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Article: Aneurysm recurrence after treatment of paraclinoid/ophthalmic segment aneurysms - A treatment-modality assessment

TitleAneurysm recurrence after treatment of paraclinoid/ophthalmic segment aneurysms - A treatment-modality assessment
Authors
KeywordsAneurysm recurrence
Guglielmi detachable coil embolization
Ophthalmic artery aneurysm
Paraclinoid aneurysm
Surgery
Issue Date2005
Citation
Acta Neurochirurgica, 2005, v. 147, n. 3, p. 611-616 How to Cite?
AbstractObject. The treatment of 21 paraclinoid/ophthalmic segment internal carotid artery aneurysms (PCOSAs) over a seven year period in a regional neurosurgical center was reviewed to assess the degree of obliteration and recurrence rate of these aneurysms after treatment by surgical and endovascular methods. Method and result. An assessment of the clinical notes, operation records and cerebral angiograms was made to evaluate the rate of residual and recurrent aneurysms after treatment and at follow-up. In the coiling group, the aneurysm recurrence rate was eight out of fifteen aneurysms (53%). Four recurrences were from previously totally occluded aneurysms. Out of the six surgical cases, five had follow-up angiography performed. All had stable occlusions of their aneurysms including one with subtotal occlusion. Two clipping procedures after previous coiling achieved total occlusion of aneurysm on follow-up angiography. Conclusion. Based on our case series we conclude that PCOSAs frequently recur after primary treatment. GDC coiling was associated with a higher rate of recurrent aneurysms when compared with surgical treatment. A review of the literature on the surgical and endovascular treatment of PCOSAs support this observation. © Springer-Verlag 2005.
Persistent Identifierhttp://hdl.handle.net/10722/325098
ISSN
2023 Impact Factor: 1.9
2023 SCImago Journal Rankings: 0.795
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorBoet, R.-
dc.contributor.authorWong, G. K.C.-
dc.contributor.authorPoon, W. S.-
dc.contributor.authorLam, J. M.K.-
dc.contributor.authorYu, S. C.H.-
dc.date.accessioned2023-02-27T07:29:43Z-
dc.date.available2023-02-27T07:29:43Z-
dc.date.issued2005-
dc.identifier.citationActa Neurochirurgica, 2005, v. 147, n. 3, p. 611-616-
dc.identifier.issn0001-6268-
dc.identifier.urihttp://hdl.handle.net/10722/325098-
dc.description.abstractObject. The treatment of 21 paraclinoid/ophthalmic segment internal carotid artery aneurysms (PCOSAs) over a seven year period in a regional neurosurgical center was reviewed to assess the degree of obliteration and recurrence rate of these aneurysms after treatment by surgical and endovascular methods. Method and result. An assessment of the clinical notes, operation records and cerebral angiograms was made to evaluate the rate of residual and recurrent aneurysms after treatment and at follow-up. In the coiling group, the aneurysm recurrence rate was eight out of fifteen aneurysms (53%). Four recurrences were from previously totally occluded aneurysms. Out of the six surgical cases, five had follow-up angiography performed. All had stable occlusions of their aneurysms including one with subtotal occlusion. Two clipping procedures after previous coiling achieved total occlusion of aneurysm on follow-up angiography. Conclusion. Based on our case series we conclude that PCOSAs frequently recur after primary treatment. GDC coiling was associated with a higher rate of recurrent aneurysms when compared with surgical treatment. A review of the literature on the surgical and endovascular treatment of PCOSAs support this observation. © Springer-Verlag 2005.-
dc.languageeng-
dc.relation.ispartofActa Neurochirurgica-
dc.subjectAneurysm recurrence-
dc.subjectGuglielmi detachable coil embolization-
dc.subjectOphthalmic artery aneurysm-
dc.subjectParaclinoid aneurysm-
dc.subjectSurgery-
dc.titleAneurysm recurrence after treatment of paraclinoid/ophthalmic segment aneurysms - A treatment-modality assessment-
dc.typeArticle-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00701-005-0524-4-
dc.identifier.pmid15806326-
dc.identifier.scopuseid_2-s2.0-21044457387-
dc.identifier.volume147-
dc.identifier.issue3-
dc.identifier.spage611-
dc.identifier.epage616-
dc.identifier.isiWOS:000229614300009-

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