Endovasular Treatment of Cerebral Aneurysm Remnants after Clipping / 대한뇌혈관외과학회지

ABSTRACT

The authors report experience using GDC (Guglielmi detachable coil) for the treatment of the cerebral aneurysmal remnant following incomplete surgical clipping. All four patients in whom surgical clipping didn't result in complete obliteration of the aneurysmal sac were anterior circulation aneurysmal remnants. In three patients, aneurysmal remnants were diagnosed by routine follow-up angiography, and one case by recurrent subarachnoid hemorrhage. In all patients, remnants of the aneurysm were completely obliterated by embolization using GDC. There was no neurological morbidity and mortality associated with the treatment. Endovascular treatment of the cerebral aneurysmal remnants may be a effective and safe option for patients in whom surgical clipping does not result in complete obliteration of the aneurysmal sac.