Stroke, Vol 24, 1087-1089, Copyright © 1993 by American Heart Association
DL Ladouceur
BACKGROUND AND PURPOSE: Treatment of intracranial aneurysms by
interventional neurovascular techniques may be useful as a therapeutic
alternative. We describe two cases of recurrent aneurysms after
endovascular treatment using detachable balloons. CASE DESCRIPTION: Two
cases are reported of recurrence 2 years after endovascular treatment of
cerebral aneurysms (posterior communicating in both cases). One patient had
a subarachnoid hemorrhage after rupture of a posterior communicating
aneurysm. The other patient had an aneurysm diagnosed incidentally after a
contrast-enhanced computed tomographic scan of the head for an unrelated
problem. Endovascular balloon embolization of both aneurysms was performed
without any immediate complication. Two years after treatment, a cerebral
angiogram showed recurrent aneurysms. Surgical clipping excluded both
aneurysms definitely. CONCLUSIONS: These cases highlight the importance of
control angiography at long- term follow-up and emphasize the significance
of balloon migration after endovascular treatment of aneurysms.
ARTICLES
Transcranial clipping of recurrent cerebral aneurysms after endovascular treatment
Department of Neurosurgery, Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada.
This article has been cited by other articles:
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A. A. Rabinstein and D. A. Nichols Endovascular Coil Embolization of Cerebral Aneurysm Remnants After Incomplete Surgical Obliteration Stroke, July 1, 2002; 33(7): 1809 - 1815. [Abstract] [Full Text] [PDF] |
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