Microsurgical treatment of basilar tip aneurysms: is it still acceptable?

Detalhes bibliográficos
Autor(a) principal: Pahl,Felix Hendrik
Data de Publicação: 2017
Outros Autores: Oliveira,Matheus Fernandes de, Rotta,José Marcus
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=S0004-282X2017001000697
Resumo: ABSTRACT Basilar tip aneurysms (BTAs) have a complex anatomy, making them difficult to treat. We describe our surgical results for BTAs. Methods: From 2004 to 2015 (12 years), a total of 25 small BTAs and two giant BTAs were treated in the Hospital do Servidor Público Estadual de São Paulo. Results: In 23 patients harboring aneurysms positioned anteriorly or straight, all aneurysms were clipped (complete exclusion in all on follow-up angiography). In two patients with posteriorly positioned aneurysms, there was residual neck. All patients submitted to surgical treatment of small aneurysms presented with late Glasgow Outcome Scale scores of 4 or 5. Two patients with giant aneurysms died. Conclusion: Surgical treatment of these lesions may be accomplished with quite high success rates and low morbidity.
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spelling Microsurgical treatment of basilar tip aneurysms: is it still acceptable?intracranial aneurysmtherapeuticsgeneral surgeryendovascular proceduresABSTRACT Basilar tip aneurysms (BTAs) have a complex anatomy, making them difficult to treat. We describe our surgical results for BTAs. Methods: From 2004 to 2015 (12 years), a total of 25 small BTAs and two giant BTAs were treated in the Hospital do Servidor Público Estadual de São Paulo. Results: In 23 patients harboring aneurysms positioned anteriorly or straight, all aneurysms were clipped (complete exclusion in all on follow-up angiography). In two patients with posteriorly positioned aneurysms, there was residual neck. All patients submitted to surgical treatment of small aneurysms presented with late Glasgow Outcome Scale scores of 4 or 5. Two patients with giant aneurysms died. Conclusion: Surgical treatment of these lesions may be accomplished with quite high success rates and low morbidity.Academia Brasileira de Neurologia - ABNEURO2017-10-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001000697Arquivos de Neuro-Psiquiatria v.75 n.10 2017reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20170120info:eu-repo/semantics/openAccessPahl,Felix HendrikOliveira,Matheus Fernandes deRotta,José Marcuseng2018-04-02T00:00:00Zoai:scielo:S0004-282X2017001000697Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2018-04-02T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
title Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
spellingShingle Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
Pahl,Felix Hendrik
intracranial aneurysm
therapeutics
general surgery
endovascular procedures
title_short Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
title_full Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
title_fullStr Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
title_full_unstemmed Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
title_sort Microsurgical treatment of basilar tip aneurysms: is it still acceptable?
author Pahl,Felix Hendrik
author_facet Pahl,Felix Hendrik
Oliveira,Matheus Fernandes de
Rotta,José Marcus
author_role author
author2 Oliveira,Matheus Fernandes de
Rotta,José Marcus
author2_role author
author
dc.contributor.author.fl_str_mv Pahl,Felix Hendrik
Oliveira,Matheus Fernandes de
Rotta,José Marcus
dc.subject.por.fl_str_mv intracranial aneurysm
therapeutics
general surgery
endovascular procedures
topic intracranial aneurysm
therapeutics
general surgery
endovascular procedures
description ABSTRACT Basilar tip aneurysms (BTAs) have a complex anatomy, making them difficult to treat. We describe our surgical results for BTAs. Methods: From 2004 to 2015 (12 years), a total of 25 small BTAs and two giant BTAs were treated in the Hospital do Servidor Público Estadual de São Paulo. Results: In 23 patients harboring aneurysms positioned anteriorly or straight, all aneurysms were clipped (complete exclusion in all on follow-up angiography). In two patients with posteriorly positioned aneurysms, there was residual neck. All patients submitted to surgical treatment of small aneurysms presented with late Glasgow Outcome Scale scores of 4 or 5. Two patients with giant aneurysms died. Conclusion: Surgical treatment of these lesions may be accomplished with quite high success rates and low morbidity.
publishDate 2017
dc.date.none.fl_str_mv 2017-10-01
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=S0004-282X2017001000697
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2017001000697
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0004-282x20170120
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.75 n.10 2017
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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