Técnica de Wrapping no Tratamento de Aneurismas Intracranianos Não Clipáveis. Relato de caso e revisão de literatura

Wrapping Technique in the Treatment of Non-Clipping Intracranial Aneurysms. Case report and literature review

• Natalli Studnicka (1)    
• Amandra Gabriele Coelho Rodrigues Melo (2)    
• André Giacomelli Leal (3)    

• https://doi.org/10.22290/jbnc.2024.340206
• J Bras Neurocirur 35 (1): 119-123, 2024

Resumo

Os aneurismas decorrem do estresse hemodinâmico que causa desgaste excessivo e ruptura da lâmina interna do vaso sanguíneo. Classificados como saculares ou fusiformes, em alguns casos apresentam-se como lesões desafiadoras para tratar com clipagem direta e o tratamento geralmente necessita de técnicas cirúrgicas não tão comumente utilizadas. Esse estudo tem por objetivo relatar um caso de tratamento de aneurisma com técnica de wrapping e avaliar esta modalidade de tratamento e seus desfechos clínicos, bem como sua eficácia comparando os dados encontrados na literatura através de revisão sistemática.

Palavras-chave

Aneurisma intracraniano; Wrapping; Tratamento

Abstract

Aneurysms result from hemodynamic stress which causes excessive wear and tear of the inner lamina of the blood vessel. Classified as saccular or fusiform, in some cases they present as challenging lesions to treat with direct clipping and treatment usually requires surgical techniques not so commonly used. This study aims to report a case of aneurysm treatment with the wrapping technique and to evaluate this treatment modality and its clinical outcome and its effectiveness comparing the data found in the literature through a systematic review.

Keywords

Aneurysm, intracranial; Wrapping; Treatment

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1Medical student, Medicine Course, University of Extremo Sul Catarinense, Criciúma, SC, Brazil.

2Medical student, Medicine Course, University of Ribeirão Preto, Ribeirão Preto, SP, Brazil.

3MD, PhD, Neurosurgeon, Department of Vascular Neurosurgery, Neurological Institute of Curitiba – INC, Curitiba, PR, Brazil.

 

Received Dec 12, 2022

Accepted Jan 10, 2023