Artikel
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
Suche in Medline nach
Autoren
Veröffentlicht: | 25. Mai 2022 |
---|
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.