Surgical Treatment of Complex Cerebral Aneurysms Using Interposition Short Vein Graft

Background/Aim. Aneurysm rupture followed by sub-arachnoid or intracerebral haemorrhage is always current topic and poses a great challenge to neurosurgeons. The aim of the study was to establish whether applying temporary occlusion before placing a final clip was justified. Methods. A prospective study was conducted on patients with aneurysm rupture, treated at Neurosurgical Clinic in Nis from January 2012 to December 2016. Patients belonging to I and II and 1, 2 and 3 grades according to the Hunt-Hess grading system and Fisher scale, respectively, were monitored. Results. In 85, out of total 182 bleeding aneurysms that were treated, a neurosurgeon decided to apply temporary clipping before placing the final clip. Temporary occlusion significantly influenced the presence of resulting neuro-logical deficit. Conclusion. The application of temporary occlusion facilitates placing the final clip but also affects the occurrence of neurological deficits. It is assumed that this is a consequence of caused vasospasm, considering that these are bleeding aneurysms.

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Experimentally induced cerebral aneurysms as model for non-surgical treatment

Journal of Clinical Neuroscience ◽

10.1016/0967-5868(94)90068-x ◽

1994 ◽

Vol 1 (4) ◽

pp. 266-273 ◽

Cited By ~ 2

Author(s):

Nobuo Hashimoto ◽

Fumitada Hazama

Keyword(s):

Surgical Treatment ◽

Cerebral Aneurysms ◽

Non Surgical Treatment ◽

Experimentally Induced

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Refractory De Novo Multiple Cerebral Aneurysms After Radiotherapy and Multistaged “Open” Surgical Treatment for Low-Grade Glioma During Long-Term Follow-Up: A Case Report and Review of the Literature

World Neurosurgery X ◽

10.1016/j.wnsx.2019.100031 ◽

2019 ◽

Vol 3 ◽

pp. 100031 ◽

Cited By ~ 1

Author(s):

Fumiaki Maruyama ◽

Toshihide Tanaka ◽

Ikki Kajiwara ◽

Koreaki Irie ◽

Toshihiro Ishibashi ◽

...

Keyword(s):

Case Report ◽

Surgical Treatment ◽

De Novo ◽

Cerebral Aneurysms ◽

Low Grade ◽

Review Of The Literature ◽

Long Term Follow Up ◽

Open Surgical Treatment

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3D Rotational Angiography: Recent Experience in the Evaluation of Cerebral Aneurysms for Treatment

Interventional Neuroradiology ◽

10.1177/159101990000600202 ◽

2000 ◽

Vol 6 (2) ◽

pp. 85-94 ◽

Cited By ~ 13

Author(s):

S. Ishihara ◽

I.B. Ross ◽

M. Piotin ◽

A. Weill ◽

H. Aerts ◽

...

Keyword(s):

Decision Making ◽

Surgical Treatment ◽

Endovascular Treatment ◽

Three Dimensional ◽

Cerebral Aneurysms ◽

Early Experience ◽

Recent Experience ◽

Rotational Angiography ◽

3D Images ◽

3D Rotational Angiography

Three dimensional (3D) reconstruction techniques providing volume rendered 3D images from rotational angiography data now exist. We report the design and early experience with one such system. 237 aneurysms were studied. Information was obtained on the morphology of the aneurysm itself and the vascular architecture in and around the aneurysm. 218 (92%) aneurysms went on to have endovascular treatment. The 3D images provided valuable information on aneurysmal anatomy, including relationships with the parent and adjacent vessels. This technique allowed fast and safe decision-making regarding the feasibility of endovascular or surgical treatment and provided useful information for performing the chosen treatment.

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Three-dimensional Reconstructed Images after Rotational Angiography in the Evaluation of Intracranial Aneurysms: Surgical Correlation

Neurosurgery ◽

10.1097/00006123-200010000-00016 ◽

2000 ◽

Vol 47 (4) ◽

pp. 866-871 ◽

Cited By ~ 67

Author(s):

Shuichi Tanoue ◽

Hiro Kiyosue ◽

Hiroyuki Kenai ◽

Takaharu Nakamura ◽

Masanori Yamashita ◽

...

Keyword(s):

Surgical Treatment ◽

Intracranial Aneurysms ◽

Surface Display ◽

Three Dimensional ◽

Cerebral Aneurysms ◽

Maximum Intensity Projection ◽

Rotational Angiography ◽

Neck Size ◽

Visualization Techniques ◽

Biplane Angiography

Abstract OBJECTIVE To evaluate the diagnostic accuracy of three-dimensional reconstructed images from rotational subtraction angiography in the surgical treatment of intracranial aneurysms. METHODS Twenty-two patients with 34 intracranial aneurysms underwent biplane angiography (40 degrees per s, 4.5 degrees per image, 8.8 frames per s). Three-dimensional (3-D) reconstructed images were obtained at a separate Advantage 3.1 workstation (General Electric, Milwaukee, WI) after the rotational images were transferred. The available visualization techniques included maximum intensity projection, shaded surface display, and virtual endoluminal view. All images were evaluated in correlation with intrasurgical visual data recorded on videotapes. RESULTS 3-D reconstructed images correlated well with surgical findings. The shape of the aneurysms, their neck size, and their relationships to the parent vessels and other branches were depicted clearly, especially compared with images obtained by two-dimensional conventional subtraction angiography and magnetic resonance angiography. CONCLUSION 3-D subtraction angiography enables the surgeon to understand the 3-D structure of lesions and is very useful in planning the surgical treatment of cerebral aneurysms.

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