Individualization of microsurgical tactics during clipping cerebral arterial aneurysms

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Microsurgical clipping of cerebral aneurysms after the ISAT Study.

This landmark study [9] – somewhat Twainian at first glance – sets the stage for future microsurgery in cerebral aneurysms and SAH. The ISAT Study does not nail microsurgery – it will nail microsurgery in low case load neurosurgical centers and in inexperienced hands. In future neurovascular centers, exovascular and endovascular surgeons are forced to support each other by having the full respo...

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Microsurgical clipping or endovascular coiling for ruptured cerebral aneurysms.

See related article, pages ●●●–●●● Early aneurysm repair to prevent recurrent bleeding is central to the management of patients with subarachnoid hemorrhage. Over the past 15 years, endovascular occlusion of cerebral aneurysms has emerged as an alternative to microsurgical clipping, and the relative merits and shortcomings of these 2 approaches have been the subject of considerable discussion i...

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Risk of Dependency Following Microsurgical Clipping in Good Grade Patients with Ruptured Anterior Circulation Aneurysms

Background: It is well known that the majority of good grade (WFNS I and II) patients who undergo microsurgical clipping achieve a favorable outcome, but still a number of patients who are independent before surgery face unfavorable outcomes signifying the impact of microsurgical clipping. The aim of this study was to quantify the risk of dependency in patients who had no previous neurological ...

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Intraoperative angiography evaluation of the microsurgical clipping of unruptured cerebral aneurysms.

Intraoperative angiography evaluation of the clippings of cerebral aneurysms was investigated in a series of 38 consecutive patients with unruptured cerebral aneurysms to determine any favorable impact on the outcome. Unexpected findings including major arterial occlusion or residual aneurysm were identified. Specific variables such as the size and site of aneurysm were analyzed to determine th...

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Microsurgical clipping in forty patients with unruptured anterior cerebral circulation aneurysms: an investigation into cognitive outcome.

OBJECTIVE It is a consensus that most unruptured intracranial aneurysms (UIA) can be treated with acceptably low morbidity. However, some studies recently reported postoperative cognitive impairment, suggesting that it could be attributable to surgical damage. Our goal is to evaluate cognitive function before and after microsurgical clipping in patients with UIA. METHOD A consecutive series o...

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ژورنال

عنوان ژورنال: Endovascular Neuroradiology

سال: 2018

ISSN: 2663-6964,2304-9359

DOI: 10.26683/2304-9359-2018-2(24)-52-68