Treatment of Fusiform Intracranial Aneurysm by Wrapping with Suture-Reinforcement: Technical Note

Several strategies exit for treating unclippable aneurysm, including intravascular techniques, proximal occlusion of the parent artery or trapping of the aneurysm, microsurgical bypass of the involved arterial segment and reinforcement of the aneurysmal wall. Reinforcement or wrapping is frequently used when the other techniques are thought to be unsafe. We report a technical modification of the traditional wrapping technique for treatment of the fusiform aneurysm of the internal carotid artery, which includes reinforced Daron-patch with traction sutures to the adjacent to prevent aneurysmal rupture and further expansion.