TY - JOUR
T1 - Management of complex, surgically intractable intracranial aneurysms
T2 - The option for intentional reconstruction of aneurysm neck followed by endovascular coiling
AU - Chen, Lukui
AU - Kato, Yoko
AU - Sano, Hirotoshi
AU - Watanabe, Sadayoshi
AU - Yoneda, Minoru
AU - Hayakawa, Motoharu
AU - Sadato, Akiyo
AU - Irie, Keiko
AU - Negoro, Makoto
AU - Karagiozov, Kostadin L.
AU - Kanno, Tetsuo
PY - 2007/5
Y1 - 2007/5
N2 - 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.
AB - 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.
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U2 - 10.1159/000101460
DO - 10.1159/000101460
M3 - Article
C2 - 17406106
AN - SCOPUS:34248325150
SN - 1015-9770
VL - 23
SP - 381
EP - 387
JO - Cerebrovascular Diseases
JF - Cerebrovascular Diseases
IS - 5-6
ER -