Abstract：
BACKGROUND:Microsurgical clipping is regarded as the most durable treatment for cerebral aneurysms. Aneurysm recurrence after clipping is uncommon and is associated with an increased risk of rupture. Reoperation for recurrent cerebral aneurysms is particularly challenging because of adhesions and scaring, and it carries a higher rate of morbidity and mortality. Pipeline embolization as a treatment option for recurrent aneurysms has rarely been reported. METHODS:A retrospective analysis of patients who underwent Pipeline Embolization Device (PED) placement for recurrent aneurysms after clipping at two major academic institutions in the United States was performed. RESULTS:Seven patients were identified. The median time between initial clipping and diagnosis of recurrence was 13 years (range, 5-20 years). No morbidity or mortality was associated with PED placement. Complete occlusion was achieved in all patients with imaging follow-up. A history of prior clipping did not affect PED placement or outcome. CONCLUSIONS:PED for recurrent aneurysms after clipping may be a feasible alternative to reoperation. In our experience, treatment with PED for these aneurysms is safe and efficacious.
journal_name
World Neurosurgjournal_title
World neurosurgeryauthors
Adeeb N,Griessenauer CJ,Moore J,Stapleton CJ,Patel AB,Gupta R,Patel AS,Thomas AJ,Ogilvy CSdoi
10.1016/j.wneu.2016.06.065subject
Has Abstractpub_date
2016-09-01 00:00:00pages
341-5eissn
1878-8750issn
1878-8769pii
S1878-8750(16)30450-8journal_volume
93pub_type
杂志文章,多中心研究abstract：:Clinical neurosurgery is an endangered academic discipline. Neurosurgeons have competition from many directions: orthopedists, ear, nose and throat surgeons, plastic surgeons, radio-oncologists, and interventional radiologists, among others. Academic centers are no longer the only sites of neurosurgical education at t...
journal_title：World neurosurgery
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更新日期：2019-08-01 00:00:00
