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Evaluation of a clip-reinforced wrapping technique with collagen-impregnated Dacron for intracranial aneurysms inaccessible to other treatment.
Di Santo, M; Vaz, G; Doquier, M-A; Raftopoulos, C.
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  • Di Santo M; Department of Neurosurgery, University Hospital St-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200 Brussels, Belgium. Electronic address: Melissa.disanto@uclouvain.be.
  • Vaz G; Department of Neurosurgery, University Hospital St-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200 Brussels, Belgium. Electronic address: Jose.ribeirovaz@uclouvain.be.
  • Doquier MA; Department of Neuroanesthesia, UCL, University Hospital St-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200 Brussels, Belgium.
  • Raftopoulos C; Department of Neurosurgery, University Hospital St-Luc, Université catholique de Louvain, Avenue Hippocrate 10, 1200 Brussels, Belgium. Electronic address: Christian.raftopoulos@uclouvain.be.
Clin Neurol Neurosurg ; 138: 151-6, 2015 Nov.
Article en En | MEDLINE | ID: mdl-26342209
OBJECTIVE: To describe our clip-reinforced wrapping technique (CRW) with collagen-impregnated Dacron and report our experience in intracranial aneurysms (IA) untreatable by coil embolization (CE) or surgical clipping (SC). METHODS: Between July 2003 and November 2010, CRW was performed on 20 IAs in 18 patients using a collagen-impregnated Dacron fabric (Hemashield(®), USA) fixed with a clip around the parent vessel and the IA. RESULTS: Two patients (11%) died of complications from their subarachnoid hemorrhage and preexisting conditions. In the remaining 16 patients, after an average follow-up of 45 months (min: 27, max: 77), 16 (89%) out of the 18 treated aneurysms were no longer visible and two were reduced and stable. CONCLUSION: Our preliminary results suggest that CRW with Hemashield could be an accurate and safe alternative technique for some IA without any other treatment option. IMPLICATIONS: Description of an alternative surgical technique for otherwise untreatable intracranial aneurysms.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Colágeno / Tereftalatos Polietilenos / Procedimientos Neuroquirúrgicos Tipo de estudio: Evaluation_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Neurol Neurosurg Año: 2015 Tipo del documento: Article Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Aneurisma Intracraneal / Colágeno / Tereftalatos Polietilenos / Procedimientos Neuroquirúrgicos Tipo de estudio: Evaluation_studies Límite: Adult / Aged / Female / Humans / Male / Middle aged Idioma: En Revista: Clin Neurol Neurosurg Año: 2015 Tipo del documento: Article Pais de publicación: Países Bajos