Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Arquivos de neuro-psiquiatria (Online) |
Texto Completo: | http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000400009 |
Resumo: | ABSTRACT Paraclinoid aneurysms are lesions located adjacent to the clinoid and ophthalmic segments of the internal carotid artery. In recent years, flow diverter stents have been introduced as a better endovascular technique for treatment of these aneurysms. Method From 2009 to 2014, a total of 43 paraclinoid aneurysms in 43 patients were surgically clipped. We retrospectively reviewed the records of these patients to analyze clinical outcomes. Results Twenty-six aneurysms (60.5%) were ophthalmic artery aneurysms, while 17 were superior hypophyseal artery aneurysms (39.5%). The extradural approach to the clinoid process was used to clip these aneurysms. One hundred percent of aneurysms were clipped (complete exclusion in 100% on follow-up angiography). The length of follow-up ranged from 1 to 60 months (mean, 29.82 months). Conclusion Surgical clipping continues to be a good option for the treatment of paraclinoid aneurysms. |
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Arquivos de neuro-psiquiatria (Online) |
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|
spelling |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysmsintracranial aneurysmendovascular treatmentsurgeryABSTRACT Paraclinoid aneurysms are lesions located adjacent to the clinoid and ophthalmic segments of the internal carotid artery. In recent years, flow diverter stents have been introduced as a better endovascular technique for treatment of these aneurysms. Method From 2009 to 2014, a total of 43 paraclinoid aneurysms in 43 patients were surgically clipped. We retrospectively reviewed the records of these patients to analyze clinical outcomes. Results Twenty-six aneurysms (60.5%) were ophthalmic artery aneurysms, while 17 were superior hypophyseal artery aneurysms (39.5%). The extradural approach to the clinoid process was used to clip these aneurysms. One hundred percent of aneurysms were clipped (complete exclusion in 100% on follow-up angiography). The length of follow-up ranged from 1 to 60 months (mean, 29.82 months). Conclusion Surgical clipping continues to be a good option for the treatment of paraclinoid aneurysms.Academia Brasileira de Neurologia - ABNEURO2016-04-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000400009Arquivos de Neuro-Psiquiatria v.74 n.4 2016reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282X20150215info:eu-repo/semantics/openAccessPahl,Felix HendrikOliveira,Matheus Fernandes deBrock,Roger SchmidtLucio,José Erasmo Dal ColRotta,José Marcuseng2016-04-14T00:00:00Zoai:scielo:S0004-282X2016000400009Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2016-04-14T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse |
dc.title.none.fl_str_mv |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms |
title |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms |
spellingShingle |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms Pahl,Felix Hendrik intracranial aneurysm endovascular treatment surgery |
title_short |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms |
title_full |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms |
title_fullStr |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms |
title_full_unstemmed |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms |
title_sort |
Surgical clipping is still a good choice for the treatment of paraclinoid aneurysms |
author |
Pahl,Felix Hendrik |
author_facet |
Pahl,Felix Hendrik Oliveira,Matheus Fernandes de Brock,Roger Schmidt Lucio,José Erasmo Dal Col Rotta,José Marcus |
author_role |
author |
author2 |
Oliveira,Matheus Fernandes de Brock,Roger Schmidt Lucio,José Erasmo Dal Col Rotta,José Marcus |
author2_role |
author author author author |
dc.contributor.author.fl_str_mv |
Pahl,Felix Hendrik Oliveira,Matheus Fernandes de Brock,Roger Schmidt Lucio,José Erasmo Dal Col Rotta,José Marcus |
dc.subject.por.fl_str_mv |
intracranial aneurysm endovascular treatment surgery |
topic |
intracranial aneurysm endovascular treatment surgery |
description |
ABSTRACT Paraclinoid aneurysms are lesions located adjacent to the clinoid and ophthalmic segments of the internal carotid artery. In recent years, flow diverter stents have been introduced as a better endovascular technique for treatment of these aneurysms. Method From 2009 to 2014, a total of 43 paraclinoid aneurysms in 43 patients were surgically clipped. We retrospectively reviewed the records of these patients to analyze clinical outcomes. Results Twenty-six aneurysms (60.5%) were ophthalmic artery aneurysms, while 17 were superior hypophyseal artery aneurysms (39.5%). The extradural approach to the clinoid process was used to clip these aneurysms. One hundred percent of aneurysms were clipped (complete exclusion in 100% on follow-up angiography). The length of follow-up ranged from 1 to 60 months (mean, 29.82 months). Conclusion Surgical clipping continues to be a good option for the treatment of paraclinoid aneurysms. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-04-01 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000400009 |
url |
http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2016000400009 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
10.1590/0004-282X20150215 |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
text/html |
dc.publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
publisher.none.fl_str_mv |
Academia Brasileira de Neurologia - ABNEURO |
dc.source.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria v.74 n.4 2016 reponame:Arquivos de neuro-psiquiatria (Online) instname:Academia Brasileira de Neurologia instacron:ABNEURO |
instname_str |
Academia Brasileira de Neurologia |
instacron_str |
ABNEURO |
institution |
ABNEURO |
reponame_str |
Arquivos de neuro-psiquiatria (Online) |
collection |
Arquivos de neuro-psiquiatria (Online) |
repository.name.fl_str_mv |
Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia |
repository.mail.fl_str_mv |
||revista.arquivos@abneuro.org |
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1754212780127289344 |