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

研究成果: Article査読

16 被引用数 (Scopus)

抄録

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.

本文言語English
ページ(範囲)381-387
ページ数7
ジャーナルCerebrovascular Diseases
23
5-6
DOI
出版ステータスPublished - 01-05-2007

All Science Journal Classification (ASJC) codes

  • 神経学
  • 臨床神経学
  • 循環器および心血管医学

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