Slipped clip: relato de dois casos

Detalhes bibliográficos
Autor(a) principal: Melo, Paulo M. Porto de [UNIFESP]
Data de Publicação: 2003
Outros Autores: Kadri, Paulo Abdo do Seixo [UNIFESP], Oliveira, Jean Gonçalves de [UNIFESP], Braga, Fernando Menezes [UNIFESP]
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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spelling 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
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