Decision-making in complex aneurysms: Guilherme Dabus on tools, techniques and safe strategy

Treating complex aneurysms requires a delicate balance between leveraging cutting-edge technology and maintaining clinical prudence. In this interview with José de Jesús Gutiérrez Baños, Guilherme Dabus highlights that while modern devices significantly improve patient outcomes, they necessitate a rigorous analysis of the risk-benefit ratio tailored to each patient's unique anatomy.

This discussion delves into the ongoing debate surrounding bifurcation aneurysms and, moving beyond trends, emphasizes a pragmatic approach centered on long-term outcomes and procedural safety. Guilherme Dabus outlines his specific protocols for maintaining side-branch patency, such as the use of delayed 15-minute angiography and strategic device placement in dominant branches, while highlighting the importance of recognizing technical limitations and consistently prioritizing safety.

Ultimately, this interview provides practitioners with a clear roadmap for navigating difficult procedural decisions and refining technical execution.