Surgical Clipping of Previously Ruptured, Coiled Aneurysms: Outcome Assessment in 53 Patients.
AuthorNisson, Peyton L
Meybodi, Ali Tayebi
Berger, Garrett K
Lawton, Michael T
AffiliationUniv Arizona, Coll Med
MetadataShow full item record
PublisherELSEVIER SCIENCE INC
CitationPeyton L. Nisson, Ali Tayebi Meybodi, Adam Roussas, Whitney James, Garrett K. Berger, Arnau Benet, Michael T. Lawton, Surgical Clipping of Previously Ruptured, Coiled Aneurysms: Outcome Assessment in 53 Patients, World Neurosurgery, Volume 120, 2018, Pages e203-e211, ISSN 1878-8750, https://doi.org/10.1016/j.wneu.2018.07.293.
Rights© 2018 Elsevier Inc. All rights reserved.
Collection InformationThis item from the UA Faculty Publications collection is made available by the University of Arizona with support from the University of Arizona Libraries. If you have questions, please contact us at firstname.lastname@example.org.
AbstractOccasionally, previously coiled aneurysms will require secondary treatment with surgical clipping, representing a more complicated aneurysm to treat than the naïve aneurysm. Patients who initially presented with a ruptured aneurysm may pose an even riskier group to treat than those with unruptured previously coiled aneurysms, given their potentially higher risk for rerupture. The objective of this study was to assess the clinical outcomes of patients who undergo microsurgical clipping of ruptured previously coiled cerebral aneurysms. In addition, we present a thorough review of the literature. A total of 53 patients from a single institution who initially presented with a subarachnoid hemorrhage and underwent surgical clipping of a previously coiled aneurysm between December 1997 and December 2014 were studied. Clinical features, hospital course, and preoperative and most recent functional status (Glasgow Outcome Scale score) were reviewed retrospectively. The mean time interval from coiling to clipping was 2.6 years, and mean follow-up was 5.5 years (range, 0.1-14.7 years). Five patients (9.8%) presented with rebleed prior to clipping. Most patients (79.3%, 42/53) experienced good neurologic outcomes. Most showed no change (81%, 43/53) or improvement (13%, 7/53) in functional status after microsurgical clipping. One patient (2%) deteriorated clinically, and there were 2 mortalities (4%). Microsurgical clipping of previously ruptured, coiled aneurysms is a promising treatment method with favorable clinical outcomes.
Note12 month embargo; published 23 August 2018
VersionFinal accepted manuscript
- Techniques and outcomes of microsurgical management of ruptured and unruptured fusiform cerebral aneurysms.
- Authors: Safavi-Abbasi S, Kalani MYS, Frock B, Sun H, Yagmurlu K, Moron F, Snyder LA, Hlubek RJ, Zabramski JM, Nakaji P, Spetzler RF
- Issue date: 2017 Dec
- Microsurgical clipping for recurrent aneurysms after initial endovascular coil embolization.
- Authors: Izumo T, Matsuo T, Morofuji Y, Hiu T, Horie N, Hayashi K, Nagata I
- Issue date: 2015 Feb
- Open Surgery for Recurrent Intracranial Aneurysms: Techniques and Long-Term Outcomes.
- Authors: Kivelev J, Tanikawa R, Noda K, Hernesniemi J, Niemelä M, Takizawa K, Tsuboi T, Ohta N, Miyata S, Oda J, Tokuda S, Kamiyama H
- Issue date: 2016 Dec
- Long-term results of middle cerebral artery aneurysm clipping in the Barrow Ruptured Aneurysm Trial.
- Authors: Mooney MA, Simon ED, Brigeman S, Nakaji P, Zabramski JM, Lawton MT, Spetzler RF
- Issue date: 2018 Apr 27
- Endovascular Coiling Versus Microsurgical Clipping for Patients With Ruptured Very Small Intracranial Aneurysms: Management Strategies and Clinical Outcomes of 162 Cases.
- Authors: Li J, Su L, Ma J, Kang P, Ma L, Ma L
- Issue date: 2017 Mar