Management of complex, surgically intractable intracranial aneurysms: the option for intentional reconstruction of aneurysm neck followed by endovascular coiling.

摘要: Background: A limited series of patients with aneurysm were reviewed retrospectively to analyze strategies for integrating microsurgical and endovascular techniques in the management complex, surgically intractable aneurysms. Methods: Four managed Fujita Health University a multimodality approach: intentional reconstruction neck followed by coiling. Results: total 5 aneurysms treated, which 3 large or giant size, fusiform multilobulated. Complete angiographic obliteration was confirmed 4 (80%). All had good outcome (Glasgow Outcome Scale score 5; mean follow-up, 64 months). Conclusion: As aneurysms, coiling should be considered more often.