Giant Vertebral Artery Aneurysms

Giant vertebral aneurysms remain some of the most challenging lesions encountered by cerebrovascular surgeons today. Advances in surgical skull base and bypass techniques, combined with new endovascular techniques, have decreased the morbidity and mortality rate associated with treating these lesions. This article outlines the indications, planning, and surgical and endovascular techniques that we use to treat these aneurysms.