2018
DOI: 10.1016/j.wneu.2018.06.091
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Safety and Efficacy of Surgical Treatment of Intracranial Aneurysms: The Experience of a Single Brazilian Center

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Cited by 7 publications
(3 citation statements)
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“…For endovascular UIA therapy, there is recent information given by Kallmes [16] who described in an international retrospective multicenter study mortality after stent embolizations as 3.8% and with giant aneurysms as 10.9%.and others [6,22]. Although the capacity of microsurgery to reconstruct vessel walls is known to be higher than from endovascular tools, publications indicate that there is a significant rate of incomplete aneurysm occlusions even after surgical treatment (Dellaretti as 10.2%, Nussbaum as 8%, and Nanda as 6% [11,23,24]). Our surgical occlusion rate of 92% is well comparable to these data.…”
Section: Resultsmentioning
confidence: 99%
“…For endovascular UIA therapy, there is recent information given by Kallmes [16] who described in an international retrospective multicenter study mortality after stent embolizations as 3.8% and with giant aneurysms as 10.9%.and others [6,22]. Although the capacity of microsurgery to reconstruct vessel walls is known to be higher than from endovascular tools, publications indicate that there is a significant rate of incomplete aneurysm occlusions even after surgical treatment (Dellaretti as 10.2%, Nussbaum as 8%, and Nanda as 6% [11,23,24]). Our surgical occlusion rate of 92% is well comparable to these data.…”
Section: Resultsmentioning
confidence: 99%
“…Moreover, there is the question of the UCAS not being relevant for populations outside Japan. There are still centers that recommend treatment for all small aneurysms possessing risk of developing SAH, the presence of a daughter sack or multiple aneurysms [78,104]. After the ISAT was published, endovascular techniques gained a boost in popularity in the USA for both ruptured and unruptured aneurysms, overtaking surgical treatment in number of procedures performed [105].…”
Section: Clipping Of Solitary Unruptured Aneurysmsmentioning
confidence: 99%
“…Aneurysmal rest (or dog ear) occurs when a small triangular portion of the neck is not occluded by the aneurysmal blades. In time, and under certain hemodynamic conditions, this residual neck can lead to aneurysm regrowth, and eventual rupture, requiring further imaging studies and possibly another intervention [104]. In the microsurgical series described by Nanda, the majority of recurrences were found at the ACoA, followed by ICA, VA, and PICA [163].…”
Section: Complications Of Surgical Clippingmentioning
confidence: 99%