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- W3200907445 endingPage "101373" @default.
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- W3200907445 abstract "A critical appraisal of the surgical results of paraclinoid aneurysms is essential in the flow diverters era. This study overviews the data of a three-decade surgical series of paraclinoid aneurysms while focusing on their technical remarks. Overall data of a surgical consecutive series of paraclinoid aneurysms treated between 1993 and 2021 were retrospectively reviewed. Aneurysms were classified according to size and projection. Indications for surgery were different based on the availability of endovascular techniques, especially flow diverter, at the time of treatment. A statistical comparison between ruptured and unruptured aneurysms was accomplished. 58 patients were operated upon. Ophthalmic aneurysms were 68%, giant aneurysms 20%, and ruptured aneurysms 45%. Clipping and bypass were executed in 91% and 9% of cases, respectively. An mRS of 0–2 was achieved in 77% of patients, independently by the clinical onset. The mortality rate was 5%. Visual field was improved or unchanged in 71% of elective patients, whereas the incidence of de novo third and sixth cranial nerves deficit was 8% and 5%, respectively. On an average follow-up of 53.3 ± 38 months, a complete and durable aneurysm exclusion was achieved in 91.3% of patients with a single surgery. Microneurosurgery is still a valuable treatment option for selected ruptured and unruptured paraclinoid aneurysms. In our experience, it has proven to be definitive and durable, with acceptable morbidity and mortality. Clipping is the treatment of choice in most surgical cases, achieving a good visual outcome in symptomatic patients." @default.
- W3200907445 created "2021-09-27" @default.
- W3200907445 creator A5014860951 @default.
- W3200907445 creator A5016429349 @default.
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- W3200907445 creator A5020691399 @default.
- W3200907445 creator A5033676295 @default.
- W3200907445 creator A5046060005 @default.
- W3200907445 date "2022-03-01" @default.
- W3200907445 modified "2023-10-15" @default.
- W3200907445 title "Paraclinoid aneurysms: Outcome analysis and technical remarks of a microsurgical series" @default.
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