Surgical management of intracranial aneurysms previously treated with endovascular therapy

Endovascular treatment with coils of cerebral aneurysm is being increasingly used for definitive treatment. An increasing number of patients are coming for surgical intervention either for recurrences, incomplete coil embolization or its complications. Our objective was to assess the surgical manage...

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Bibliographic Details
Published in:Neurology India 2010-03, Vol.58 (2), p.292-297
Main Authors: Kumar, Rajiv, Deopujari, C E, Shah, Rajan, Luhana, Rakesh
Format: Article
Language:English
Subjects:
Adult
Aged
Aneurysms
Blood clots
Blood vessels
Care and treatment
Cerebral Angiography - methods
Cerebral Revascularization - methods
Embolization, Therapeutic - adverse effects
Female
Humans
Intracranial Aneurysm - therapy
Intracranial aneurysms
Male
Medical diagnosis
Medical imaging
Middle Aged
Neurosurgical Procedures - methods
Patient outcomes
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative Complications - surgery
Retrospective Studies
Surgery
Treatment Outcome
Veins & arteries
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Summary:Endovascular treatment with coils of cerebral aneurysm is being increasingly used for definitive treatment. An increasing number of patients are coming for surgical intervention either for recurrences, incomplete coil embolization or its complications. Our objective was to assess the surgical management in such patients. This was a retrospective analysis of the patients who were initially treated with endovascular embolization and later managed surgically with clipping either for unsuccessful coiling, recurrence of aneurysm or post-procedural complication, between 2003 and 2007. Anatomical results were excellent in all five patients, and all the aneurysms were totally excluded from the circulation. All patients had good recovery. None of the patients suffered any major intraoperative or postoperative complication. Neurosurgical management of intracranial aneurysms previously treated with endovascular therapy is an emerging challenge, but with proper patient selection and careful planning, this subset of aneurysms can be managed with good results.
ISSN:0028-3886
1998-4022
DOI:10.4103/0028-3886.63791