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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
11:58

Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms

Published on: August 11, 2015

Treatment of cerebral aneurysms: surgical clipping and coil embolization

Y Kaku1, H Watarai, J Kokuzawa

  • 1Department of Neurosurgery, Asahi University Murakami Memorial Hospital, Gifu, Japan - kaku@murakami.asahi-u.ac.jp.

Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences
|June 23, 2010
PubMed

Insights

Surgical clipping and coil embolization offer effective treatment for cerebral aneurysms. A combined approach may provide the best outcomes for patients with these vascular conditions.

Area of Science:

  • Neurosurgery
  • Interventional Neurology
  • Vascular Neurology

Background:

  • Cerebral aneurysms pose significant risks, including subarachnoid hemorrhage.
  • Surgical clipping and endovascular coil embolization are primary treatment modalities.
  • Optimal treatment selection requires careful consideration of aneurysm characteristics and patient factors.

Purpose of the Study:

  • To compare the outcomes of surgical clipping versus endovascular coil embolization for cerebral aneurysms.
  • To evaluate the efficacy and complication rates of both treatment strategies.
  • To assess the benefit of a combined microsurgical-endovascular approach.

Main Methods:

  • Retrospective analysis of 76 consecutive patients with cerebral aneurysms treated between January 2004 and March 2006.
  • Patients underwent either surgical clipping, endovascular embolization, or a combination.
  • Outcomes were assessed based on favorable outcome rates, re-treatment needs, and complication incidence.

Main Results:

  • Favorable outcomes were achieved in 73.9% of surgically treated patients and 63.2% of endovascularly treated patients.
  • Endovascular treatment required re-treatment in 15.8% of cases, while surgical clipping did not.
  • Complication rates were comparable between the two modalities for both ruptured and unruptured aneurysms.

Conclusions:

  • Both surgical clipping and endovascular embolization are viable treatment options for cerebral aneurysms.
  • Surgical clipping demonstrated a higher rate of favorable outcomes and avoided re-treatment in this series.
  • A combined microsurgical-endovascular team approach is recommended for optimal patient management.
Abstract

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