Acta clinica Croatica, Vol. 60. No. 1., 2021.
Izvorni znanstveni članak
https://doi.org/10.20471/acc.2021.60.01.05
Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data
Krešimir Rotim
; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia; University of Applied Health Sciences, Zagreb, Croatia
Vladimir Kalousek
orcid.org/0000-0002-1439-0930
; Department of Radiology, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Bruno Splavski
orcid.org/0000-0002-4483-9364
; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia; University of Applied Health Sciences, Zagreb, Croatia; Josip Juraj Strossmayer University of Osijek, Faculty of Dental Medicine and Health, Osijek, Croatia
Sanja Tomasović
; Josip Juraj Strossmayer University of Osijek, Faculty of Medicine, Osijek, Croatia; Department of Neurology, Sveti Duh University Hospital, Zagreb, Croatia
Ante Rotim
; Department of Neurosurgery, Sestre milosrdnice University Hospital Centre, Zagreb, Croatia
Sažetak
Contemporary cerebral aneurysm treatment has advanced due to the expansion of
microsurgical and endovascular techniques having different advantages and restraints. However, some
aneurysms cannot be effectively treated by a single method alone due to their specific anatomy, location,
complexity, and/or multiplicity. Subsequently, multiple aneurysms sometimes necessitate a hybrid
strategy integrating both methods. The study aims were to discuss indications, possibilities, and
challenges of a hybrid strategy in the decision making and treatment of multiple intracranial aneurysms.
A single-institution illustrative case series of multiple intracranial aneurysm patients treated by
a hybrid approach was analyzed and management outcome discussed and correlated with literature
data. Following the treatment, both patients from our case series recovered well, having complete and
stable aneurysmal occlusion with no relapse and no postoperative procedure-related complications or
long-lasting neurological symptoms. In conclusion, a hybrid approach is advised as a treatment option
for multiple cerebral aneurysms when a single modality is insufficient to bring satisfactory results. It
may be a suitable and safe addition to an assortment of treatments pledging clinical improvement and
enabling positive management outcome in patients with ruptured and non-ruptured multiple cerebral
aneurysms.
Ključne riječi
Cerebral aneurysm, multiple; Microsurgical clipping; Endovascular treatments; Hybrid approach; Management outcome
Hrčak ID:
259822
URI
Datum izdavanja:
1.3.2021.
Posjeta: 1.850 *