Document Detail


Early and late microsurgical clipping for initially coiled intracranial aneurysms.
MedLine Citation:
PMID:  20390259     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
INTRODUCTION: An increasing number of patients with incompletely treated and recurrent intracranial aneurysms are presenting for further management. We review the patients who underwent microsurgical clipping of previously coiled intracranial aneurysms.
METHODS: From 2001 to 2008, we treated 623 aneurysms by endovascular treatment. Among them, 29 patients underwent microsurgical clipping. Nineteen patients (group A) underwent early surgical intervention due to incomplete coiling, a residual neck, coil protrusion, aneurysm rupture, or coil stretching. Ten patients (group B) underwent surgical clipping for recurrent aneurysm and an increased mass effect during the follow-up period. The radiographic images and clinical data were reviewed retrospectively to determine the treatment efficacy, the clinical outcomes, and the factors that are important to select the proper treatment modality.
RESULTS: There were 13 female and 16 male patients. The coils were removed in 6 of the 19 patients in group A and in 1 of the 10 patients in group B. Seventeen (89.5%) of the 19 patients in group A and all the patients (100%) in group B achieved good recovery (Glasgow Outcome Scale 5 and 4) during the clinical follow-up periods (mean 25.2 months).
CONCLUSION: Microsurgical clipping may be chosen as a safe and permanent treatment option for the previously coiled aneurysms with acceptable morbidity in properly selected cases.
Authors:
Joonho Chung; Yong Cheol Lim; Bum-soo Kim; Dongwoo Lee; Kwan-Sung Lee; Yong Sam Shin
Related Documents :
9719319 - Persistent collateral perfusion of abdominal aortic aneurysm after endovascular repair ...
14509399 - Lessons learned from the endovascular treatment of abdominal aortic aneurysm and a prel...
24581949 - Critically ill elderly patients in a developing world-mortality and functional outcome ...
18638739 - Angiographic vasospasm in a contemporary series of patients with aneurysmal subarachnoi...
2045919 - Relationship between the timing of aneurysm surgery and the development of delayed cere...
12384639 - Albumin-coated knitted dacron aortic prosthses. study of postoperative inflammatory rea...
9847569 - Experience with thoracoscopic surgery for primary bronchial stump fistula after pneumon...
23599279 - Reproducibility of radiographic classification of scapholunate advanced collapse (slac)...
17926109 - Evaluation of total and allergen-specific secretory iga in tears of allergic conjunctiv...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neuroradiology     Volume:  52     ISSN:  1432-1920     ISO Abbreviation:  Neuroradiology     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-12-08     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1302751     Medline TA:  Neuroradiology     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1143-51     Citation Subset:  IM    
Affiliation:
Department of Neurosurgery, Inha University School of Medicine, Incheon, Republic of Korea.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Influence of CYP2C9 and CYP2C19 genetic polymorphisms on phenytoin-induced neurological toxicity in ...
Next Document:  Patterns of neonatal hypoxic-ischaemic brain injury.