Document Detail

Surgery of intracranial aneurysms previously treated endovascularly.
MedLine Citation:
PMID:  17706339     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: To perform a retrospective study on the patients who underwent aneurysmal surgery following endovascular treatment. PATIENTS AND METHODS: We performed a retrospective study on eight patients who underwent aneurysmal surgery following endovascular treatment (-attempts) with gugliemi detachable coils (GDCs). The indications for surgery, surgical techniques and clinical outcomes were analyzed. RESULTS: The indications for surgical treatment after GDC coiling of aneurysm were classified into three groups. First group: surgery of incompletely coiled aneurysms (n=4). Second group: surgery of mass effect on the neural structures due to coil compaction or rebleeding (n=2). Third group: surgery of vascular complications after endovascular procedure due to parent artery occlusion or thrombus propagation from aneurysm (n=2). Aneurysm obliterations could be performed in all cases confirmed by postoperative angiography. Six patients had an excellent outcome and returned to their profession. Patient's visual acuity was improved. One individual experienced right hemiparesis (grade IV/V) and hemihypesthesia. CONCLUSIONS: Microsurgical clipping is rarely necessary for previously coiled aneurysms. Surgical treatment is uncommonly required when an acute complication arises during endovascular treatment, or when there is a dynamic change of a residual aneurysm configuration over time that is considered to be insecure.
Wuttipong Tirakotai; Ulrich Sure; Yuhua Yin; Ludwig Benes; Dirk Michael Schulte; Siegfried Bien; Helmut Bertalanffy
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, Non-U.S. Gov't     Date:  2007-08-13
Journal Detail:
Title:  Clinical neurology and neurosurgery     Volume:  109     ISSN:  0303-8467     ISO Abbreviation:  Clin Neurol Neurosurg     Publication Date:  2007 Nov 
Date Detail:
Created Date:  2007-09-20     Completed Date:  2007-12-18     Revised Date:  2009-10-14    
Medline Journal Info:
Nlm Unique ID:  7502039     Medline TA:  Clin Neurol Neurosurg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  744-52     Citation Subset:  IM    
Department of Neurosurgery, Philipps University, Marburg, Germany.
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MeSH Terms
Embolization, Therapeutic
Intracranial Aneurysm / radiography,  surgery*
Middle Aged
Treatment Outcome

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