182 324

Cited 16 times in

Early and late microsurgical clipping for initially coiled intracranial aneurysms.

Chung, J; Lim, YC; Kim, BS; Lee, D; Lee, KS; Shin, YS
Neuroradiology, 52(12):1143-1151, 2010
Journal Title
INTRODUCTION: An increasing number of patients with incompletely treated and recurrent intracranial aneurysms are presenting for further management. We review the patients who underwent microsurgical clipping of previously coiled intracranial aneurysms.

METHODS: From 2001 to 2008, we treated 623 aneurysms by endovascular treatment. Among them, 29 patients underwent microsurgical clipping. Nineteen patients (group A) underwent early surgical intervention due to incomplete coiling, a residual neck, coil protrusion, aneurysm rupture, or coil stretching. Ten patients (group B) underwent surgical clipping for recurrent aneurysm and an increased mass effect during the follow-up period. The radiographic images and clinical data were reviewed retrospectively to determine the treatment efficacy, the clinical outcomes, and the factors that are important to select the proper treatment modality.

RESULTS: There were 13 female and 16 male patients. The coils were removed in 6 of the 19 patients in group A and in 1 of the 10 patients in group B. Seventeen (89.5%) of the 19 patients in group A and all the patients (100%) in group B achieved good recovery (Glasgow Outcome Scale 5 and 4) during the clinical follow-up periods (mean 25.2 months).

CONCLUSION: Microsurgical clipping may be chosen as a safe and permanent treatment option for the previously coiled aneurysms with acceptable morbidity in properly selected cases.
MeSH terms
AdolescentAdultAgedEmbolization, Therapeutic/instrumentation*Embolization, Therapeutic/statistics & numerical data*FemaleHumansIncidenceIntracranial Aneurysm/epidemiology*Intracranial Aneurysm/therapy*MaleMicrosurgery/statistics & numerical data*Middle AgedPrevalenceRecurrence/prevention & controlRepublic of Korea/epidemiologyRisk AssessmentRisk FactorsTreatment FailureTreatment OutcomeYoung Adult
Appears in Collections:
Journal Papers > School of Medicine / Graduate School of Medicine > Neurosurgery
AJOU Authors
임, 용철
Files in This Item:
Full-Text Not Available.txtDownload
RIS (EndNote)
XLS (Excel)


해당 아이템을 이메일로 공유하기 원하시면 인증을 거치시기 바랍니다.

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.