tailieunhanh - Báo cáo khoa hoc:" Technical challenges to surgical clipping of aneurysmal regrowth with coil herniation following endovascular treatment – a case report"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Technical challenges to surgical clipping of aneurysmal regrowth with coil herniation following endovascular treatment – a case report | Journal of Medical Case Reports BioMed Central Case report Open Access Technical challenges to surgical clipping of aneurysmal regrowth with coil herniation following endovascular treatment - a case report Promod Pillai Aftab Karim and Anil Nanda Address Department of Neurosurgery Louisiana State University Health Sciences Center Shreveport Louisiana 71130 USA Email Promod Pillai - Aftab Karim - aftabkarim@ Anil Nanda - ananda@ Corresponding author Published 4 December 2007 Received 30 April 2007 Journal of Medical Case Reports 2007 1 168 doi 1752-1947-1-168 Accepted 4 December 2007 This article is available from http content 1 1 168 2007 Pillai et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract In recent years technical developments have made endovascular procedures attractive therapeutic options and enabled the endovascular surgeon to redefine the management of cerebral aneurysms. However as the number of aneurysms undergoing endovascular therapy has grown so has the number of patients with incompletely treated aneurysms who are presenting for further management. In cases of failure of endovascular treatment caused by either incomplete occlusion or regrowth of the aneurysm a complementary treatment is often necessary. Surgical treatment of these patients is challenging. We present a case of a ruptured posterior cerebral artery aneurysm treated initially with endovascular coiling that left behind significant residual aneurysmal sac. Regrowth of the aneurysm documented on follow-up was treated surgically. At surgery the coil was found to have herniated through the aneurysmal sac into the subarachnoid space and the aneurysm was .