Risk of intracranial aneurysm recurrence after microsurgical clipping based on 3D digital subtraction angiography.

Publication

Risk of intracranial aneurysm recurrence after microsurgical clipping based on 3D digital subtraction angiography.

Journal Paper/Review - Jul 29, 2022

Marbacher Serge, Grüter Basil Erwin, Wanderer Stefan, Andereggen Lukas, Cattaneo Marco, Trost Patricia, Philipp Gruber, Diepers Michael, Remonda Luca, Steiger Hans-Jakob

Citation

Marbacher S, Grüter B, Wanderer S, Andereggen L, Cattaneo M, Trost P, Philipp G, Diepers M, Remonda L, Steiger H. Risk of intracranial aneurysm recurrence after microsurgical clipping based on 3D digital subtraction angiography. J Neurosurg 2022; 138:717-723.

Type

Journal Paper/Review (English)

Journal

J Neurosurg 2022; 138

Publication Date

Jul 29, 2022

Issn Electronic

1933-0693

Pages

717-723

Brief description/objective

Current knowledge of recurrence rates after intracranial aneurysm (IA) surgery relies on 2D digital subtraction angiography (DSA), which fails to detect more than 75% of small aneurysm remnants. Accordingly, the discrimination between recurrence and growth of a remnant remains challenging, and actual assessment of recurrence risk of clipped IAs could be inaccurate. The authors report, for the first time, 3D-DSA-based long-term durability and risk factor data of IA recurrence and remnant growth after microsurgical clipping.