Inclusion and exclusion criteria for treatment with FRED
Criteria |
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In favor of treatment with FRED |
Intradural incidental aneurysm |
Intradural or extradural symptomatic aneurysm (mass effect) |
Supposed difficulty for coil treatment alone (dome-to-neck ratio of <1.2, broad-based aneurysm, fusiform morphology, blisterlike shape) |
Difficulty or impossibility of neurosurgical clip placement due to aneurysm morphology or anatomic location |
Acutely ruptured aneurysms without any alternative neurosurgical or endovascular treatment option |
Aneurysm remnant or reperfusion after endovascular or microsurgical treatment |
Documented response to medicamentous platelet function inhibition |
Exclusion for treatment with FRED |
Intradural aneurysm with a definable neck |
Intradural bifurcation aneurysm |
Documented nonresponse to medicamentous platelet function inhibition |
Patient preference for alternative treatment options |
Patient preference against any treatment |