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Clip Ligation of Previously Coiled Aneurysm

Last Updated: September 28, 2018

Clip Ligation of a Previously Suboptimally Coiled ACoA Aneurysm

Management of patients with intracranial aneurysms has transitioned to involve experts from both the microsurgical and endovascular realms, who offer the “ideal” intervention based on the best interest of the patient rather than the available expertise of the treating surgeon or interventionist.

Beginning in the 1990s, steady improvements in endovascular techniques and technology have made endovascular modality the first-line therapy for an expanding portion of the patient population suffering from intracranial aneurysms.

Growing support for endovascular intervention has triggered the emergence of a challenging new surgical frontier. Inadequate embolization of a coiled aneurysm poses a risk for aneurysm regrowth sufficien...