Microsurgical management of recurrent intracranial aneurysms after embolization
LI Zheng-wei
XU Cheng-shi
CHEN Xin-jun
LI Zhi-qiang
JIANG Pu-cha
CHENG Jin-cao
Abstract：Objective To explore the principles and techniques of microsurgical treatment of recurrent intracranial aneurysms after the endovascular embolization. Methods The clinical data of 10 patients with recurrent intracranial aneurysms after the endovascular embolization, of whom, 4 had posterior communicating artery aneurysms, 3 anterior communicating artery aneurysms, 2 middle cerebral artery aneurysms and 1 basilar artery tip aneurysm, were analyzed retrospectively, including the treatment methods, clinical curative effects and so on. All the patients underwent microsurgical clipping of the aneurysms. Results All the aneurysms were completely occluded in 10 patients. The coils used for the embolization were reserved in 5 patients and not in the other 5. The following-up for 20 months showed that of 10 patients, 9 recovered well and 1 not according to GOS. CTA or DSA showed that all the aneurysms were completely occluded and the aneurysms did not recurred in all the patients. Conclusions The microsurgery for the recurrent intracranial aneurysms after the embolization is difficult, but it is a safe and effective method to treat them.
Keywords：Intracranial aneurysmsEmbolizationRecurrenceMicrosurgery
Publication Date：2017-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 542-544,554 )