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2014, Número 1

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Gac Med Mex 2014; 150 (1)


Manejo endovascular de aneurismas intracraneales (AI) residuales posquirúrgicos

Santos FJ, Aguilar FA, Saavedra AR, Sandoval BMA

Idioma: Español
Referencias bibliográficas: 23
Paginas: 24-28
Archivo PDF: 282.79 Kb.


RESUMEN

Objetivos: Reconocer y evaluar los casos de aneurismas residuales posquirúrgicos (ARP) y su tratamiento endovascular en nuestra institución. Materiales y métodos: Se hizo la recolección ambispectiva clínica de todos los casos de aneurismas posclipados tratados en un lapso de cuatro años y se analizó su manejo endovascular. Resultados: Se cliparon 290 AI; a 270 se les realizó una angiografía por sustracción digital (ASD) de control. Se encontraron 10 aneurismas residuales (3.7), dos de los cuales se reoperaron, y a seis se les realizó una embolización con coils. Conclusiones: Los aneurismas residuales postoperatorios de nuestra institución son equiparables a los de la literatura mundial. La embolización de estos aneurismas es segura y eficaz.


REFERENCIAS (EN ESTE ARTÍCULO)

  1. Polevaya NV, Kalani MY, Steinberg GK, Tse VC. The transition from hunterian ligation to intracranial aneurysm clips: a historical perspective. Neurosurg Focus. 2006;20(6):E3.

  2. Cowan J, Ziewacz J, Dimick J, Upchurch G, Thompson G. Use of endovascular coil embolization and surgical clip occlusion for cerebral artery aneurysms. J Neurosurg. 2007;107:530-5.

  3. Kim BM, Kim DJ, Kim DI, Park SI, Suh SH, Won YS. Clinical presentation and outcomes of coil Embolization of Remnant or Recurred Intracranial Aneurysm After Clipping. Neurosurgery. 2010;66:1128-33.

  4. Dott NM. Intracranial aneurysmal formations. Clin Neurosurg. 1969;16:1-16.

  5. Dott NM. Intracranial aneurysms: cerebral arterio-radiography: surgical treatment. Edinburgh Med J. 1933;40:219-34.

  6. Dujovny M, Kossovsky N, Kossowsky R, et al. Mechanical and metallurgical properties of carotid artery clamps. Neurosurgery. 1985;17: 760-7.

  7. Yasargil MG, Antic J, Laciga R, Jain KK, Hodosh RM, Smith RD. Microsurgical pterional approach to aneurysms of the basilar bifurcation. Surg Neurol. 1976;6:83-91.

  8. Muroi C, El Beltagy M, Fandino J, Yonekawa Y. Patterns of Aneurysm Recurrence After Microsurgical Clip Obliteration. Neurosurgery. 2013. [Epub ahead of print]

  9. el-Beltagy M, Muroi C, Roth P, Fandino J, Imhof HG, Yonekawa Y. Recurrent intracranial aneurysms after successful neck clipping. World Neurosurg. 2010;74:472-7.

  10. Feueberg I, Lindquis C, Lindqvist M, Steiner L. Natural history of postoperative aneuryms rests. J Neurosurg. 1987;66:30-4.

  11. Kossowsky R, Dujovny M, Kossovsky N, Keravel Y. Failure of a Heifetz aneurysm clip. J Neurosurg. 1982;57:233-42.

  12. Ebina K, Suzuki M, Andoh A, Saitoh K, Iwabuchi T. Recurrence of cerebral aneurysm after initial neck clipping. Neurosurgery. 1982;11:764-72.

  13. Carvi Y, Nievas M, Höllerhage H. Risk of intraoperative aneurysm clip slippage: a new experience with titanium clips. J Neurosurg. 2000;92: 478-80.

  14. Drake CG, Friedman AH, Peerles SJ. Failed aneurysm surgery: Reoperation in 115 cases. J Neurosurg. 1984;61:848-56.

  15. Drake C, Vanderlinden R. The late consequences of incomplete surgical treatment of cerebral aneurysm. J Neurosurg. 1967;27:226-38.

  16. Weir BKA, Drake CG. Rapid growth of residual aneurysm neck during pregnancy. Case report. J Neurosurg. 1991;75:780-2.

  17. Forsting M, Albert FK, Jansen O, et al. Coil placement after clipping: Endovascular treatment of incompletely clipped cerebral aneurysms. J Neurosurg. 1996;85:966-9.

  18. Rabinstein A, Nichols D. Endovascular coil embolization of cerebral aneurysm remnants after incomplete surgical obliteration. Stroke. 2002; 33:1809-15.

  19. Thielen K, Nichols D, Fulgham j, Piepgras D. Endovascular treatment of cerebral aneurysms following incomplete clipping. J Neurosurg. 1997; 87:184-9.

  20. Giannotta SL, Litofsky NS. Reoperative management of intracranial aneurysms. J Neurosurg. 1995;83:387-93.

  21. Lylyk P, Cohen J, Ceratto R, Ferrario A, Miranda C. Tratamiento endovascular de remanentes aneurismaticos. Medicina (Buenos Aires). 2001; 61:57-62.

  22. Cekirge HS, Islak C, Firat MM, Kocer N, Saatci I. Endovascular coil embolization of residual or recurrent aneurysms after surgical clipping. Acta Radiol. 2000;41:111-5.

  23. Frazer KW, Halbach VV, Teitelbaum GP, et al. Endovascular platinum coil embolization of incompletely surgically clipped cerebral aneurysms. Surg Neurol. 1994;41:4-8..




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