| Early and late microsurgical clipping for initially coiled intracranial aneurysms. | |
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MedLine Citation:
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PMID: 20390259 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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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. |
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Authors:
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Joonho Chung; Yong Cheol Lim; Bum-soo Kim; Dongwoo Lee; Kwan-Sung Lee; Yong Sam Shin |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Neuroradiology Volume: 52 ISSN: 1432-1920 ISO Abbreviation: Neuroradiology Publication Date: 2010 Dec |
Date Detail:
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Created Date: 2010-12-08 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 1302751 Medline TA: Neuroradiology Country: Germany |
Other Details:
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Languages: eng Pagination: 1143-51 Citation Subset: IM |
Affiliation:
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Department of Neurosurgery, Inha University School of Medicine, Incheon, Republic of Korea. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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