Skip to main content
SpringerLink
Log in

A long-term follow-up study in direct cerebral aneurysm surgery

  • Clinical Articles
  • Published:
Acta Neurochirurgica Aims and scope Submit manuscript

Summary

A long-term follow-up study covering between one and twenty-two years after surgery was carried out on 177 patients with direct operations for cerebral aneurysms.

Rebleeding was detected in five out of 18 patients with incomplete operations; one patient within 6 months and four patients within 5 to 8 yeras after surgery. The rebleeding rate of incompletely operated patients in the first decade was similar to that of untreated patients with ruptured aneurysms. This suggests that wrapping, coating and incomplete clipping procedures provide some protection against rebleeding in the first 6 months but little in the period extending beyond 5 years after surgery.

Showing two types of newly-formed aneurysms after complete surgery and enlarged residual aneurysms after incomplete surgery, the possibility of rebleeding from these aneurysms is discussed in the present report.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Adamson T, Batjer H (1988) Aneurysm recurrence associated with induced hypertension and hypervolemia. Surg Neurol 29: 57–61

    PubMed  Google Scholar 

  2. Deruty R, Mottolese C, Portilla F (1988) Long-term outcome of the management of ruptured intracranial aneurysm. Neurol Res 10: 217–220

    PubMed  Google Scholar 

  3. Drake CG, Frieman AH, Peerless SJ (1984) Failed aneurysm surgery. Reoperation in 115 cases. J Neurosurg 61: 848–856

    PubMed  Google Scholar 

  4. Dutton J (1969) Acrylic investment of intracranial aneurysms. Report of 50 cases. Acta Neurochir (Wien) 84: 85–88

    Google Scholar 

  5. Dyste GN, Beck DE (1989) De novo aneurysm formatin following carotid ligation: Case report and review of the literature. Neurosurgery 24: 88–92

    PubMed  Google Scholar 

  6. Feuerberg I, Lindquist C, Lindqvist M, Steiner L (1987) Natural history of postoperative aneurysm rests. J Neurosurg 66: 30–34

    PubMed  Google Scholar 

  7. Jane JA, Winn HR, Richardson AE (1977) The natural history of intracranial aneurysms: rebleeding rates during the acute and long term period and implication for surgical management. Clin Neurosurg 24: 176–184

    PubMed  Google Scholar 

  8. Jomin M, Lesoin F, Lozes G, Fawaz A, Villette L (1987) Surgical prognosis of unruptured intracranial arterial aneurysms. Report of 50 cases. Acta Neurochir (Wien) 84: 85–88

    Google Scholar 

  9. Masuzawa H, Kobayashi M, Inoya H, Kamitani H, Sato J, Sato O (1979) Multisection angiotomography of intracranial aneurysms. Acta Neurochir (Wien) [Suppl] 28: 550–553

    Google Scholar 

  10. Miller CA, Hill SA, Hunt WE (1985) “De novo” aneurysms. A clinical review. Surg Neurol 24: 173–180

    PubMed  Google Scholar 

  11. Mizoi K, Suzuki J, Yoshimoto T (1989) Surgical treatment of multiple aneurysms. Acta Neurochir (Wien) 96: 8–14

    Google Scholar 

  12. Nishioka H, Torner JC, Graf CJ, Kassell NF, Sahs AL, Goettler LC (1984) Cooperative study of intracranial aneurysms and subarachnoid haemorrhage: a long-term prognostic study. II. Ruptured intracranial aneurysms managed conservatively. Arch Neurol 41: 1142–1151

    PubMed  Google Scholar 

  13. Ostergaard JR (1985) Long-term follow-up study of juvenile aneurysm patients. Acta Neurochir (Wien) 77: 103–109

    Google Scholar 

  14. Rosenorn J, Eskesen V, Schmidt K, Ronde F (1987) The risk of rebleeding from ruptured intracranial aneurysms. J Neurosurg 61: 848–856

    Google Scholar 

  15. Sarwar M, Solomon B, Schlechter M, Liebeskind A, Zimmer A (1976) Growing intracranial aneurysms. Radiology 120: 603–607

    PubMed  Google Scholar 

  16. Sato S, Suzuki J (1971) Prognosis in cases of intracranial aneurysm after incomplete direct operations. Acta Neurochir (Wien) 24: 245–353

    Google Scholar 

  17. Stehbens WE (1989) Etiology of intracranial berry aneurysms. J Neurosurg 70: 823–831

    Google Scholar 

  18. Stehbens WE (1990) Pathology and pathogenesis of intracranial berry aneurysmens. Neurol Res 12: 29–34

    PubMed  Google Scholar 

  19. Taylor JC, Choudhury AR (1977) Reinforcement with gauze wrapping for ruptured aneurysms of the middle cerebral artery. J Neurosurg 47: 828–832

    PubMed  Google Scholar 

  20. Todd NV, Tocher JL, Jones PA, Miller JD (1989) Outcome following aneurysm wrapping: a 10-year follow-up review of clipped and wrapped aneurysms. J Neurosurg 70: 841–846

    PubMed  Google Scholar 

  21. Wiebers DO, Whisnant JP, Sundt TM, O'Fallon WM (1987) The significance of unruptured intracranial saccular aneurysms. J Neurosurg 66: 23–29

    Google Scholar 

  22. Winn HR, Richardson AE, Jane JA (1977) The long-term prognosis in untreated cerebral aneurysms: I. The incidence of late haemorrhage in cerebral aneurysms: a 10-year evaluation of 364 patients. Ann Neurol 1: 358–370

    PubMed  Google Scholar 

  23. Winn HR, Almansi WS, Berga SL, Jane JA, Richardson AE (1983) The long-term outcome in patients with multiple aneurysms. Incidence of late haemorrhage and implications for treatment of incidental aneurysms. J Neurosurg 59: 642–651

    PubMed  Google Scholar 

  24. Yashon D, White RJ, Arias BA., Hegarty WE (1971) Cyanoacrylate encasement of intracranial aneurysms. J Neurosurg 34: 709–713

    PubMed  Google Scholar 

  25. Yong-Zhong G, van Alphen HAM (1990) Pathogenesis and histopathology of sacular aneurysms: review of the literature. Neurol Res 12: 29–34

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Neurosurgery, Kanto Teishin Hospital, Japan

    H. Kamitani, H. Masuzawa, I. Kanazawa, T. Kubo & Y. Tokuyama

Authors
  1. H. Kamitani
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. H. Masuzawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. I. Kanazawa
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. T. Kubo
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Y. Tokuyama
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Kamitani, H., Masuzawa, H., Kanazawa, I. et al. A long-term follow-up study in direct cerebral aneurysm surgery. Acta neurochir 133, 134–140 (1995). https://doi.org/10.1007/BF01420063

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01420063

Keywords

Search

Navigation