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Endovascular Coil Embolization After Clipping: Endovascular Treatment of Incompletely Clipped or Recurred Cerebral Aneurysms
Journal of Cerebrovascular and Endovascular Neurosurgery ; : 262-267, 2014.
Artigo em Inglês | WPRIM | ID: wpr-193371
ABSTRACT

OBJECTIVE:

The presence of a cerebral aneurysm remnant after surgical clipping is associated with a risk of regrowth or rupture. For these recurred aneurysms, coil embolization can be considered as a treatment option. We retrospectively reviewed cases of ruptured or regrown aneurysms after clipping treated by endovascular coil embolization. MATERIALS AND

METHODS:

We conducted a retrospective review of patients with ruptured or recurred aneurysm after clipping, who underwent coil embolization between January 1995 and December 2013. We evaluated clinical information and the outcomes of these cases.

RESULTS:

Eight patients were treated by endovascular coil embolization after surgical clipping. Six aneurysms were located in the anterior communicating artery, one in the posterior communicating artery, and one in the middle cerebral artery bifurcation. All patients were initially treated by surgical clipping because of a ruptured aneurysm. Aneurysm recurrence at the initial clipping site was detected in all cases. The median interval from initial to second presentation was 42 months. In four patients, aneurysms were detected before rupture and the four remaining patients presented with recurrent subarachnoid hemorrhage. All patients were treated by coil embolization and showed successful occlusion of aneurysms without complications.

CONCLUSION:

Endovascular coil embolization can be a safe and successful treatment option for recurred aneurysms after clipping.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Recidiva / Ruptura / Hemorragia Subaracnóidea / Instrumentos Cirúrgicos / Aneurisma Intracraniano / Estudos Retrospectivos / Aneurisma Roto / Artéria Cerebral Média / Embolização Terapêutica Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Journal of Cerebrovascular and Endovascular Neurosurgery Ano de publicação: 2014 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Artérias / Recidiva / Ruptura / Hemorragia Subaracnóidea / Instrumentos Cirúrgicos / Aneurisma Intracraniano / Estudos Retrospectivos / Aneurisma Roto / Artéria Cerebral Média / Embolização Terapêutica Tipo de estudo: Estudo observacional Limite: Humanos Idioma: Inglês Revista: Journal of Cerebrovascular and Endovascular Neurosurgery Ano de publicação: 2014 Tipo de documento: Artigo