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Scientific paper - Original scientific paper
Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data
Acta clinica Croatica, 60. (2021), 1.; 33-40. https://doi.org/10.20471/acc.2021.60.01.05
Rotim, Krešimir; Kalousek, Vladimir; Splavski, Bruno; Tomasović, Sanja; Rotim, Ante

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Rotim, K., Kalousek, V., Splavski, B., Tomasović, S. & Rotim, A. (2021). Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data. Acta clinica Croatica, 60.. (1.), 33-40. doi: 10.20471/acc.2021.60.01.05

Rotim, Krešimir, et al. "Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data." Acta clinica Croatica, vol. 60., no. 1., 2021, pp. 33-40. https://doi.org/10.20471/acc.2021.60.01.05

Rotim, Krešimir, Vladimir Kalousek, Bruno Splavski, Sanja Tomasović and Ante Rotim. "Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data." Acta clinica Croatica 60., no. 1. (2021): 33-40. https://doi.org/10.20471/acc.2021.60.01.05

Rotim, K., et al. (2021) 'Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data', Acta clinica Croatica, 60.(1.), pp. 33-40. doi: 10.20471/acc.2021.60.01.05

Rotim K, Kalousek V, Splavski B, Tomasović S, Rotim A. Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data. Acta clinica Croatica [Internet]. 2021 [cited 2024 December 07];60.(1.):33-40. doi: 10.20471/acc.2021.60.01.05

K. Rotim, V. Kalousek, B. Splavski, S. Tomasović and A. Rotim, "Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data", Acta clinica Croatica, vol. 60., no. 1., pp. 33-40, 2021. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:220:693240. [Accessed: 07 December 2024]

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Title (english)Hybrid Microsurgical and Endovascular Approach in the Treatment of Multiple Cerebral Aneurysms: an Illustrative Case Series in Correlation with Literature Data
Title (croatian)Hibridni mikrokirurški i endovaskularni pristup u liječenju višestrukih moždanih aneurizmi: ilustrativni prikaz slučajeva i usporedba s podacima iz literature
AuthorKrešimir Rotim
AuthorVladimir Kalousek
AuthorBruno Splavski https://orcid.org/0000-0002-4483-9364
AuthorSanja Tomasović
AuthorAnte Rotim
Author's institution(Sestre milosrdnice University Hospital Center)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Neurology
Abstract (english)
Contemporary cerebral aneurysm treatment has advanced due to the expansion of microsurgical and endovascular techniques having different advantages and restraints. However, some aneurysms cannot be effectively treated by a single method alone due to their specific anatomy, location, complexity, and/or multiplicity. Subsequently, multiple aneurysms sometimes necessitate a hybrid strategy integrating both methods. The study aims were to discuss indications, possibilities, and challenges of a hybrid strategy in the decision making and treatment of multiple intracranial aneurysms. A single-institution illustrative case series of multiple intracranial aneurysm patients treated by a hybrid approach was analyzed and management outcome discussed and correlated with literature data. Following the treatment, both patients from our case series recovered well, having complete and stable aneurysmal occlusion with no relapse and no postoperative procedure-related complications or long-lasting neurological symptoms. In conclusion, a hybrid approach is advised as a treatment option for multiple cerebral aneurysms when a single modality is insufficient to bring satisfactory results. It may be a suitable and safe addition to an assortment of treatments pledging clinical improvement and enabling positive management outcome in patients with ruptured and non-ruptured multiple cerebralaneurysms.
Abstract (croatian)
Suvremeno je liječenje cerebralnih aneurizmi uvelike napredovalo zahvaljujući ekspanziji mikrokirurških i endovaskularnih postupaka koji se odlikuju različitim podobnostima, ali i ograničenjima. Međutim, pojedine je aneurizme ponekad nemoguće uspješno liječiti samo jednom od metoda s obzirom na njihovu specifičnu anatomiju, lokalizaciju, složenost i/ili višestrukost. Upravo su višestruke aneurizme gdjekad podobne za hibridni pristup koji objedinjuje obje navedene metode. Namjera je ovoga rada raspraviti indikacije, mogućnosti i izazove hibridne strategije pri donošenju odluke o obliku liječenja višestrukih intrakranijskih aneurizmi. U radu prikazujemo analizu bolesnika s navedenim aneurizmama u kojih je primijenjen hibridni pristup i raspravljamo o rezultatima i ishodu liječenja uspoređujući ih s podacima iz literature. Oboje se je naših bolesnika uspješno oporavilo nakon provedenog liječenja, kad je nastupila potpuna i stabilna okluzija aneurizme bez znakova ponovne pojave aneurizme i bez komplikacija povezanih s provedenim postupkom, kao i bez trajnog neurološkog deficita. Zaključujemo kako je hibridni pristup preporučena opcija liječenja višestrukih moždanih aneurizmi u slučajevima kada je pojedinačna metoda liječenja nedostatna za osiguravanje zadovoljavajućih rezultata. Ovakav je pristup podoban i siguran kao alternativa rasponu drugih oblika liječenja usmjerenih ka kliničkom poboljšanju i pozitivnom ishodu u bolesnika s rupturiranim i nerupturiranim višestrukim moždanim aneurizmama.
Keywords (english)
Keywords (croatian)
Languageenglish
Languagecroatian
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review - international
Publication versionPublished version
Journal titleActa clinica Croatica
Numberingvol. 60., no. 1., pp. 33-40
p-ISSN0353-9466
e-ISSN1333-9451
DOIhttps://doi.org/10.20471/acc.2021.60.01.05
URN:NBNurn:nbn:hr:220:693240
Publication2021
Document URLhttps://hrcak.srce.hr/259822
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) icon
Created on2024-06-24 07:04:10