Browse > Article

Analysis of Clinical Outcome and Complications After Microsurgical Clipping of Unruptured Paraclinoid Aneurysms  

Oh, Sun-Kyu (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Jang, In-Seok (Department of Neurological Surgery, Korea Institute of Radiological and Medical Sciences)
Ahn, Jae-Sung (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Kwon, Do-Hoon (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Kwun, Byung-Duk (Department of Neurological Surgery, Asan Medical Center, University of Ulsan College of Medicine)
Publication Information
Journal of Cerebrovascular and Endovascular Neurosurgery / v.12, no.3, 2010 , pp. 202-205 More about this Journal
Abstract
Objective : The study reports the clinical outcomes and complication rates of microsurgical clipping of unruptured paraclinoid aneurysms. Methods : From July 1997 to December 2008, 61 patients underwent microsurgical clipping for 61 unruptured paraclinoid aneurysms in our institute. Entire medical records, radiographic data, and operation records were reviewed retrospectively. Results : After the microsurgical clipping, complete obstruction was achieved in 56 patients (91.8%). Visual disturbance (nine cases, 14.8%) was the most frequent complication. Overall, 59 patients (96.7%) had a good long-term outcome (Glasgow outcome scale score of 4-5 3 months post-operatively). Conclusion : For patients with paraclinoid aneurysms, satisfactory outcomes can be achieved by microneurosurgical management. These results will be useful when considering treatment of an unruptured paraclinoid aneurysm.
Keywords
Paraclinoid aneurysm; Surgical clipping; Outcome; Complication;
Citations & Related Records
Times Cited By KSCI : 1  (Citation Analysis)
연도 인용수 순위
1 Barami K, Hernandez VS, Diaz FG, Guthikonda M. Paraclinoid Carotid Aneurysms. Surgical Management, Complications, and Outcome Based on a New Classification Scheme. Skull Base 13:31-41, 2003   DOI   ScienceOn
2 Batjer HH, Kopitnik TA, Giller CA, Samson DS. Surgery for paraclinoidal carotid artery aneurysms. J Neurosurg 80:650-8, 1994   DOI   ScienceOn
3 Bouthillier A, van Loveren HR, Keller JT. Segments of the internal carotid artery: a new classification. Neurosurgery 38:425-32; discussion 32-3, 1996
4 Cawley CM, Zipfel GJ, Day AL. Surgical treatment of paraclinoid and ophthalmic aneurysms. Neurosurg Clin N Am 9:765-83, 1998
5 Day AL. Aneurysms of the ophthalmic segment. A clinical and anatomical analysis. J Neurosurg 72:677-91, 1990   DOI
6 Dolenc VV. A combined transorbital-transclinoid and transsylvian approach to carotid-ophthalmic aneurysms without retraction of the brain. Acta Neurochir Suppl 72:89-97, 1999
7 Drake CG, Vanderlinden RG, Amacher AL. Carotid-ophthalmic aneurysms. J Neurosurg 29:24-31, 1968   DOI
8 Ferguson GG, Drake CG. Carotid-ophthalmic aneurysms: visual abnormalities in 32 patients and the results of treatment. Surg Neurol 16:1-8, 1981   DOI   ScienceOn
9 Guidetti B, La Torre E. Management of carotid-ophthalmic aneurysms. J Neurosurg 42:438-42, 1975   DOI
10 Heros RC, Nelson PB, Ojemann RG, Crowell RM, DeBrun G. Large and giant paraclinoid aneurysms: surgical techniques, complications, and results. Neurosurgery 12:153-63, 1983   DOI
11 Hoh BL, Carter BS, Budzik RF, Putman CM, Ogilvy CS. Results after surgical and endovascular treatment of paraclinoid aneurysms by a combined neurovascular team. Neurosurgery 48:78-89; discussion -90, 2001
12 Iihara K, Murao K, Sakai N, Shindo A, Sakai H, Higashi T, et al. Unruptured paraclinoid aneurysms: a management strategy. J Neurosurg 99:241-7, 2003   DOI   ScienceOn
13 Jin SC, Kwon do H, Ahn JS, Kwun BD, Song Y, Choi CG. Clinical and radiogical outcomes of endovascular detachable coil embolization in paraclinoid aneurysms : a 10-year experience. J Korean Neurosurg Soc 45:5-10, 2009   과학기술학회마을   DOI
14 Kothandaram P, Dawson BH, Kruyt RC. Carotid-ophthalmic aneurysms. A study of 19 patients. J Neurosurg 34:544-8, 1971   DOI
15 Kumon Y, Sakaki S, Kohno K, Ohta S, Ohue S, Oka Y. Asymptomatic, unruptured carotid-ophthalmic artery aneurysms: angiographical differentiation of each type, operative results, and indications. Surg Neurol 48:465-72, 1997   DOI   ScienceOn
16 Liu Y, You C, He M, Cai BW. Microneurosurgical management of the clinoid and paraclinoid aneurysms. Neurol Res 30:552-6, 2008   DOI   ScienceOn
17 Locksley HB. Natural history of subarachnoid hemorrhage, intracranial aneurysms and arteriovenous malformations. J Neurosurg 25:321-68, 1966   DOI
18 Nutik SL. Removal of the anterior clinoid process for exposure of the proximal intracranial carotid artery. J Neurosurg 69:529-34, 1988   DOI
19 Park HK, Horowitz M, Jungreis C, Kassam A, Koebbe C, Genevro J, et al. Endovascular treatment of paraclinoid aneurysms: experience with 73 patients. Neurosurgery 53:14-23; discussion 4, 2003   DOI   ScienceOn
20 Yasargil MG, Gasser JC, Hodosh RM, Rankin TV. Carotidophthalmic aneurysms: direct microsurgical approach. Surg Neurol 8:155-65, 1977
21 Vinuela F, Fox A, Chang JK, Drake CG, Peerless SJ. Clinicoradiological spectrum of giant supraclinoid internal carotid artery aneurysms. Observations in 93 cases. Neuroradiology 26:93-9, 1984   DOI