Article  PubMed  Google Scholar 

  21. Dorfler A, Wanke I, Wiedemayer H, Weber J, Forsting M (2000) Endovascular treatment of a giant aneurysm of the internal carotid artery in a child with visual loss: case report. Neuropediatrics 31:151–154

    Article  CAS  PubMed  Google Scholar 

  22. International study of Unruptured Intracranial Aneurysms Investigators (2003) Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment. Lancet 362:103–110

    Google Scholar 

  23. International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group (2002) International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomized trial. Lancet 360:1267–1274

    Google Scholar 

  24. Lazinski D, Willinsky R, terBrugge KG, Montanera W (2000) Dissecting aneurysms of the posterior cerebral artery: angioarchitecture and a review of the literature. Neuroradiology 42:128–133

    Article  CAS  PubMed  Google Scholar 

  25. Ohkuma H, Suzuki S, Shimamura N, Nakano T (2003) Dissecting aneurysms of the middle cerebral artery: neuroradiological and clinical features. Neuroradiology 45:143–148

    CAS  PubMed  Google Scholar 

  26. Ohkuma H, Suzuki S, Ogane K, Study Group of The Association of Cerebrovascular Disease in Tohoku, Japan (2002) Dissecting aneurysms of intracranial carotid circulation. Stroke 33:941–947

    Article  PubMed  Google Scholar 

  27. Housepian EM, Pool JA (1958) A systemic analysis of intracranial aneurysms from the autopsy file of the Presbyterian Hospital, 1914 to 1956. J Neuropathol Exp Neurol 17:409–423

    CAS  PubMed  Google Scholar 

  28. Stehbens WE (1958) Histopathology of cerebral aneurysms. Arch Neurol 17:409–423

    Google Scholar 

  29. Stehbens WE (1975) Ultrastructure of aneurysms. Arch Neurol 32:798–807

    CAS  PubMed  Google Scholar 

  30. Yazbak PA, McComb JG, Raffel C (1955) Pediatric traumatic intracranial aneurysms. Pediatr Neurosurg 22:15–19

    Google Scholar 

  31. Ventureyra EC, Higgins MJ (1994) Traumatic intracranial aneurysms in childhood and adolescence. Case reports and review of the literature. Childs Nerv Syst 10:361–379

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Division of Neuroradiology, Department of Medical Imaging, Toronto Western Hospital, University Health Network, 3 Fell Pavilion Room 210, 399 Bathurst St., Toronto, Ontario M5T 2S8, Canada

    Ronit Agid, Marlise P. S. Souza, Gail Reintamm & Karel G. TerBrugge

  2. Division of Neuroradiology, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

    Derek Armstrong

  3. Division of Neurosurgery, Hospital for Sick Children, University of Toronto, Toronto, Ontario, Canada

    Peter Dirks

Authors
  1. Ronit Agid
    View author publications

    You can also search for this author inPubMed Google Scholar

  2. Marlise P. S. Souza
    View author publications

    You can also search for this author inPubMed Google Scholar

  3. Gail Reintamm
    View author publications

    You can also search for this author inPubMed Google Scholar

  4. Derek Armstrong
    View author publications

    You can also search for this author inPubMed Google Scholar

  5. Peter Dirks
    View author publications

    You can also search for this author inPubMed Google Scholar

  6. Karel G. TerBrugge
    View author publications

    You can also search for this author inPubMed Google Scholar

Corresponding author

Correspondence to Ronit Agid.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Agid, R., Souza, M.P.S., Reintamm, G. et al. The role of endovascular treatment for pediatric aneurysms. Childs Nerv Syst 21, 1030–1036 (2005). https://doi.org/10.1007/s00381-005-1152-2

Download citation

  • Received:

  • Revised:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00381-005-1152-2

Keywords