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Table 3 Advantages and disadvantages of the three endovascular treatment modalities

From: Evaluating the Tubridge™ flow diverter for large cavernous carotid artery aneurysms

Treatment modalities

Advantages

Disadvantages

Coils

1. Do not need to take antiplatelet drugs after endovascular treatment.

1. Wide-necked aneurysm is not applicable.

2. There is a risk of coil escape and a relatively high recurrence rate.

3. It needs to be operated in the lumen of the aneurysm, and there is a risk of aneurysm rupture.

Stent-assisted coils

1. The incidence of escape risk of coils is relatively low.

1. Requires platelet inhibition, which can lead to long-term complications.

2. A relatively high recurrence rate.

3. It needs to be operated in the lumen of the aneurysm, and there is a risk of aneurysm rupture.

Flow diverter device

1. Higher embolization rate.

2. No operation is performed in the lumen of the aneurysm, reducing the risk of intraoperative aneurysm rupture.

1. Branch occlusion or perforating branch occlusion is likely to occur.

2. Requires platelet inhibition, which can lead to long-term complications.