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- Title
Management of Complex, Surgically Intractable Intracranial Aneurysms: The Option for Intentional Reconstruction of Aneurysm Neck Followed by Endovascular Coiling.
- Authors
Lukui Chen; Kato, Yoko; Sano, Hirotoshi; Watanabe, Sadayoshi; Yoneda, Minoru; Hayakawa, Motoharu; Sadato, Akiyo; Irie, Keiko; Negoro, Makoto; Karagiozov, Kostadin L.; Kanno, Tetsuo
- 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
- Subjects
INTRACRANIAL aneurysms; ENDOVASCULAR surgery; VASCULAR diseases; ANGIOGRAPHY; RADIOSCOPIC diagnosis; MEDICAL radiography
- Publication
Cerebrovascular Diseases, 2007, Vol 23, Issue 5/6, p381
- ISSN
1015-9770
- Publication type
Article
- DOI
10.1159/000101460