[Endovascular management of residual intracranial aneurysms after surgical clipping].
OBJECTIVE
To identify and evaluate the cerebral aneurysm remnants after clipping and the endovascular treatment in our institution.


METHODS
We made a clinical ambispective collection of all aneurysms microsurgically clipped during four years and we analyzed their endovascular treatment.


RESULTS
There were 290 cerebral aneurysms; in 270 a digital subtraction angiography was made. Ten aneurysm remnants were found (3.7%); of these, a second operation was performed on two, and coil placement was done in six patients.


CONCLUSIONS
The cerebral aneurysm remnants after clipping in our institution are equivalent to international results. The endovascular treatment of this aneurysm is safe and effective.
Servicio de Neurocirugía, Hospital de Especialidades del Centro Médico Nacional «La Raza», Instituto Mexicano del Seguro Social, México, D.F. jorge_santos@unam.mx.
Jorge
J
Santos Franco
Fernando
F
Agustín Aguilar
Rafael
R
Saavedra Andrade
Miguel Antonio
MA
Sandoval Balanzario
D000368:Aged; D000369:Aged, 80 and over; D057510:Endovascular Procedures / Q000295:instrumentation; D004867:Equipment Design; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies; D012189:Retrospective Studies; D013525:Surgical Instruments; D017211:Treatment Failure