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Stroke. 1993;24:1087-1089

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Stroke, Vol 24, 1087-1089, Copyright © 1993 by American Heart Association


ARTICLES

Transcranial clipping of recurrent cerebral aneurysms after endovascular treatment

DL Ladouceur
Department of Neurosurgery, Centre Hospitalier Universitaire de Sherbrooke, Quebec, Canada.

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.


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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.
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