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Cerebrovasc Dis. 2007;23(5-6):381-7. Epub 2007 Apr 2.

Management of complex, surgically intractable intracranial aneurysms: the option for intentional reconstruction of aneurysm neck followed by endovascular coiling.

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  • 1Department of Neurosurgery, Fujita Health University, Toyoake, Japan. neuro_clk@hotmail.com

Abstract

BACKGROUND:

A limited series of patients with aneurysm were reviewed retrospectively to analyze strategies for integrating microsurgical and endovascular techniques in the management of complex, surgically intractable aneurysms.

METHODS:

Four patients were managed in Fujita Health University with a multimodality approach: intentional reconstruction of the aneurysm neck followed by endovascular coiling.

RESULTS:

A total of 5 aneurysms were treated, of which 3 were large or giant in size, and 3 were fusiform or multilobulated. Complete angiographic obliteration was confirmed in 4 aneurysms (80%). All patients had a good outcome (Glasgow Outcome Scale score 5; mean follow-up, 64 months).

CONCLUSION:

As for complex, surgically intractable aneurysms, the intentional reconstruction of the aneurysm neck followed by endovascular coiling should be considered more often.

Copyright 2007 S. Karger AG, Basel.

PMID:
17406106
[PubMed - indexed for MEDLINE]
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