| Treatment of cerebral aneurysms: surgical clipping and coil embolization. | |
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MedLine Citation:
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PMID: 20566080 Owner: NLM Status: PubMed-not-MEDLINE |
Abstract/OtherAbstract:
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Summary: The present series provides a balanced overview of the treatment of aneurysms in surgical clipping and coil embolization. Between January 2004 and March 2006, 76 consecutive patients with cerebral aneurysms underwent endovascular embolization and/or surgical clipping. Of these, 42 patients suffered an aneurysmal subarachnoid hemorrhage (SAH), while the remaining 34 patients had nonruptured cerebral aneurysms. Of the 23 surgically treated patients, 17 (73.9%) achieved a favorable outcome. Of the 19 patients who underwent endovascular embolization, 12 (63.2%) achieved a favorable outcome. Three patients (15.8%) who underwent endovascular embolization needed to undergo re-treatments, while no re-treatment was needed in the surgically treated patients. Of the 34 nonruptured aneurysms, 12 (35.3%) were treated using surgical clipping, while 22 (64.7%) underwent endovascular embolization. The complication rates of the two treatment modalities demonstrated no significant difference. A combined microsurgical-endovascular team approach is thus considered to provide the most effective means to achieve favorable outcomes for patients with cerebral aneurysms. |
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Authors:
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Y Kaku; H Watarai; J Kokuzawa; T Tanaka; T Andoh |
Publication Detail:
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Type: Journal Article Date: 2007-06-27 |
Journal Detail:
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Title: Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences Volume: 13 Suppl 1 ISSN: 1591-0199 ISO Abbreviation: Interv Neuroradiol Publication Date: 2007 Mar |
Date Detail:
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Created Date: 2010-06-22 Completed Date: 2012-10-02 Revised Date: 2013-03-28 |
Medline Journal Info:
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Nlm Unique ID: 9602695 Medline TA: Interv Neuroradiol Country: Italy |
Other Details:
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Languages: eng Pagination: 68-72 Citation Subset: - |
Affiliation:
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Department of Neurosurgery, Asahi University Murakami Memorial Hospital, Gifu, Japan - kaku@murakami.asahi-u.ac.jp. |
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