1 235

Cited 0 times in

Techniques of reoperation for a giant regrown anterior communicating artery aneurysm harboring long-implanted clips and compacted coil mesh

Authors
 Yong Bae Kim  ;  Jae Whan Lee  ;  Kyu Chang Lee  ;  Yoon Jung Choi 
Citation
 Acta Neurochirurgica, Vol.151(6) : 613-618, 2009 
Journal Title
 Acta Neurochirurgica 
ISSN
 0001-6268 
Issue Date
2009
MeSH
Anterior Cerebral Artery/diagnostic imaging ; Anterior Cerebral Artery/pathology ; Anterior Cerebral Artery/surgery ; Cerebral Angiography ; Cerebrovascular Circulation/physiology ; Circle of Willis/diagnostic imaging ; Circle of Willis/pathology ; Circle of Willis/surgery ; Embolization, Therapeutic/instrumentation ; Embolization, Therapeutic/methods ; Female ; Humans ; Intracranial Aneurysm/diagnostic imaging ; Intracranial Aneurysm/pathology* ; Intracranial Aneurysm/surgery* ; Middle Aged ; Neurosurgical Procedures/instrumentation* ; Neurosurgical Procedures/methods* ; Optic Chiasm/pathology ; Optic Chiasm/physiopathology ; Prostheses and Implants/adverse effects ; Recurrence ; Reoperation/instrumentation ; Reoperation/methods ; Surgical Instruments/adverse effects ; Treatment Outcome ; Vascular Surgical Procedures/instrumentation* ; Vascular Surgical Procedures/methods* ; Vision, Low/etiology
Keywords
Giant aneurysm ; Regrowth ; Clipping ; Coiling ; Reoperation
Abstract
A 57-year-old woman presented with a progressive deterioration of vision. She had previously undergone clipping for a ruptured small anterior communicating artery (Acom) aneurysm 7 years prior to admission and additional coiling for recurrence 2 years prior to admission. Angiography showed regrown out-pouching of the sac, which measured 27 x 18 mm. A decision was made to perform surgical treatment to alleviate the mass effect of the aneurysm. Unique techniques for revision of the scarred surgical corridor, removal of old clips, resection of the coiled mass, thrombectomy, and intra-aneurysmal endarterectomy were required to allow placement of the final clips. The patient recovered uneventfully, and her vision was satisfactorily restored.
Full Text
http://link.springer.com/article/10.1007%2Fs00701-009-0318-1
DOI
10.1007/s00701-009-0318-1
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Yong Bae(김용배) ORCID logo https://orcid.org/0000-0003-2262-7157
Lee, Kyu Chang(이규창)
Lee, Jae Whan(이재환)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106052
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse