| Journal: | Arquivos de neuro-psiquiatria |
| Database: | PERIÓDICA |
| System number: | 000393596 |
| ISSN: | 0004-282X |
| Authors: | Pahl, Felix Hendrik1 Oliveira, Matheus Fernandes de1 Brock, Roger Schmidt2 Lucio, Jose Erasmo Dal Col2 Rotta, Jose Marcus1 |
| Institutions: | 1Hospital do Servidor Publico Estadual de Sao Paulo "Francisco Morato de Oliveira", Departamento de Neurocirurgia, Sao Paulo. Brasil 2Hospital Sirio Libanes, Departamento de Neurocirurgia, Sao Paulo. Brasil |
| Year: | 2016 |
| Season: | Abr |
| Volumen: | 74 |
| Number: | 4 |
| Pages: | 314-319 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Artículo |
| Approach: | Analítico, descriptivo |
| English abstract | Paraclinoid aneurysms are lesions located adjacent to the clinoid and ophthalmic segments of the internal carotid artery. In recent years, flow diverter stents have been introduced as a better endovascular technique for treatment of these aneurysms. Method From 2009 to 2014, a total of 43 paraclinoid aneurysms in 43 patients were surgically clipped. We retrospectively reviewed the records of these patients to analyze clinical outcomes. Results Twenty-six aneurysms (60.5%) were ophthalmic artery aneurysms, while 17 were superior hypophyseal artery aneurysms (39.5%). The extradural approach to the clinoid process was used to clip these aneurysms. One hundred percent of aneurysms were clipped (complete exclusion in 100% on follow-up angiography). The length of follow-up ranged from 1 to 60 months (mean, 29.82 months). Conclusion Surgical clipping continues to be a good option for the treatment of paraclinoid aneurysms |
| Portuguese abstract | Aneurismas paraclinóideos são lesões localizadas adjacentes aos segmentos clinóideos e oftálmicos da artéria carótia interna. Os stents desviadores de fluxo tem sido crescentemente aplicados com sucesso. Métodos De 2009 a 2014, um total de 43 aneurismas paraclinóideos foram clipados em 43 pacientes. Analisamos retrospectivamente os dados dos pacientes e desfechos clínicos. Resultados Vinte seis aneurismas (60,5%) foram de artéria oftálmica e 17 de artéria hipofisária superior (39,5%). O acesso extradural à clinóide foi utilizado para todos aneurismas. Cem por cento dos aneurismas foram clipados com oclusão de 100% na angiografia controle. O tempo de follow-up oscilou de 1 a 60 meses, com media de 29 meses. Conclusão A clipagem cirúrgica é uma opção boa e segura para o tratamento de aneurismas paraclinóideos |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Neurología, Sistema cardiovascular, Aneurisma intracraneano, Stent, Tratamiento endovascular |
| Keyword: | Medicine, Cardiovascular system, Neurology, Surgery, Intracranial aneurysms, Stent, Endovascular therapy |
| Full text: | Texto completo (Ver HTML) |
