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

Lukui Chen, Yoko Kato, Hirotoshi Sano, Sadayoshi Watanabe, Minoru Yoneda, Motoharu Hayakawa, Akiyo Sadato, Keiko Irie, Makoto Negoro, Kostadin L. Karagiozov, Tetsuo Kanno

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

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.

Original languageEnglish
Pages (from-to)381-387
Number of pages7
JournalCerebrovascular Diseases
Volume23
Issue number5-6
DOIs
Publication statusPublished - 01-05-2007

All Science Journal Classification (ASJC) codes

  • Neurology
  • Clinical Neurology
  • Cardiology and Cardiovascular Medicine

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