Document Detail


Surgical management of giant intracranial aneurysms: experience with 171 patients.
MedLine Citation:
PMID:  8846596     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Patients with untreated giant intracranial aneurysms have a dismal prognosis as a result of hemorrhage, cerebral compression, and thromboembolism. Therefore, giant aneurysms should be treated. The operative approach is chosen to maximize exposure of the aneurysm. Direct clipping of the aneurysm neck, with preservation of the parent and branch vessels, is the preferred method of occlusion. Hypothermic circulatory arrest may facilitate clipping in selected patients. Alternative techniques for unclippable aneurysms can be utilized, but they compromise parent arteries and require revascularization to maintain CBF. Because mass effect is an important cause of patient morbidity, giant aneurysms are usually debulked after they have been eliminated completely from the circulation. Giant aneurysms are complex lesions that demand thorough surgical planning, individualized strategies, and a multidisciplinary effort.
Authors:
M T Lawton; R F Spetzler
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Clinical neurosurgery     Volume:  42     ISSN:  0069-4827     ISO Abbreviation:  Clin Neurosurg     Publication Date:  1995  
Date Detail:
Created Date:  1996-10-22     Completed Date:  1996-10-22     Revised Date:  2005-11-16    
Medline Journal Info:
Nlm Unique ID:  2985141R     Medline TA:  Clin Neurosurg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  245-66     Citation Subset:  IM    
Affiliation:
Barrow Neurological Institute, Phoenix, Arizona, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Brain / surgery*
Child
Child, Preschool
Female
Humans
Intracranial Aneurysm / surgery*
Male
Middle Aged
Treatment Outcome

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


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