Treatment of recurrent intracranial aneurysms / 中华神经医学杂志

ABSTRACT

Objective To explore recurrent mechanism and combined treatment for the patients with recurrent intracranial aneurysms. Methods Clinical manifestations and image data of 18 patients with intracranial aneurysms (13 anterior and 5 posterior communicating artery aneurysms)who were treated with aneurysm clipping or endovascular interventional therapy from 1997 to 2004 were comprehensively analyZed to establish individual combined treatment strategies.In the 18 recurrent cases,15 underwent again endovascular embolotherapy,4 were implanted intracranial stent due to wide-necked aneurysm, and 3 received clipping operation. Results Intravascular embolotherapy and clipping operation were both successful in these patients. All cases achieved satisfactory recovery except that 1 case died and 2 suffered from hemiplegia. Conclusions The combined treatment strategies based on individual characteristics of current aneurysms,such as surgical clipping,endovascular therapy combined with stenting,can improve post-operative quality,of patients'life and decrease mortality.