Journal of Korean Neurosurgical Society

  • 제43권1호
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  • Pages.21-25
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  • 2008
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  • 2005-3711(pISSN)
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  • 1598-7876(eISSN)
대한신경외과학회 (The Korean Neurosurgical Society)
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Combined Endovascular and Microsurgical Procedures as Complementary Approaches in the Treatment of a Single Intracranial Aneurysm

  • Lim, Yong-Cheol (Department of Neurosurgery School of Medicine Ajou University) ;
  • Shin, Yong-Sam (Department of Neurosurgery School of Medicine Ajou University) ;
  • Chung, Joon-Ho (Department of Neurosurgery School of Medicine Ajou University)
  • 발행 : 2008.01.28
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초록

Objective : Both endovascular coil embolization and microsurgical clipping are now firmly established as treatment options for the management of cerebral aneurysms. Moreover, they are sometimes used as complementary approaches each other. This study retrospectively analyzed our experience with endovascular and microsurgical procedures as complementary approaches in treating a single aneurysm. Methods : Nineteen patients with intracranial aneurysm were managed with both endovascular and microsurgical treatments. All of the aneurysms were located in the anterior circulation. Eighteen patients presented with SAH, and 14 aneurysms had diameters of less than 10 mm, and five had diameters of 10-25 mm. Results : Thirteen of the 19 patients were initially treated with endovascular coil embolization, followed by microsurgical management. Of the 13 patients, 9 patients had intraprocedural complications during coil embolization (intraprocedural rupture, coil protrusion, coil migration), rebleeding with regrowth of aneurysm in two patients, residual sac in one patient, and coil compaction in one patient. Six patients who had undergone microsurgical clipping were followed by coil embolization because of a residual aneurysm sac in four patients, and regrowth in two patients. Conclusion : In intracranial aneurysms involving procedural endovascular complications or incomplete coil embolization and failed microsurgical clipping, because of anatomical and/or technical difficulties, the combined and complementary therapy with endovascular coiling and microsurgical clipping are valuable in providing the best outcome.

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참고문헌

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피인용 문헌

  1. Intraprocedural Aneurysmal Rupture during Coil Embolization of Brain Aneurysms: Role of Balloon-Assisted Coiling vol.33, pp.10, 2012, https://doi.org/10.3174/ajnr.a3061
  2. Combined Endovascular and Microsurgical Management of Complex Cerebral Aneurysms vol.4, pp.None, 2008, https://doi.org/10.3389/fneur.2013.00108
  3. Single-session Coil Embolization of Multiple Intracranial Aneurysms vol.15, pp.3, 2008, https://doi.org/10.7461/jcen.2013.15.3.184