Treatment of Recurrent Intracranial Aneurysms After Neck Clipping: Novel Classification Scheme and Management Strategies.

ABSTRACT: BACKGROUND:Recurrent aneurysms after initial clipping have been discussed as an important issue in the surgical management of aneurysm. OBJECTIVE:To report our experience with recurrent cerebral aneurysms after neck clipping and to discuss classification and recommended management. METHODS:Aneurysm treatments from a single institution over a 20-year period were retrospectively reviewed. Twenty-three recurrent aneurysms in 23 patients were managed during the study period. Recurrent aneurysms were classified using the concepts of closure line and closure plane, as follows. Type 1: neck situated in an almost different site from the previous clip. Type 2: existing closure plane and reconstructive closure plane are almost the same. Type 3: existing closure plane and reconstructive closure plane

SUBMITTER: Kobayashi S 

PROVIDER: S-EPMC5981867 | biostudies-literature | 2017 Dec

REPOSITORIES: biostudies-literature