Document Detail


Circumferential wrapping and clipping with temporalis fascia for treatment of unclippable intracranial aneurysms.
MedLine Citation:
PMID:  12728459     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
We utilized a clip-reinforced wrapping technique using temporalis fascia for treating unclippable aneurysms in 14 patients. Herein, we describe a modification of the clip- reinforced wrapping technique and report on the results. An appropriately sized strip of temporalis fascia is passed around the aneurysms with cuts made to accommodate perforating arteries. After applying fibrin glue, the aneurysm clip is positioned to secure the circumferential wrapping. Of the 14 patients, 4 (29%) were unclippable microbleb, 4 (29%) were wall defect, 3 (21%) were imperfect clipping due to the complexity of the aneurysm, 2 (14%) were bleb at the base of the aneurysm and 1 (7%) was a fusiform aneurysm. Multiple aneurysms were found in 6 (43%) patients and half (50%) of the 14 patients had MCA aneurysms. Postoperative angiography demonstrated no narrowing of parent arteries or enlargement of the aneurysms. No subsequent bleeding was observed during the 1 year follow-up period. These results suggest that circumferential wrapping-clipping with temporalis fascia and biological glue provides an alternative and safe method of treatment for unclippable intracranial aneurysms.
Authors:
Hyung Shik Shin; Tae Hong Kim; Yong Soon Hwang; Sang Keun Park
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Yonsei medical journal     Volume:  44     ISSN:  0513-5796     ISO Abbreviation:  Yonsei Med. J.     Publication Date:  2003 Apr 
Date Detail:
Created Date:  2003-05-02     Completed Date:  2003-05-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0414003     Medline TA:  Yonsei Med J     Country:  Korea (South)    
Other Details:
Languages:  eng     Pagination:  210-4     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Inje University College of Medicine, Sanggye Paik Hospital, 761-1 Sanggye7-dong, Nowon-gu, Seoul 139-707, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Female
Humans
Intracranial Aneurysm / surgery*
Male
Middle Aged
Neurosurgical Procedures / methods*

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