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Surgical outcome of clipping in anterior circulation aneurysms.
Pak J Med Sci
December 2024
Prof. Dr. Abdul Majid, MBBS, FCPS, MCPS, Head Department of Neurosurgery, Department of Neurosurgery, Punjab Institute of Neurosciences, Lahore, Pakistan.
Objective: To observe the outcome of surgical clipping in anterior circulation aneurysm in a modestly resourced hospital.
Methods: A retrospective cross-sectional study was conducted at Punjab Institute of Neurosciences Lahore, from August 2022 to July 2023. Seventy five patients meeting the inclusion criteria of age <65, saccular aneurysm of anterior circulation, and Hunt and Hess grade one or two were enrolled through non-probability convenience sampling.
Flow diversion for the treatment of distal circulation aneurysms: A randomized comparison.
AJNR Am J Neuroradiol
December 2024
From the Department of Radiology (W.B., D.I., D.R., A.W., R.K, J.R.), Service of Neuroradiology, Centre Hospitalier de l'Université de Montréal, Montreal, Québec, Canada; Department of Interventional Neuroradiology (W.B.), Hôpital Fondation Adolphe de Rothschild, Paris, Ile de France, France; Departments of Radiology (J.L.R.), and Surgery (T.E.D., C.O., M.M.C.), Division of Neurosurgery, University of Alberta Hospital, Mackenzie Health Sciences Centre, Edmonton, Alberta, Canada; Departments of Neurology (R.F.), and Neurosurgery (B.D., H.L.), University of Ottawa, the Ottawa Hospital, Ottawa, Ontario, Canada.
Background And Purpose: Flow diversion (FD) has expanded beyond initial indications (proximal carotid artery aneurysms) to include distal circulation aneurysms (on the anterior, middle, or posterior cerebral arteries). Our objective was to examine results obtained from aneurysms in these locations in the Flow Diversion in the Treatment of Intracranial Aneurysms Trial (FIAT) which compared FD with alternative standard management options (ASMO).
Materials And Methods: FIAT was an all-inclusive parallel-group 1:1 randomized study comparing FD with one of 4 ASMOs (coiling +/-stenting, parent vessel occlusion (PVO), clipping, or observation, pre-specified by clinical judgment).
Anterior choroidal artery aneurysm case series: a clinical decision algorithm for endovascular and surgical treatment using a novel classification system.
Neurosurg Rev
December 2024
Neurosurgical Service, Beth Israel Deaconess Medical Center, Harvard Medical School, 110 Francis Street, Boston, MA, 02215, USA.
Anterior choroidal artery (AChA) aneurysms represent 2-5% of intracranial aneurysms. The proximity of the origin of the AChA to the aneurysm neck poses a risk of thromboembolic complications following treatment. AChA occlusion can result in significant neurological deficits.
View Article and Find Full Text PDFA Complex Pediatric Vertebrobasilar Junction Aneurysm Treated using a Flow Diverter with Coiling: Case Report and Management Strategy.
Neurol India
November 2024
Department of Radiodiagnosis, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Pediatric intracranial aneurysms (PIAs) are highly uncommon, with an incidence of <5% (0.17 to 4.6%) and <2% of PIA complicates into an aneurysmal hemorrhage.
View Article and Find Full Text PDFMicrosurgical management of previously embolized intracranial aneurysms: A single center experience and literature review.
J Cerebrovasc Endovasc Neurosurg
December 2024
Department of Radiology, General University Hospital of Patras, Patras, Greece.
Background: Endovascular treatment of intracranial aneurysms (IAs) provides less invasiveness and lower morbidity than microsurgical clipping, albeit with a long-term recurrence rate estimated at 20%. We present our single-center experience and a literature review concerning surgical clipping of recurrent previously coiled aneurysms.
Methods: Retrospective analysis of nine (9) patients' data and final clinical/angiographic outcomes, who underwent surgical clipping of IAs in our center following initial endovascular treatment, over a 12-year period (2010-2022).
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