Abstract
We sought to determine the conditions allowing wrapping and when wrapping would be the best choice. We examined the actual use of wrapping in whole aneurysms (ANs) treated surgically. The total number of whole aneurysms was 833 ANs (718 cases) over a period of 22 years ('75/9~'97/8). Wrapping was applied for ANs in 193 cases (23%). Sixty ANs were treated with wrapping only. The reasons why we selected wrapping were as follows: 1) small neck (n=24), 2) infundibular dilation (n=17), 3) blister AN (n=5), 4) broad neck (n=5), 5) bubble like AN (n=3), 6) perforator from AN dome (n=2), 7) infraclinoid (n=2), 8) dissection AN (n=2)
We present typical angiograms including operative findings of these cases. We emphasize that conservative treatment is preferable to surgical treatment in some cases of cerebral aneurysm.
