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. |