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Mission and structure
The Center for Cerebral Aneurysms at Mannheim University Medical Center consolidates the assessment, consultation, and structured monitoring of individuals with intracranial aneurysms and those who have experienced aneurysmal subarachnoid hemorrhage. It is located within the Department of Neurosurgery and collaborates closely with the Departments of Neuroradiology and Neurology, as well as the Biomedical Informatics Unit.
It is supported by the CARE-IA research project, which is funded by the HW & J. Hector Foundation from 2026 to 2029. Within the Heidelberg-Mannheim network, Mannheim thus forms the reference site for the comprehensive assessment and long-term care of aneurysm patients – complementing the established strengths of both locations in stroke medicine and interventional neuroradiology.
Surgical expertise in complex aneurysms
There are aneurysms for which endovascular procedures are insufficient, ineffective, or unsafe: very large or giant aneurysms, broad-based or fusiform aneurysms, calcified or partially thrombosed aneurysms, aneurysms that have recurred after prior treatment, and aneurysms located in difficult-to-access areas of the cerebral vascular tree. For these cases, we offer the full spectrum of open cerebrovascular surgery—including bypass procedures, which reroute cerebral blood flow before excising the aneurysm. Procedures of this magnitude are performed at only a few centers nationwide; patients are referred to us from across the region for these procedures.
"Our expertise forms the basis for the individualized assessment and treatment we have established at our center. We know what is therapeutically and technically possible. Based on this competence, we can individually determine the benefits and risks of a treatment for each case. We recommend intervention when it offers more benefit than harm, and we recommend observation when the risk of intervention outweighs its benefit. Both go hand in hand: the ability to operate and the ability to refrain from doing so."
Prof. Dr. med. Nima Etminan
What we provide
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Microsurgical clipping of complex aneurysms , including large and giant aneurysms, as well as calcified or partially thrombosed findings.
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Cerebral bypass surgery (EC-IC, IC-IC, interposition grafts) – dedicated center for cerebrovascular bypass surgery at the site
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Aneurysms of the posterior circulation and the skull base
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Recurrences and residual findings after endovascular or microsurgical pretreatment
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Aneurysms in children and adolescents
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Acute care after subarachnoid hemorrhage around the clock – microsurgical and endovascular at one location , with neurovascular intensive care
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… complex aneurysms per year,
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… bypass operations per year,
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Morbidity/Mortality …
Numbers, quality, guidelines
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Participation in international and national guidelines : ESO 2022 and 2026 (unruptured aneurysms),
ESO guideline aneurysmal SAH, AWMF/DGN 2026 [V] -
UIATS: Multidisciplinary international consensus on treatment decisions – developed under Mannheim leadership
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Case numbers and outcome quality, updated annually
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Key indicator: Percentage of patients who are managed conservatively after assessment.
