Surgical Outcome of Very Small Intracranial Aneurysms Utilizing the Double Clip Technique

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Rahmanian , A , Ghaffarpasand , F , Alibai , E , Choque-Velasquez , J , Jahromi , B R & Hernesniemi , J 2018 , ' Surgical Outcome of Very Small Intracranial Aneurysms Utilizing the Double Clip Technique ' , World Neurosurgery , vol. 110 , pp. E605-E611 . https://doi.org/10.1016/j.wneu.2017.11.060

Title: Surgical Outcome of Very Small Intracranial Aneurysms Utilizing the Double Clip Technique
Author: Rahmanian, Abdolkarim; Ghaffarpasand, Fariborz; Alibai, Ehsanali; Choque-Velasquez, Joham; Jahromi, Behnam Rezai; Hernesniemi, Juha
Contributor: University of Helsinki, Clinicum
University of Helsinki, Neurokirurgian yksikkö
University of Helsinki, Clinicum
Date: 2018-02
Language: eng
Number of pages: 7
Belongs to series: World Neurosurgery
ISSN: 1878-8750
URI: http://hdl.handle.net/10138/300964
Abstract: OBJECTIVES: To report the outcome of patients with very small intracranial aneurysm (VSIA) undergoing surgical clipping using a double-clip technique. METHODS: This cross-sectional study was conducted in Namazi Hospital, the main referral neurovascular center in Southern Iran during a 6-year period from September 2010 to March 2016. All patients with VSIAs ( RESULTS: Operations were performed on 32 VSIAs in 26 patients with a mean +/- SD age of 55.7 +/- 10.1 years. Middle cerebral artery was the most common location for VSIA (50.0%). There was no neck remnant, and the complete occlusion rate was 100%. The rate of intraoperative aneurysm rupture was 30.8%, and none of the patients experienced rebleeding. The 6-month mortality rate was 0% in ruptured VSIAs and 6.25% in unruptured VSIAs. Most of the patients had favorable outcomes (88.5%), and the overall mortality rate was 11.5%. The rate of permanent neurologic deficit was 10.0% in ruptured and 12.5% in unruptured VSIAs. Multivariate logistic regression analysis revealed no association between baseline and clinical characteristics and outcome in this series. CONCLUSION: VSIAs are difficult to treat because of their small sizes; therefore, with a double-clip technique, one can reduce complications related to the treatment of small aneurysms.
Subject: Double-clip technique
Outcome
Surgical clipping
Very small intracranial aneurysms
VSIA
HONG-KONG CHINESE
INTRAOPERATIVE RUPTURE
ENDOVASCULAR COILING
SUBARACHNOID HEMORRHAGE
SINGLE-CENTER
TRIAL ISAT
LOCATION
SIZE
SURVIVAL
3112 Neurosciences
3126 Surgery, anesthesiology, intensive care, radiology
3124 Neurology and psychiatry
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