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Aneurysm clipping following endovascular coil embolization: a report of two cases

Giovanni Grasso, Concetta Alafaci, Marcello Passalacqua, Francesco Meli, Rosario Maugeri, Filippo Giambartino, Domenico G. Iacopino, Francesco M. Salpietro, Francesco Tomasello

Med Sci Monit 2009; 15(4): CS63-66

ID: 869602


Background: Treatment of intracranial aneurysms by Guglielmi detachable coil (GDC) embolization is a useful therapeutic alternative to surgery. This procedure is attractive as a minimally invasive approach to treat cerebral aneurysms; however, is not devoid of complications or failure and retreatment, with either a surgical or endovascular technique, may often be required.
Material and Method: Two cases are presented in which surgery was required after coil embolization. In one case, surgical treatment was performed one month later because of regrowth and subsequent bleeding of the aneurysm. In the second case, surgical treatment was carried out six months later because of recanalization of the vascular malformation. Surgical treatment excluded both aneurysms from the cerebral circulation.
Results:
Conclusions: In this paper the authors illustrate their experience and underline the difficulty of aneurysm surgery with coils in place.

This paper has been published under Creative Common Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) allowing to download articles and share them with others as long as they credit the authors and the publisher, but without permission to change them in any way or use them commercially.
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