gms | German Medical Science

73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

29.05. - 01.06.2022, Köln

Surgical clipping for previously embolised recanalised brain aneurysms – a single centre experience in western Greece

Clipping für zuvor embolisierte rekanalisierte Hirnaneurysmen. Ein Single-Center Erlebnis in Westgriechenland

Meeting Abstract

  • presenting/speaker Vasileios Panagiotopoulos - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Petros Zampakis - University Hospital of Patras, Interventional Neuroradiology, Patra, Griechenland
  • Constantinos Kattou - University Hospital of Patras, Patra, Griechenland
  • Kyprianos Kolios - University Hospital of Patras, Patra, Griechenland
  • Yiannis Athinodorou - University Hospital of Patras, Patra, Griechenland
  • Andreas Grzeczinski - University Hospital of Patras, Patra, Griechenland
  • Andreas Theofanopoulos - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Dimitris Papadakos - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland
  • Constantinos Constantoyannis - University Hospital of Patras, Department of Neurosurgery / Endovascular Neurosurgery, Patra, Griechenland

Deutsche Gesellschaft für Neurochirurgie. 73. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Griechischen Gesellschaft für Neurochirurgie. Köln, 29.05.-01.06.2022. Düsseldorf: German Medical Science GMS Publishing House; 2022. DocJ-HSNC08

doi: 10.3205/22dgnc492, urn:nbn:de:0183-22dgnc4926

Veröffentlicht: 25. Mai 2022

© 2022 Panagiotopoulos et al.
Dieser Artikel ist ein Open-Access-Artikel und steht unter den Lizenzbedingungen der Creative Commons Attribution 4.0 License (Namensnennung). Lizenz-Angaben siehe http://creativecommons.org/licenses/by/4.0/.


Gliederung

Text

Objective: Endovascular treatment of intracranial aneurysms (IAs) provides less invasiveness and lower morbidity when compared to microsurgical clipping. Notwithstanding the fact that coiling has become the default treatment option for IAs, data has shown that the long term recurrence rate varies from 15 to 34%. Our study presents our single-center experience in surgical clipping of recurrent previously coiled aneurysms.

Methods: Retrospective analysis of 6 patients’ data and final clinical/angiographic outcome, who underwent surgical clipping of IAs following initial endovascular treatment, during the last decade has been performed.

Results: Four male and two female patients with previously embolized intracranial aneurysms were additionally treated by surgical clipping and were included in our study. Four patients suffered from subarachnoid hemorrhage before embolization whereas two patients presented with unruptured aneurysms. Indications for surgical clipping included aneurysm recanalization, regrowth or residual neck. Time interval between initial coiling and additional surgical intervention ranged from 0 to 19 months. Postoperatively, all the patients had none or minimal neurological symptoms with mRS score <2.

Conclusion: Surgical clipping seems to be a feasible and safe technique that may be applied additionally in selected cases of previously coiled intracranial aneurysms with recanalization, regrowth and adequate residual neck.

Figure 1 [Fig. 1], Figure 2 [Fig. 2]