Transcranial clipping of recurrent cerebral aneurysms after endovascular treatment.
- 1 July 1993
- journal article
- case report
- Published by Ovid Technologies (Wolters Kluwer Health) in Stroke
- Vol. 24 (7), 1087-1089
- https://doi.org/10.1161/01.str.24.7.1087
Abstract
Treatment of intracranial aneurysms by interventional neurovascular techniques may be useful as a therapeutic alternative. We describe two cases of recurrent aneurysms after endovascular treatment using detachable balloons. Two cases are reported of recurrence 2 years after endovascular treatment of cerebral aneurysms (posterior communicating in both cases). One patient had a subarachnoid hemorrhage after rupture of a posterior communicating aneurysm. The other patient had an aneurysm diagnosed incidentally after a contrast-enhanced computed tomographic scan of the head for an unrelated problem. Endovascular balloon embolization of both aneurysms was performed without any immediate complication. Two years after treatment, a cerebral angiogram showed recurrent aneurysms. Surgical clipping excluded both aneurysms definitely. These cases highlight the importance of control angiography at long-term follow-up and emphasize the significance of balloon migration after endovascular treatment of aneurysms.Keywords
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