Clip-on-wrapping with dura mater to treat intracranial aneurysm neck avulsion: Case reports and review of the literature

Feng, Yugong; Li, Shifang; Zhang, Peining; Xin, Tao; Meng, Qinghai; Tang, Wanzhong; Li, Huanting

doi:10.1016/j.clineuro.2013.07.034

Cited by 6 publications

(3 citation statements)

References 6 publications

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“…Cotton fiber was used as wrapping material prior to the suggestion by Feng et al in 2013 that dura matter has higher efficiency in blocking perforation while maintaining patency. 31 However, this method is not suitable for complete neck avulsion due to the deficit of aneurysmal neck or residual root; in such cases, an in situ bypass is required. 32 , 33 …”

Section: Surgical Techniquesmentioning

confidence: 99%

Current Treatment Strategies for Intracranial Aneurysms: An Overview

Lin²,

et al. 2017

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Intracranial aneurysm is a leading cause of stroke. Its treatment has evolved over the past 2 decades. This review summarizes the treatment strategies for intracranial aneurysms from 3 different perspectives: open surgery approach, transluminal treatment approach, and new technologies being used or trialed. We introduce most of the available treatment techniques in detail, including contralateral clipping, wrapping and clipping, double catheters assisting coiling and waffle-cone technique, and so on. Data from major trials such as Analysis of Treatment by Endovascular approach of Non-ruptured Aneurysms (ATENA), Internal Subarachnoid Trial (ISAT), Clinical and Anatomical Results in the Treatment of Ruptured Intracranial Aneurysms (CLARITY), and Barrow Ruptured Aneurysm Trial (BRAT) as well as information from other clinical reports and local experience are reviewed to suggest a clinical pathway for treating different types of intracranial aneurysms. It will be a valuable supplement to the current existing guidelines. We hope it could help assisting real-time decision-making in clinical practices and also encourage advancements in managing the disease.

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Section: Surgical Techniquesmentioning

confidence: 99%

Current Treatment Strategies for Intracranial Aneurysms: An Overview

Lin²,

et al. 2017

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“…Rather, it is reserved for situations in which little else is possible. Wrapping can be performed with various materials such as cotton, cellulose fabric, muscle, or dura [ 35 ]. Wrapping and clipping was sometimes recommended for dissecting aneurysms where simple clipping is hazardous due to the friable wall of the aneurysm and parent artery [ 35 ].…”

Section: Wrapping Techniquementioning

confidence: 99%

The Management of Intracranial Aneurysms: Current Trends and Future Directions

Deshmukh,

Priola,

Katsanos

et al. 2024

Neurology International

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Intracranial aneurysms represent a major global health burden. Rupture of an intracranial aneurysm is a catastrophic event. Without access to treatment, the fatality rate is 50% in the first 30 days. Over the last three decades, treatment approaches for intracranial aneurysms have changed dramatically. There have been improvements in the medical management of aneurysmal subarachnoid haemorrhage, and there has been an evolution of treatment strategies. Endovascular therapy is now the mainstay of the treatment of ruptured intracranial aneurysms based on robust randomised controlled trial data. There is now an expansion of treatment indications for unruptured intracranial aneurysms to prevent rupture with both microsurgical clipping and endovascular treatment. Both microsurgical and endovascular treatment modalities have evolved, in particular with the introduction of innovative endovascular treatment options including flow diversion and intra-saccular flow disruption. These novel therapies allow clinicians to treat more complex and previously untreatable aneurysms. We aim to review the evolution of treatment strategies for intracranial aneurysms over time, and discuss emerging technologies that could further improve treatment safety and functional outcomes for patients with an intracranial aneurysm.

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“…The sling should be tight enough to create a buttress and plug the defect, whilst not too tight to cause stenosis and potential flow impairment. [3,20,35,42] Three case reports have been described using this technique successfully when managing an intraoperative ICA injury, 2 injuries occurred whilst resecting a medial sphenoid wing meningioma and in the case of Ogilvy et al during the dissection of the terminal ICA off a giant In 1981, Fairgrieve et al described an intraoperative injury of a petrous ICA during the resection of a welldifferentiated squamous-celled carcinoma of the lateral skull base, which was successfully treated with a vein graft, kept in situ with a bony strut (polymethyl methacrylate-styrene copolymer activated by methyl methacrylate). An injury was anticipated, so distal control was achieved with an endovascular balloon and proximal control by clamping the cervical ICA.…”

Section: Surgical Optionsmentioning

confidence: 99%

The surgical management of intraoperative intracranial internal carotid artery injury in open skull base surgery—a systematic review

et al. 2021

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Intraoperative internal carotid artery (ICA) injury during open skull base surgery is a catastrophic complication. Multiple techniques and management strategies have been reported for endoscopic skull base surgery; however, the literature on managing this complication in open skull base surgery is limited. To perform a systematic review and give an overview of the different techniques described to manage this complication intraoperatively, a systematic review was conducted in PubMed, Ovid Medline, Ovid Embase and Scopus for literature published until July 2021. Titles and abstracts were screened. Studies meeting prespecified inclusion criteria were reviewed in full. PRISMA guidelines were strictly adhered to. Out of 4492 articles, only 12 articles could be included, reflecting an underreporting of open skull base ICA injuries. Multiple techniques can be used depending on the location and size of the injury as well as the surgeon's experience. Described techniques include the following: a primary repair via a micro-suture or nonpenetrating clips; wrapping or plugging; coating; occlusion of the parent artery with or without a bypass; packing with further endovascular management. A treatment algorithm is proposed.

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Clip-on-wrapping with dura mater to treat intracranial aneurysm neck avulsion: Case reports and review of the literature

Cited by 6 publications

References 6 publications

Current Treatment Strategies for Intracranial Aneurysms: An Overview

Current Treatment Strategies for Intracranial Aneurysms: An Overview

The Management of Intracranial Aneurysms: Current Trends and Future Directions

The surgical management of intraoperative intracranial internal carotid artery injury in open skull base surgery—a systematic review

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