Abstract
Generally, radical management of cerebral aneurysms is undertaken by clipping the neck of the aneurysm completely, but, in some cases, we have no choice but to clip it partially. We studied the rebleeding of partially clipped aneurysms during the postoperative period.
Twelve out of 390 cerebral aneurysms (3.1%) were clipped partially. The incidence by site was as follows: ICA, 2.1%; ACA, 1.5%; MCA, 6.5%; VBA 5.3%.
One aneurysm out of the 12 rebled one and a half months after the operation because of a slip of the misused temporary clip. Two patients died within two postoperative months due to complications.
In the other nine cases, the aneurysms, coated with cyanoacrylate, have not rebled during the follow up period, which has averaged seven years and 10 months.
