Microsurgical clipping for recurrent aneurysms after endovascular coil embolization
10.3760/cma.j.issn.1671-8925.2016.07.013
- VernacularTitle:动脉瘤栓塞术后复发再次行开颅夹闭的研究
- Author:
Zhengbin DING
1
;
Wei QUAN
;
Xiangyang ZHOU
Author Information
1. 南华大学附属第一临床学院神经外科
- Keywords:
Aneurysm recurrence;
Endovascular coiling;
Intracranial aneurysm;
Microsurgical clipping
- From:
Chinese Journal of Neuromedicine
2016;15(7):710-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective To assess the efficacy, safety and surgical strategies of clipping without coil removal in recurrent aneurysms after previous coil embolization. Methods Five patients with recurrent embolized aneurysms underwent microsurgical treatment in our hospital from May 2012 to July 2014 were chosen. Posterior communicating aneurysms were noted in two patients and anterior communicating ones in three patients. The initial sizes ranged from 3-10 mm in diameter; in these aneurysms, the initial coiling results indicated complete occlusion in 5 patients. The mean recurrence latency was 14 months (ranged from 0.7-30 months). Surgical treatment without coil removal in recurrent aneurysms was performed and their clinical data and treatment efficacy were retrospectively analyzed. Results Microsurgical clippings without coil removal were used in all 5 patients. No postoperative morbidity was observed (one had left arm monoparesis, one had psychiatric symptoms, and one had blepharoptosis and recovered soon); postoperative imaging studies revealed complete occlusion of the aneurysms. There were no recurrent aneurysms during the follow-up period (6 and 12 months after surgery) by CT scan. Conclusion The microsurgical clipping without coil removal for recurrent lesions of embolized aneurysms is effective and safe when it is technically feasible.
