Document Detail


Neurosurgical management of intracranial aneurysms following unsuccessful or incomplete endovascular therapy.
MedLine Citation:
PMID:  17129879     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The publication of the ISAT trial in 2002 has resulted in increasing numbers of patients with aneurysmal subarachnoid haemorrhage undergoing endovascular coiling, as first line treatment for aneurysm occlusion. During the first 2-year period post-ISAT, in which all suitable intracranial aneurysms were coiled first, we had to perform surgery in seven patients out of 54 who underwent initial coiling. The reasons for subsequent surgery were failed coiling, residual or recurrent aneurysm necks and delayed aneurysmal rebleeding despite coiling. We reviewed our surgical experience with the repair of these previously coiled aneurysms to identify unique technical difficulties. In particular, we found that an aneurysm height to neck ratio of less than 2:1 after coiling, and the use of stent-assisted coiling presented formidable challenges to direct clipping.
Authors:
Tran Minh; Peter Y K Hwang; Kim Chung Nguyen; Ivan Ng
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  British journal of neurosurgery     Volume:  20     ISSN:  1360-046X     ISO Abbreviation:  Br J Neurosurg     Publication Date:  2006 Oct 
Date Detail:
Created Date:  2006-11-28     Completed Date:  2007-09-04     Revised Date:  2008-09-12    
Medline Journal Info:
Nlm Unique ID:  8800054     Medline TA:  Br J Neurosurg     Country:  England    
Other Details:
Languages:  eng     Pagination:  306-11     Citation Subset:  IM    
Affiliation:
Division of Neurovascular Surgery, Department of Neurosurgery, National Neuroscience Institute, Singapore. peter_hwang@nni.com.sg
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aneurysm, Ruptured / complications,  therapy*
Cerebral Hemorrhage / etiology,  prevention & control
Embolization, Therapeutic / adverse effects*
Female
Humans
Intracranial Aneurysm / complications,  therapy*
Male
Middle Aged
Neurosurgical Procedures / methods
Recurrence
Reoperation
Retrospective Studies
Stents / adverse effects*
Treatment Failure

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


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