Trial reportYonsei medical journal2014
Long-term clinical and angiographic outcomes of wrap-clipping strategies for unclippable cerebral aneurysms.
Trial report in Yonsei medical journal, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed, 23 citations in OpenAlex.
- Progressive thrombosis and involution of a pediatric giant middle cerebral artery pseudoaneurysm following superficial temporal artery-to-middle cerebral artery bypass: illustrative case.Journal of neurosurgery. Case lessons · 2025Article
- Endovascular and microsurgical management of blister aneurysms: a multi-centre review.Neurosurgical review · 2023Review
- Clipping on Crossed Wrapping Method for Ruptured Blood Blister-Like Aneurysm of the Internal Carotid Artery: Technical Note and Long-Term Results.World neurosurgery: X · 2019Article
- Case Report: Late Sequela of a Muslinoma Involving the Optic Chiasm.Neuro-ophthalmology (Aeolus Press) · 2018Article
- Surgical treatment of a gauzoma with associated obliterative arteriopathy and review of the literature.Acta neurochirurgica · 2018Review
- The efficacy of microsurgery in the treatment of cerebral aneurysm rupture and its effect on NF-κB, MCP-1 and MMP-9.Experimental and therapeutic medicine · 2017Article
- Influence of Parent Artery Segmentation and Boundary Conditions on Hemodynamic Characteristics of Intracranial Aneurysms.Yonsei medical journal · 2015Article
- Blood blister-like aneurysm with rupture point close to origin of anterior choroidal artery.Journal of Korean Neurosurgical Society · 2014Article
- Mid A1 blister aneurysm presenting with subarachnoid hemorrhage: Case report and review.Brain circulationArticle
Corrections and comments
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Authors and funding
5 authors at 3 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeTo evaluate the efficacy and stability of the wrap-clipping methods as a reconstructive strategy in the treatment of unclippable cerebral aneurysms. MATERIALS AND
methodsTwenty four patients who had undergone wrap-clipping microsurgery were retrospectively reviewed. Type and morphology of the treated aneurysm, utilized technique for wrap-clip procedure, and clinical outcome with angiographic results at their last follow-up were evaluated.
resultsOf 24 patients, eleven patients had internal carotid artery (ICA) blister-like aneurysms, three had dissecting type aneurysms, and ten had fusiform aneurysms. The follow-up period for the late clinical and angiographic results ranged from 10 to 75 months (mean 35 months). Wrap-clipping was performed in eleven, wrap-holding clipping was in ten, and combination of wrap-clip and wrap-holding clip was in three cases. At the last angiographic follow-up study, twelve aneurysms (50%) were found to have completely healed, and nine aneurysms (38%) were at least stable. However, wrap-holding clip for the elongated blister type of ICA aneurysm was found failed, leading to fatal rebleeding in one case, and two cases of combination of wrap-clip-wrap-holding clip revealed delayed branch occlusion and marked regrowing, respectively.
conclusionWrap-clipping strategy could be an easy and safe alternative for unclippable aneurysms. The wrapped aneurysm mostly disappeared, or at least remained stationary, after a long-term period. However, surgeons should be aware of that the wrapped aneurysm might become worse. Therefore, follow-up surveillance for an extended period should be mandatory.
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