Clipping of large and giant aneurysms of anterior circulation

dc.contributor.authorKars, Hamit Zafer
dc.contributor.authorGurelik, Mustafa
dc.date.accessioned2024-10-26T17:53:24Z
dc.date.available2024-10-26T17:53:24Z
dc.date.issued2011
dc.departmentSivas Cumhuriyet Üniversitesi
dc.description.abstractAim: Surgical outcome for giant intracranial aneurysms (GIA) is suboptimal. Reasons for higher complication rates in large and GIA surgery are the occlusion of perforators or parent arteries during aneurysm clipping, or prolonged temporary occlusion of main arteries. In this article, results of clipping of large and GIAs of anterior circulation are presented. Material and Methods: Ten patients with large or GIAs in the anterior circulation were treated by clipping (10/19, 52%). The most common location was the middle cerebral artery (MCA, 5/10), followed by the anterior cerebral artery (ACA, 3/10), and internal carotid artery (ICA, 2/10). Five aneurysms were large (17-20 mm), five were giant (27-53 mm). Results: Uneventful aneurysm clipping was performed in eight, and cure was obtained in nine patients. Mortality and morbidity figures were 10% (1/10), and 0% (0/10), respectively. Mean follow up time is 2.8 years (range 1-10 years). Conclusion: Clipping is still the most common surgical method of dealing with these lesions. Clipping of all large and giant aneurysms of anterior circulation was achieved in our patients with 10% mortality and 0% morbidity rates. These rates are similar to figures reported in previous series. Clipping of large and giant aneurysms is still the best definitive treatment, and is applicable in majority of the patients.
dc.identifier.endpage58
dc.identifier.issn1019-5149
dc.identifier.issue1
dc.identifier.scopus2-s2.0-79751485799
dc.identifier.scopusqualityQ3
dc.identifier.startpage53
dc.identifier.urihttps://hdl.handle.net/20.500.12418/26912
dc.identifier.volume21
dc.indekslendigikaynakScopus
dc.language.isotr
dc.publisherTurkish Neurosurgical Society
dc.relation.ispartofTurkish Neurosurgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectAnterior circulation; Clipping; Intracranical aneurysms; Large aneurysms; Morbidity; Mortality rate; Treatment
dc.titleClipping of large and giant aneurysms of anterior circulation
dc.title.alternativeBüyük ve dev ön dolaşım anevrizmalarında klipleme
dc.typeArticle

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