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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1989-5-5
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pubmed:abstractText |
It is recognized that incomplete treatment of an aneurysm may result in recurrent hemorrhage with serious or fatal consequences. For this reason, patients treated at the authors' institution in whom a large portion of the aneurysm neck or sac remained after application of a clip or ligature have been subjected to reoperation. However, 1- to 2-mm residual necks seen in postoperative angiography have been thought to pose little risk. Some cases of aneurysms recurring from a narrow residual neck after clipping have been reported, and a few instances of recurrent aneurysm have been described after apparently complete occlusion of the neck (as observed angiographically or in the surgeon's judgment). In recent years, a surprising number of cases have been presented in which this seemingly unimportant remnant of the neck dilated over a long period to become a dangerous aneurysm. This finding stresses the importance of complete aneurysm occlusion and of postoperative angiography for the recognition of a residual aneurysm neck. This should be important not only in aneurysm clipping but also in the endovascular treatment of intracranial aneurysms with detachable balloons.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0022-3085
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
70
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
556-60
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2926496-Adolescent,
pubmed-meshheading:2926496-Adult,
pubmed-meshheading:2926496-Aged,
pubmed-meshheading:2926496-Cerebral Angiography,
pubmed-meshheading:2926496-Female,
pubmed-meshheading:2926496-Humans,
pubmed-meshheading:2926496-Intracranial Aneurysm,
pubmed-meshheading:2926496-Male,
pubmed-meshheading:2926496-Middle Aged,
pubmed-meshheading:2926496-Recurrence,
pubmed-meshheading:2926496-Reoperation,
pubmed-meshheading:2926496-Tomography, X-Ray Computed
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pubmed:year |
1989
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pubmed:articleTitle |
Regrowth of aneurysm sacs from residual neck following aneurysm clipping.
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pubmed:affiliation |
Department of Diagnostic Radiology (Neuroradiology), University Hospital, University of Western Ontario, London, Canada.
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pubmed:publicationType |
Journal Article
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