Endovasular Treatment of Cerebral Aneurysm Remnants after Clipping.
- Author:
Ki Hyoung MOON
1
;
Jae Myung KIM
;
Jae Sung AHN
;
Yang KWON
;
Byung Duk KWON
;
Jung Kyo LEE
Author Information
1. Department of Neurological Surgery, Asan Medical Center, College of Medicine, University of Ulsan, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Embolization;
Aneurysmal remnants;
Surgery
- MeSH:
Aneurysm;
Angiography;
Follow-Up Studies;
Humans;
Intracranial Aneurysm*;
Mortality;
Subarachnoid Hemorrhage;
Surgical Instruments
- From:Korean Journal of Cerebrovascular Surgery
2003;5(2):158-161
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The authors report experience using GDC (Guglielmi detachable coil) for the treatment of the cerebral aneurysmal remnant following incomplete surgical clipping. All four patients in whom surgical clipping didn't result in complete obliteration of the aneurysmal sac were anterior circulation aneurysmal remnants. In three patients, aneurysmal remnants were diagnosed by routine follow-up angiography, and one case by recurrent subarachnoid hemorrhage. In all patients, remnants of the aneurysm were completely obliterated by embolization using GDC. There was no neurological morbidity and mortality associated with the treatment. Endovascular treatment of the cerebral aneurysmal remnants may be a effective and safe option for patients in whom surgical clipping does not result in complete obliteration of the aneurysmal sac.
