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Journal of Korean Neurosurgical Society > Volume 32(5); 2002 > Article
Journal of Korean Neurosurgical Society 2002;32(5): 463-469.
Surgical Removal of Coil and Clipping of Aneurysm after Failure of Intraaneurysmal Coil Embolization: Case Report.
Sung Sam Jung, Jae Whan Lee, Kyu Chang Lee, Seung Kon Huh, Dong Ik Kim
1Department of Neurosurgery, Yonsei University College of Medicine, Seoul, Korea. leekc@yumc.yonsei.ac.kr
2Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea.
3Brain Research Institute, Yonsei University College of Medicine, Seoul, Korea.
ABSTRACT
Despite modern advances in endovascular techniques, intraaneurysmal coil embolization may be associated with serious complications such as parent artery occlusion by thromboembolism and coil migration or incomplete treatment, which require surgery. We report 5 cases in which surgical interventions had been necessary following coil embolization with Guglielmi Detachable Coil, either due to incomplete aneurysm obliteration or acute complication of parent artery occlusion by coil migration and throm-boembolism. Surgical intervention include removal of the coils and clipping of the aneurysm. Immediate recanalization of the occluded artery by use of intra-arterial thrombolytics and surgery is very important. The role of neurosurgical management in the care of the patients suffering from unsuccessful endovascular therapy of aneurysm is demonstrated.
Key Words: Aneurysm; Endovascular therapy; Surgery
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