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CC BY-NC-ND 4.0 · Asian J Neurosurg 2019; 14(03): 863-867
DOI: 10.4103/ajns.AJNS_133_17
Original Article

Combined endovascular and microsurgical hybrid management of cerebral aneurysms: The preliminary fujita experience

Riki Tanaka
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
,
Ahmed Ansari
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
,
Yoko Kato
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
,
Yasuhiro Yamada
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
,
T Kawase
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
,
Sai Kalyan
Department of Neurosurgery, Fujita Health University, Banbuntane Hotokukai Hospital, Nagoya
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Introduction: A subgroup of complex aneurysms demands multimodal treatment by microscopic and endovascular means. Partial obliteration or remnant postprocedure demands to go further to the other modality. Materials and Methods: All patients between July 2016 and January 2017 who had to undergo multimodality measures for complete obliteration of the aneurysms were included in the study. The patients who had either undergone clipping or coiling for their aneurysms, but with incomplete obliteration of the aneurysm, were also included in the study. Results: Between July 2016 and January 2017, a total of three patients had to undergo coiling after clipping of the aneurysm for complete obliteration. Two patients had to go for clipping following coiling. All five patients had complete obliteration of the aneurysm sac. Conclusion: Both microscopic and endovascular means are complementary measures instead of competing procedures. It is important to realize the technical difficulties when surgical therapy follows initial endovascular treatment. Similarly, coiling a previously clipped aneurysm can be difficult, if the clip obscures normal working projections.

Key-words:

Clipping - coiling - endovascular - microscopic

Financial support and sponsorship

Nil.




Publikationsverlauf

Artikel online veröffentlicht:
09. September 2022

© 2019. Asian Congress of Neurological Surgeons. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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