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Minim Invasive Neurosurg 1999; 42(1): 22-26
DOI: 10.1055/s-2008-1053363
© Georg Thieme Verlag Stuttgart · New York

Coiling of Recurrent and Residual Cerebral Aneurysms after Unsuccessful Clipping

G. Bavinzski, V. Talazoglu, M. Killer, A. Gruber, B. Richling, R. Al-Shameri
  • Department of Neurosurgery, University of Vienna, Medical School, Vienna, Austria
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Publication History

Publication Date:
18 March 2008 (online)

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Abstract

We treated four patients with 3 recurrent and 1 residual aneurysm after surgical clipping by using Guglielmi detachable coils (GDCs). Three subjects presented after a second subarachnoid hemorrhage (SAH) occurring between 10 and 25 years after the first bleeding. Early postoperative angiography of the fourth patient showed an incompletely clipped aneurysm. In three poor grade patients we observed one good outcome, one fair result and one death due to the sequelae of SAH. One good grade patient remained in excellent condition postoperatively. Three aneurysms were totally occluded and in one a more than 90% oc-clusion was achieved with GDCs. We consider the treatment with GDC a viable alternative to reoperation in all patients with recurrent or residual aneurysms following failed attempt at surgical obliteration.

Key words

Aneuryms - Aneurysm rest - Failed surgery - Detachable coil - Embolization - Electrothrombosis