Clinical and Angiographic Results after Treatment with Combined Clipping and Wrapping Technique for Intracranial Aneurysm

Suh, Sang-Jun; Kim, Sang-Chul; Kang, Dong-Gee; Ryu, Kee-Young; Lee, Hyuk-Gee; Cho, Jae-Hoon

추천

검색

자료유형: 학술저널

저자정보: Suh, Sang-Jun (Department of Neurosurgery, Daegu Fatima Hospital) Kim, Sang-Chul (Department of Neurosurgery, Daegu Fatima Hospital) Kang, Dong-Gee (Department of Neurosurgery, Daegu Fatima Hospital) Ryu, Kee-Young (Department of Neurosurgery, Daegu Fatima Hospital) Lee, Hyuk-Gee (Department of Neurosurgery, Daegu Fatima Hospital) Cho, Jae-Hoon (Department of Neurosurgery, Kosin University Gospel Hospital)

저널정보: 대한신경외과학회 대한신경외과학회지 대한신경외과학회지 제44권 제4호

발행연도: 2008.1

수록면: 190 - 195 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Objective : There have been numerous follow-up studies of patients who had ruptured or unruptured intracranial aneurysms treated by wrapping technique using various materials have been reported. Our objective was to ascertain whether our particular wrapping technique using the temporalis muscle provides protection from rebleeding and any aneurysm configuration changes in follow-up studies. Methods : Clinical presentation, the location and shape of the aneurysm, outcomes at discharge and last follow-up, and any aneurysm configuration changes on last angiographic study were analyzed retrospectively in 21 patients. Reinforcement was acquired by clipping the wrapped temporalis muscle. Wrapping and clipping after incomplete clipping was also done. Follow-up loss and non-angiographic follow-up patient groups were excluded in this study. Results : The mean age was 53 years (range 29-67), and 15 patients were female. Among 21 patients, 10 patients had ruptured aneurysms (48%). Aneurysms in 21 patients were located in the anterior circulation. Aneurysm shapes were broad neck form (14 cases), fusiform (1 case), and bleb to adjacent vessel (6 cases). Five patients were treated by clipping the wrapped temporalis, and 16 patients by wrapping after partial clipping. The mean Glasgow coma scale (GCS) at admission was 14.2. The mean Glasgow outcome scale (GOS) at discharge was 4.8, and 18 patients were grade 5. The mean period between initial angiography and last angiography was 18.5 months (range 8-44). Aneurysm size was not increased in any of these patients and configuration also did not change. There was no evidence of rebleeding in any of these treated aneurysms. Conclusion : Our study results show that wrapping technique, using the temporalis muscle and aneurysm clip(s), for intracranial aneurysm treatment provides protection from rebleeding or regrowth.

#Aneurysm #Wrapping technique #Temporal muscle

참고문헌 (0)

참고문헌 신청

참고문헌이 DBpia에서 서비스 중이라면, [참고문헌 신청]을 통해 등록해보세요

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!