gms | German Medical Science

70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC)
Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie

Deutsche Gesellschaft für Neurochirurgie (DGNC) e. V.

12.05. - 15.05.2019, Würzburg

Article

Send article

Surgical outcome of wide neck aneurysm, part 2 – unruptured aneurysm

Chirurgisches Outcome der breitbasigen Aneurysmen, Part 2 – Inzidentelle Aneurysmen

Meeting Abstract

Search Medline for

  • presenting/speaker Sae-Yeon Won - Universitätsklinikum Frankfurt, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Daniel Dubinski - Universitätsklinikum Frankfurt, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Nazife Dinc - Universitätsklinikum Frankfurt, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Nina Brawanski - Universitätsklinikum Frankfurt, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Volker Seifert - Universitätsklinikum Frankfurt, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Joachim Berkefeld - Universitätsklinikum Frankfurt, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland
  • Jürgen Konczalla - Universitätsklinikum Frankfurt, Klinik für Neurochirurgie, Frankfurt am Main, Deutschland

Deutsche Gesellschaft für Neurochirurgie. 70. Jahrestagung der Deutschen Gesellschaft für Neurochirurgie (DGNC), Joint Meeting mit der Skandinavischen Gesellschaft für Neurochirurgie. Würzburg, 12.-15.05.2019. Düsseldorf: German Medical Science GMS Publishing House; 2019. DocV117

doi: 10.3205/19dgnc123, urn:nbn:de:0183-19dgnc1236

Published: May 8, 2019

© 2019 Won et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution 4.0 License. See license information at http://creativecommons.org/licenses/by/4.0/.

Outline

Text

Objective: Recently, surgery was presented as an excellent treatment option with high occlusion grade in case of ruptured wide neck aneurysm (rWNA). The aim of this study was to evaluate surgical outcome of unruptured WNA (uWNA) as well.

Methods: This study was conducted with patients surgically treated on an uWNA from 2007 to 2017 in author’s institute. WNA was defined as previously reported in part 1. Surgical outcome was determined by a digital subtraction angiography (DSA) postoperatively and long term outcome was evaluated by DSA or MR-angiography as well. Neurological outcome was evaluated by modified Ranking Scale (mRS) at 6 months’ follow-up.

Results: Of 148 uWNA, basic characteristics (age, sex distribution) were similar with rWNA-group. Twelve of 148 patients (8.1%) had previous SAH and most of the patients were in good admission status (144 of 148; 97.3%). Surgically complete occlusion was achieved in 112 of 148 (75.6%), neck remnants in 30 patients (20.3%) and six patients had residual aneurysm (4.1%). Overall, 88% volume reduction of uWNA was postoperatively achieved. At follow-up (1509 follow-up months), there was no recurrent aneurysm among completely occluded ones. Among the neck remnants, one showed aneurysm growth at follow up of 18 months, however, no additional treatment was required. One of the residual aneurysm was completely occluded at 12 months follow-up and the rests were stable at mean follow up of 7±4.2 months. Favorable outcome was achieved in 140 patients (94.6%) at 6 months’ follow-up.

Conclusion: Surgical treatment of uWNA is a very good treatment option with high occlusion rates with stable results at short- and long-term follow-up. Furthermore, one patient showed complete occlusion at follow-up, and only in one patient with a neck remnant, a small aneurysm growth was identified.