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Surgical Clipping of Intracranial Aneurysm Regrown after Endovascular Coiling
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  • Surgical Clipping of Intracranial Aneurysm Regrown after Endovascular Coiling
  • Surgical Clipping of Intracranial Aneurysm Regrown after Endovascular Coiling
저자명
Bang. Jae-Seung,Kim. Gook-Ki,Lee. Seung-Hwan,Kim. Seung-Min
간행물명
Journal of Korean neurosurgical society
권/호정보
2007년|42권 1호|pp.59-63 (5 pages)
발행정보
대한신경외과학회
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정기간행물|ENG|
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이 논문은 한국과학기술정보연구원과 논문 연계를 통해 무료로 제공되는 원문입니다.
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기타언어초록

Operative clipping after previous endovascular coiling in an aneurysm is a different problem from primary clipping procedure for neurosurgeons. With the increasing use of coil embolization, neurosurgeons will more and more face the similar situation. We report surgical clipping cases of intracranial aneurysm regrown after endovascular coiling. Three patients with a history of subarachnoid hemorrhage due to ruptured aneurysm underwent endovascular treatment (EVT) with detachable coils. The aneurysms were in the posterior communicating artery, the middle cerebral artery and distal anterior cerebral artery (DACA). Two near-total occlusions and one partial occlusion were achieved by EVT. After several months, angiographic follow-up revealed regrowth of the aneurysm requiring surgical clipping. Here, we report three cases in which surgical clipping was more difficult than a usual clipping procedure performed several months after EVT, because of adhesion and coil bulging into the aneurysmal neck. The difficulty of the treatment of the residual aneurysm after coiling is discussed, as are the surgical complications and limitations of clipping.