Slipped clip: relato de dois casos

Aneurysm rest occurs in 1 to 10% of operated patients and of these, 21.8% are due to slipped clips. D´Angelo and coworker (1998) found 1 to 10% of residual aneurysms. They suggest that if the residual aneurysm has less than 2 mm, angiographic control must be performed after 3-5 years of th...

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Detalhes bibliográficos
Autores: Melo, Paulo M. Porto de [UNIFESP], Kadri, Paulo Abdo do Seixo [UNIFESP], Oliveira, Jean Gonçalves de [UNIFESP], Braga, Fernando Menezes [UNIFESP]
Tipo de documento: artigo
Estado:Versão publicada
Data de publicação:2003
País:Brasil
Recursos:Universidade Federal de São Paulo (UNIFESP)
Repositório:Repositório Institucional da UNIFESP
Idioma:português
OAI Identifier:oai:repositorio.unifesp.br:11600/1666
Acesso em linha:http://dx.doi.org/10.1590/S0004-282X2003000100029
http://repositorio.unifesp.br/handle/11600/1666
Access Level:Acceso aberto
Palavra-chave:aneurysm
complications
slipped clip
aneurisma
complicações
Descrição
Resumo:Aneurysm rest occurs in 1 to 10% of operated patients and of these, 21.8% are due to slipped clips. D´Angelo and coworker (1998) found 1 to 10% of residual aneurysms. They suggest that if the residual aneurysm has less than 2 mm, angiographic control must be performed after 3-5 years of the surgical procedure; if between 2 and 4 mm, the angiographic control must be done in the first 6 months after surgery and then, anually. If it has more than 4mm a direct surgical approach is advised. We present the cases of two female patients submitted to microsurgical treatment of intracranial aneurysm, without any intra-operative abnormal event. The angiographic study further made showed displacement of the clip from its original position and aneurysm again. A review of the literature is also presented.