Clipping Versus Coiling in the Management of Unruptured Aneurysms with Multiple Risk Factors

Huang, Chong; You, Chao

doi:10.1016/j.wneu.2019.02.090

Cited by 8 publications

(1 citation statement)

References 17 publications

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“… 29 In a meta-analysis published by Ruan et al, 30 it was found that in terms of death, bleeding, cerebral ischemia, occlusion of aneurysm, and independence in daily activities, the risk ratios of both modalities of treatment were similar. In a study performed by Huang and You, 31 it was reported that surgical clipping of UIAs was associated with a low rate of complications and a high rate of complete aneurysmal obliteration for patients with multiple risk factors, however, the endovascular management showed successful results, with a shorter length of stay and a modest procedure-related morbidity. Further long-term outcome studies are necessary.…”

Section: Discussionmentioning

confidence: 99%

Magnetic resonance imaging finding of coexistence of bilateral paraclinoid aneurysms in a patient with a nonfunctioning macroadenoma, simultaneous resection, and clipping: illustrative case

Mondragón-Soto

Villanueva-Castro

Tovar-Romero

et al. 2022

Journal of Neurosurgery: Case Lessons

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BACKGROUND Unruptured incidental intracranial aneurysm can coexist with pituitary adenoma, however, the occurrence is extremely rare. Timely diagnosis of asymptomatic intracranial aneurysms with pituitary adenoma may lead to planning a tailored surgical strategy to deal with both pathologies simultaneously. A case of a patient who underwent transcranial resection of a pituitary adenoma with clipping of two mirror aneurysms is reported. OBSERVATIONS A 55-year-old female presented with deterioration of visual acuity that progressed over 1 year, as well as presence of right eyelid ptosis. Magnetic resonance imaging of the head showed the presence of an intrasellar pituitary macroadenoma. Bilateral paraclinoid aneurysms were documented to be in contact with the pituitary tumor. The patient underwent surgery with simultaneous aneurysm clipping and tumor resection through a standard pterional approach with intradural clinoidectomy. The aneurysms were successfully clipped after the tumoral debulking. After clipping, the pseudocapsule was fully resected. LESSONS Various treatment options are available. Although endovascular securing of the aneurysms prior to the tumor resection would be ideal, in cases in which this resource is not readily available at all times, the surgeon must be prepared to solve pathologies with an elevated level of complexity.

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Section: Discussionmentioning

confidence: 99%