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Procedural complications in patients undergoing microsurgical treatment of unruptured intracranial aneurysms: a single-center experience with 1923 aneurysms.
Acta Neurochir (Wien)
February 2022
Department of Neurosurgery, National Brain Aneurysm and Tumor Center, United Hospital, 3033 Excelsior Boulevard, Suite 495, Minneapolis, MN, USA.
Background: With the growing use of endovascular therapy (EVT) to manage unruptured intracranial aneurysms (IAs), detailed information regarding periprocedural complication rates of microsurgical clipping and EVT becomes increasingly important in determining the optimal treatment for individual cases. We report the complication rates associated with open microsurgery in a large series of unruptured IAs and highlight the importance of maintaining surgical skill in the EVT era.
Methods: We reviewed all cases of unruptured IAs treated with open microsurgery by a single neurosurgeon between July 1997 and June 2019.
A Systematic Review of Intracranial Aneurysms in the Pregnant Patient - A Clinical Conundrum.
Eur J Obstet Gynecol Reprod Biol
November 2020
Superior Medical Experts, St. Paul, MN, United States.
Hemodynamic and hormonal changes during pregnancy can increase rates of formation, growth, and rupture of intracranial aneurysms (IA), and the increased incidence of subarachnoid hemorrhage (SA) in pregnant patients represents a risk to both mother and fetus. Despite this, management and treatment guidelines have not been defined for this patient population. In most instances, treatment decisions are made on a case-by-case basis with varying degrees of input from subspecialists.
View Article and Find Full Text PDFMicrosurgical Treatment of Unruptured Anterior Communicating Artery Aneurysms: Approaches and Outcomes in a Large Contemporary Series and Review of the Literature.
Oper Neurosurg (Hagerstown)
November 2020
Department of Neurosurgery, National Brain Aneurysm & Tumor Center, United Hospital, Twin Cities, Minnesota.
Background: With advances in endovascular techniques, the relative roles of microsurgery and endovascular therapy in the management of intracranial aneurysms have become less clear, and data regarding treatment-specific outcomes are increasingly important.
Objective: To describe our experience with microsurgery in a large series of unruptured anterior communicating artery aneurysms (ACOMMAAs) and detail our treatment decision-making process based on individual aneurysm morphology.
Methods: We retrospectively reviewed unruptured ACOMMAAs treated microsurgically at our center between 1997 and 2018, recording aneurysm size, surgical approach, occlusion rates, neurological outcomes, and complications.
Experience for use of modified full-face snorkel mask as personal protective equipment during endoscopic procedures in the era of coronavirus disease pandemic.
Dig Endosc
September 2020
Division of Gastroenterology and Hepatology, Department of Medicine, Nihon University School of Medicine, Tokyo, Japan.
Delayed sudden hearing recovery after treatment of a large vertebral artery aneurysm causing hearing loss and imbalance: a case report.
Br J Neurosurg
August 2022
Department of Neurosurgery, National Brain Aneurysm and Tumor Center, United Hospital, Twin Cities, MN, USA.
Purpose: Cerebral aneurysms that compress cranial nerve VIII can cause hearing loss and imbalance. Hearing function that does not recover after aneurysm occlusion can signal neurological damage with the potential for permanent deafness.
Case Description: A 72-year-old woman presented with gradually worsening left-sided hearing loss and imbalance over a period of 10 years.
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