gms | German Medical Science

63rd Annual Meeting of the German Society of Neurosurgery (DGNC)
Joint Meeting with the Japanese Neurosurgical Society (JNS)

German Society of Neurosurgery (DGNC)

13 - 16 June 2012, Leipzig

Clinical and angiographic long-term outcome of fusiform, dissecting, and blister-like aneurysms treated with parent artery clip reconstruction

Meeting Abstract

  • E. Güresir - Klinik für Neurochirurgie, Johann Wolfgang Goethe-Universität, Frankfurt am Main
  • P. Schuss - Klinik für Neurochirurgie, Johann Wolfgang Goethe-Universität, Frankfurt am Main
  • J. Konczalla - Klinik für Neurochirurgie, Johann Wolfgang Goethe-Universität, Frankfurt am Main
  • J. Platz - Klinik für Neurochirurgie, Johann Wolfgang Goethe-Universität, Frankfurt am Main
  • H. Vatter - Klinik für Neurochirurgie, Johann Wolfgang Goethe-Universität, Frankfurt am Main
  • V. Seifert - Klinik für Neurochirurgie, Johann Wolfgang Goethe-Universität, Frankfurt am Main

Deutsche Gesellschaft für Neurochirurgie. Japanische Gesellschaft für Neurochirurgie. 63. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Japanischen Gesellschaft für Neurochirurgie (JNS). Leipzig, 13.-16.06.2012. Düsseldorf: German Medical Science GMS Publishing House; 2012. DocP 064

DOI: 10.3205/12dgnc451, URN: urn:nbn:de:0183-12dgnc4513

Published: June 4, 2012

© 2012 Güresir et al.
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Outline

Text

Objective: To report clinical and angiographic outcome of patients with fusiform, dissecting, and blister-like aneurysms treated with parent artery clip reconstruction.

Methods: From 1999 to 2010, 17 patients with fusiform, dissecting, and blister-like aneurysms were treated with parent artery clip reconstruction. Treatment decision was based on an interdisciplinary approach. Patient and aneurysm specific characteristics were entered into our prospectively conducted database. Angiography was performed immediately after treatment, after 12, 24, and 48 months. Outcome was assessed according to modified Rankin scale (mRs) at 6 months (0–2 favourable vs. 3–6 unfavourable).

Results: Of the 17 patients, 12 patients harboured fusiform, 2 patients dissecting, and 3 patients blister-like aneurysms. 6 of 10 patients with subarachnoid hemorrhage, and 7 patients with unruptured aneurysm achieved favourable outcome. 2 patients died due to the initial SAH. Aneurysms were located at the internal carotid artery (n=13), middle cerebral artery (n=2), and the vertebral artery (n=2). No rebleeding was observed in 374 patient years. All aneurysms were angiographically stable and none of the aneurysms needed retreatment.

Conclusions: Parent artery clip reconstruction seems to be a safe option resulting in long-term stability in this single-center case series.