Abstract
Objective To explore how to effectively manage the residual or recurrent intracranial aneurysms after embolization. Methods The treatment methods and clinical efficacy of 36 patients with residual or recurrent intracranial aneurysm after procedure at the Department of Neurosurgery, Tianjin Huanhu Hospital from June 2010 to June 2014 were analyze retrospectively. Among 36 patients, 12 underwent endovascular embolization, 15 underwent surgical clipping directly, and 9 could not be clipped directly were treated by extracranial and intracranial arterial bypass and aneurysm trapping or combined embolization. Results The Glasgow outcome scale (GOS) scores of 36 patients after procedure and at discharge showed that 32 (89%) recovered well, 3 (8%) had severe disability, and 1died (3%). They were followed up for an average of 2 years. Thirty-three patients (92%) recovered well, 2 (6%) had disability. During the follow-up period 3 had recurrent aneurysm, 2 of them were retreated by endovascular intervention, and 1 was treated with craniotomy clipping. Cerebrovascular examination revealed that all the grafts were patent. Conclusions For residual or recurrent intracranial aneurysms after embolization, the determination of treatment method should be based on the clinical status of patients, aneurysmal characteristics, surgical risk, and possibility of rerupture of aneurysms. The safe and effective personalized treatment can be performed in clinical practice by the methods of craniotomy or endovascular interventional therapy, and it will achieve a satisfactory clinical effect. Key words: Intracranial aneurysm; Recurrence; Embolization, therapeutic; Microsurgery
Published Version
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call