2019 Volume 24 Issue 2 Pages 201-206
I Ruptured paraclinoid aneurysms can be treated by a microsurgical approach or an endovascular approach. We report here two cases of the successful treatment of a ruptured paraclinoid aneurysm by a planned combined microsurgical and endovascular approach. Patient 1 had a wide‒necked ruptured paraclinoid aneurysm and was successfully treated with neck plasty followed by coiling on the first hospital day. Patient 2 had a poor‒grade ruptured paraclinoid aneurysm and was treated by minimally invasive coiling on the first hospital day, followed by clipping on the 17th hospital day when she recovered from the initial brain damage. Both microsurgical and endovascular approaches have their own advantages and disadvantages. A combined microsurgical and endovascular strategy may reduce the potential risks of each treatment. Our two patients with ruptured paraclinoid aneurysms were successfully treated by a combined microsurgical and endovascular approach.
