Slipped clip: relato de dois casos
Autor(a) principal: | |
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Data de Publicação: | 2003 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Repositório Institucional da UNIFESP |
Texto Completo: | http://dx.doi.org/10.1590/S0004-282X2003000100029 http://repositorio.unifesp.br/handle/11600/1666 |
Resumo: | Aneurysm rest occurs in 1 to 10% of operated patients and of these, 21.8% are due to slipped clips. D´Angelo and coworker (1998) found 1 to 10% of residual aneurysms. They suggest that if the residual aneurysm has less than 2 mm, angiographic control must be performed after 3-5 years of the surgical procedure; if between 2 and 4 mm, the angiographic control must be done in the first 6 months after surgery and then, anually. If it has more than 4mm a direct surgical approach is advised. We present the cases of two female patients submitted to microsurgical treatment of intracranial aneurysm, without any intra-operative abnormal event. The angiographic study further made showed displacement of the clip from its original position and aneurysm again. A review of the literature is also presented. |
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Repositório Institucional da UNIFESP |
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Slipped clip: relato de dois casosSlipped clip: report of two casesaneurysmcomplicationsslipped clipaneurismacomplicaçõesslipped clipAneurysm rest occurs in 1 to 10% of operated patients and of these, 21.8% are due to slipped clips. D´Angelo and coworker (1998) found 1 to 10% of residual aneurysms. They suggest that if the residual aneurysm has less than 2 mm, angiographic control must be performed after 3-5 years of the surgical procedure; if between 2 and 4 mm, the angiographic control must be done in the first 6 months after surgery and then, anually. If it has more than 4mm a direct surgical approach is advised. We present the cases of two female patients submitted to microsurgical treatment of intracranial aneurysm, without any intra-operative abnormal event. The angiographic study further made showed displacement of the clip from its original position and aneurysm again. A review of the literature is also presented.A incidência de clipagem de aneurismas em que permanecem restos da dilatação varia, nas séries estudadas, de 1-10%. Deste percentual, 21,8% é devido à migração do clipe.D´Angelo e seus colaboradores (1998), encontraram 1 a 10% de aneurismas residuais. Sugerem que quando o resíduo for menor que 2 mm seja realizado estudo angiográfico entre 3-5 anos após o procedimento cirúrgico; se entre 2 e 4 mm, este estudo deve ser mais precoce, dentro dos primeiros 6 meses e depois anualmente; e, quando maior que 4 mm, a reabordagem. Apresentamos os casos de duas pacientes submetidas a tratamento cirúrgico de aneurismas intracranianos, com intra-operatório sem intercorrências e que, em exames ulteriores, evidenciaram migração do clipe de sua posição original. É apresentada, ainda, revisão da literatura.Universidade Federal de São Paulo (UNIFESP) Escola Paulista de Medicina Disciplina de NeurocirurgiaUNIFESP, EPM, Disciplina de NeurocirurgiaSciELOAcademia Brasileira de Neurologia - ABNEUROUniversidade Federal de São Paulo (UNIFESP)Melo, Paulo M. Porto de [UNIFESP]Kadri, Paulo Abdo do Seixo [UNIFESP]Oliveira, Jean Gonçalves de [UNIFESP]Braga, Fernando Menezes [UNIFESP]2015-06-14T13:29:57Z2015-06-14T13:29:57Z2003-03-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion137-140application/pdfhttp://dx.doi.org/10.1590/S0004-282X2003000100029Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 61, n. 1, p. 137-140, 2003.10.1590/S0004-282X2003000100029S0004-282X2003000100029.pdf0004-282XS0004-282X2003000100029http://repositorio.unifesp.br/handle/11600/1666WOS:000182336700029porArquivos de Neuro-Psiquiatriainfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP2024-08-04T06:36:21Zoai:repositorio.unifesp.br/:11600/1666Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestbiblioteca.csp@unifesp.bropendoar:34652024-08-04T06:36:21Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false |
dc.title.none.fl_str_mv |
Slipped clip: relato de dois casos Slipped clip: report of two cases |
title |
Slipped clip: relato de dois casos |
spellingShingle |
Slipped clip: relato de dois casos Melo, Paulo M. Porto de [UNIFESP] aneurysm complications slipped clip aneurisma complicações slipped clip |
title_short |
Slipped clip: relato de dois casos |
title_full |
Slipped clip: relato de dois casos |
title_fullStr |
Slipped clip: relato de dois casos |
title_full_unstemmed |
Slipped clip: relato de dois casos |
title_sort |
Slipped clip: relato de dois casos |
author |
Melo, Paulo M. Porto de [UNIFESP] |
author_facet |
Melo, Paulo M. Porto de [UNIFESP] Kadri, Paulo Abdo do Seixo [UNIFESP] Oliveira, Jean Gonçalves de [UNIFESP] Braga, Fernando Menezes [UNIFESP] |
author_role |
author |
author2 |
Kadri, Paulo Abdo do Seixo [UNIFESP] Oliveira, Jean Gonçalves de [UNIFESP] Braga, Fernando Menezes [UNIFESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Federal de São Paulo (UNIFESP) |
dc.contributor.author.fl_str_mv |
Melo, Paulo M. Porto de [UNIFESP] Kadri, Paulo Abdo do Seixo [UNIFESP] Oliveira, Jean Gonçalves de [UNIFESP] Braga, Fernando Menezes [UNIFESP] |
dc.subject.por.fl_str_mv |
aneurysm complications slipped clip aneurisma complicações slipped clip |
topic |
aneurysm complications slipped clip aneurisma complicações slipped clip |
description |
Aneurysm rest occurs in 1 to 10% of operated patients and of these, 21.8% are due to slipped clips. D´Angelo and coworker (1998) found 1 to 10% of residual aneurysms. They suggest that if the residual aneurysm has less than 2 mm, angiographic control must be performed after 3-5 years of the surgical procedure; if between 2 and 4 mm, the angiographic control must be done in the first 6 months after surgery and then, anually. If it has more than 4mm a direct surgical approach is advised. We present the cases of two female patients submitted to microsurgical treatment of intracranial aneurysm, without any intra-operative abnormal event. The angiographic study further made showed displacement of the clip from its original position and aneurysm again. A review of the literature is also presented. |
publishDate |
2003 |
dc.date.none.fl_str_mv |
2003-03-01 2015-06-14T13:29:57Z 2015-06-14T13:29:57Z |
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://dx.doi.org/10.1590/S0004-282X2003000100029 Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 61, n. 1, p. 137-140, 2003. 10.1590/S0004-282X2003000100029 S0004-282X2003000100029.pdf 0004-282X S0004-282X2003000100029 http://repositorio.unifesp.br/handle/11600/1666 WOS:000182336700029 |
url |
http://dx.doi.org/10.1590/S0004-282X2003000100029 http://repositorio.unifesp.br/handle/11600/1666 |
identifier_str_mv |
Arquivos de Neuro-Psiquiatria. Academia Brasileira de Neurologia - ABNEURO, v. 61, n. 1, p. 137-140, 2003. 10.1590/S0004-282X2003000100029 S0004-282X2003000100029.pdf 0004-282X S0004-282X2003000100029 WOS:000182336700029 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
Arquivos de Neuro-Psiquiatria |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
137-140 application/pdf |
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 |
reponame:Repositório Institucional da UNIFESP instname:Universidade Federal de São Paulo (UNIFESP) instacron:UNIFESP |
instname_str |
Universidade Federal de São Paulo (UNIFESP) |
instacron_str |
UNIFESP |
institution |
UNIFESP |
reponame_str |
Repositório Institucional da UNIFESP |
collection |
Repositório Institucional da UNIFESP |
repository.name.fl_str_mv |
Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP) |
repository.mail.fl_str_mv |
biblioteca.csp@unifesp.br |
_version_ |
1814268437805924352 |