Clip Reinforcement Technique by Circumferential Wrapping with Silastic Sheet for Treatment of Cerebral Aneurysms and Its Follow-Up Outcome / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery
;
: 38-44, 2004.
Article
in Korean
| WPRIM
| ID: wpr-99130
ABSTRACT
OBJECTIVE:
To describe the clip reinforcement technique by circumferential wrapping with silastic sheet for the treatment of unclippable cerebral aneurysms and evaluate its long term follow-up results.METHODS:
The nature of 26 unclippable aneurysms were as follow12 blister-like superior wall aneurysm of internal carotid artery (ICA), 6 microaneurysms (<2 mm), 4 fusiform aneurysms, 4 broad-based aneurysms. After aneurysm and the parent artery are circumferentially wrapped by silastic sheet, aneurysm clips are positioned on the sheet with parallel to the parent artery. The mean follow-up period was 37 months (range, 3-140 months).RESULTS:
25 of 26 patients had a favorable outcome and one patient had a severe disabled due to severe vasospasm at 3 months after operation. Of the 21 patients who underwent immediate angiographic examination, stenosis of parent artery was detected in 6 patients and remnant of aneurysm in 4 patients. Asymptomatic occlusion of parent artery was observed in one patient on follow-up angiographic examination. 22 of 24 patients followed-up for a long time had a favorable outcome and 2 patients had a severe disabled (one patient was due to previous severe disabled and the other was due to thalamic intracerebral hematoma developed during the follow-up period).CONCLUSION:
In our study, there was no clip reinforcement technique-related clinical complications such as rebleeding of aneurysm or ischemic event during follow-up period. Clip reinforcement technique by circumferential wrapping with silastic sheet is simple and useful method for the unclippable cerebral aneurysm.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Parents
/
Arteries
/
Carotid Artery, Internal
/
Intracranial Aneurysm
/
Follow-Up Studies
/
Constriction, Pathologic
/
Hematoma
/
Aneurysm
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
Korean
Journal:
Korean Journal of Cerebrovascular Surgery
Year:
2004
Type:
Article
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