{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T04:29:57Z","timestamp":1766377797590,"version":"build-2065373602"},"reference-count":58,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2020,2,1]],"date-time":"2020-02-01T00:00:00Z","timestamp":1580515200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/100008981","name":"Department of Anesthesiology, Medical College of Wisconsin","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100008981","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100019236","name":"Department of Radiology, Weill Cornell Medical College","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100019236","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["World Neurosurgery"],"published-print":{"date-parts":[[2020,2]]},"DOI":"10.1016\/j.wneu.2019.10.085","type":"journal-article","created":{"date-parts":[[2019,10,23]],"date-time":"2019-10-23T13:05:05Z","timestamp":1571835905000},"page":"e412-e421","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":14,"special_numbering":"C","title":["The Longest Angiographic and Clinical Follow-Up of Microsurgically Treated Giant Intracranial Aneurysms: Experience with 70 Cases"],"prefix":"10.1016","volume":"134","author":[{"given":"Servet","family":"\u0130nci","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atilla","family":"Akbay","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tulay","family":"Aslan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.wneu.2019.10.085_bib1","doi-asserted-by":"crossref","first-page":"409","DOI":"10.1016\/0090-3019(95)00437-8","article-title":"Giant aneurysms of the anterior circle of Willis: management of outcome of open microsurgical treatment","volume":"45","author":"Gewirtz","year":"1996","journal-title":"Surg Neurol"},{"key":"10.1016\/j.wneu.2019.10.085_bib2","first-page":"902","article-title":"Giant Aneurysms","volume":"49","author":"Spetzler","year":"2001","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib3","doi-asserted-by":"crossref","first-page":"103","DOI":"10.1016\/S0140-6736(03)13860-3","article-title":"Unruptured intracranial aneurysms: natural history, clinical outcome, and risk of surgical and endovascular treatment","volume":"362","author":"Weibers","year":"2003","journal-title":"Lancet"},{"key":"10.1016\/j.wneu.2019.10.085_bib4","doi-asserted-by":"crossref","first-page":"2474","DOI":"10.1056\/NEJMoa1113260","article-title":"The natural course of unruptured cerebral aneurysms in a Japanese cohort","volume":"366","year":"2012","journal-title":"N\u00a0Engl J Med"},{"key":"10.1016\/j.wneu.2019.10.085_bib5","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1161\/STROKEAHA.115.010698","article-title":"Risk analysis of unruptured intracranial aneurysms. Prospective 10-year cohort study","volume":"47","author":"Murayama","year":"2016","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2019.10.085_bib6","doi-asserted-by":"crossref","first-page":"8","DOI":"10.1016\/0090-3019(90)90166-M","article-title":"Giant intracranial aneurysms: the role of microvascular reconstruction","volume":"34","author":"Ausman","year":"1990","journal-title":"Surg Neurol"},{"key":"10.1016\/j.wneu.2019.10.085_bib7","first-page":"156","article-title":"Surgical management of complex intracranial aneurysms","volume":"52","author":"Barrow","year":"2004","journal-title":"Neurol India"},{"issue":"4 suppl 2","key":"10.1016\/j.wneu.2019.10.085_bib8","first-page":"ONS279","article-title":"Surgical treatment of giant intracranial aneurysms: current viewpoint","volume":"63","author":"Cantore","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib9","first-page":"743","article-title":"Direct surgical treatment of giant intracranial aneurysms","volume":"51","author":"Hosobuchi","year":"1979","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib10","doi-asserted-by":"crossref","first-page":"752","DOI":"10.1016\/j.wneu.2012.12.010","article-title":"Microsurgical treatment of giant intracranial aneurysms: a single surgeon experience from Louisiana State University, Shreveport","volume":"81","author":"Nanda","year":"2014","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib11","first-page":"430","article-title":"Ruptured giant intracranial aneurysm. Part II. A retrospective analysis of timing and outcome of surgical treatment","volume":"88","author":"Piepgras","year":"1998","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib12","doi-asserted-by":"crossref","first-page":"1261","DOI":"10.1227\/NEU.0b013e31822bb8a6","article-title":"Giant intracranial aneurysms: evolution of management in a contemporary surgical series","volume":"69","author":"Sughrue","year":"2011","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib13","series-title":"New Trends in Management of Cerebro-vascular Malformations","first-page":"403","article-title":"Direct microsurgical approach to giant intracranial aneurysms. Considerations, technical notes and results in a series of 47 cases","author":"Galzio","year":"1994"},{"key":"10.1016\/j.wneu.2019.10.085_bib14","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1007\/BF00313502","article-title":"Management and prognosis of giant intracranial aneurysms. A report on 58 cases","volume":"15","author":"Hamburger","year":"1992","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.wneu.2019.10.085_bib15","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1007\/BF01742680","article-title":"Surgical treatment of giant aneurysms","volume":"5","author":"Handa","year":"1982","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.wneu.2019.10.085_bib16","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/BF01742678","article-title":"Surgical treatment of giant aneurysms","volume":"5","author":"Kodama","year":"1982","journal-title":"Neurosurg Rev"},{"key":"10.1016\/j.wneu.2019.10.085_bib17","doi-asserted-by":"crossref","first-page":"379","DOI":"10.2176\/nmc.46.379","article-title":"Long-term outcome of unruptured giant cerebral aneurysms","volume":"46","author":"Nakase","year":"2006","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"10.1016\/j.wneu.2019.10.085_bib18","doi-asserted-by":"crossref","first-page":"674","DOI":"10.1016\/j.clineuro.2008.04.001","article-title":"Surgical management of giant intracranial aneurysms","volume":"110","author":"Sharma","year":"2008","journal-title":"Clin Neurol Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib19","first-page":"157","article-title":"Cerebral aneurysms: learning from the past and looking toward the future","volume":"53","author":"Wolfe","year":"2006","journal-title":"Clin Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib20","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.wneu.2017.03.055","article-title":"Giant intracranial aneurysms: surgical treatment and analysis of risk factors","volume":"102","author":"Xu","year":"2017","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib21","first-page":"71","article-title":"Surgical approach to giant aneurysms of the anterior circulation","volume":"42","author":"Giombini","year":"1988","journal-title":"Acta Neurochir Suppl (Wien)"},{"key":"10.1016\/j.wneu.2019.10.085_bib22","doi-asserted-by":"crossref","first-page":"725","DOI":"10.1016\/S1042-3680(18)30225-0","article-title":"Surgical strategies for giant intracranial aneurysms","volume":"9","author":"Lawton","year":"1998","journal-title":"Neurosurg Clin North Am"},{"key":"10.1016\/j.wneu.2019.10.085_bib23","series-title":"Neurological Surgery","first-page":"1742","article-title":"Giant intracranial aneurysms","author":"Peerless","year":"1990"},{"key":"10.1016\/j.wneu.2019.10.085_bib24","first-page":"1","article-title":"Direct surgical approaches to giant intracranial aneurysms","volume":"2","author":"Solomon","year":"1992","journal-title":"Neurosurg Quarterly"},{"key":"10.1016\/j.wneu.2019.10.085_bib25","first-page":"731","article-title":"Surgical approach to giant intracranial aneurysms","volume":"51","author":"Sundt","year":"1979","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib26","first-page":"1009","article-title":"Surgical experience with giant intracranial aneurysms","volume":"61","author":"Symon","year":"1984","journal-title":"J\u00a0Neurosurg"},{"volume":"Vol. II","year":"1984","author":"Yasargil","key":"10.1016\/j.wneu.2019.10.085_bib27"},{"key":"10.1016\/j.wneu.2019.10.085_bib28","doi-asserted-by":"crossref","first-page":"604","DOI":"10.1161\/01.STR.19.5.604","article-title":"Interobserver agreement for the assessment of handicap in stroke patients","volume":"19","author":"Van Swieten","year":"1988","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2019.10.085_bib29","doi-asserted-by":"crossref","first-page":"688","DOI":"10.1016\/j.wneu.2015.04.039","article-title":"Aneurysm clip compression technique in the surgery of aneurysms with hard\/calcified neck","volume":"84","author":"Inci","year":"2015","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib30","doi-asserted-by":"crossref","first-page":"1294","DOI":"10.1097\/00006123-200006000-00003","article-title":"What percentage of surgically clipped aneurysms have residual necks?","volume":"46","author":"Thornton","year":"2000","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib31","doi-asserted-by":"crossref","first-page":"245","DOI":"10.1007\/s00701-003-0206-z","article-title":"Angiographic follow-up after surgical treatment of intracranial aneurysms","volume":"146","author":"Aky\u00fcz","year":"2004","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2019.10.085_bib32","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.wneu.2017.06.110","article-title":"Risk of aneurysm regrowth, recurrence, and de novo aneurysm formation after microsurgical clip occlusion based on follow-up with catheter angiography","volume":"106","author":"Burkhardt","year":"2017","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib33","first-page":"396","article-title":"Late angiographic follow-up review of surgically treated aneurysms","volume":"91","author":"David","year":"1999","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib34","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1227\/01.NEU.0000141043.07303.60","article-title":"Routine cerebral angiography after surgery for saccular aneurysms: is it worth it?","volume":"55","author":"Kivisaari","year":"2004","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib35","doi-asserted-by":"crossref","first-page":"1153","DOI":"10.1007\/s007010050230","article-title":"Aneurysmal remnant after microsurgical clipping: classification and results from a prospective angiographic study (in a consecutive series of 305 operated intracranial aneurysms)","volume":"140","author":"Sindou","year":"1998","journal-title":"Acta Neurochir (Wien)"},{"key":"10.1016\/j.wneu.2019.10.085_bib36","first-page":"60","article-title":"Italian cooperative study on giant intracranial aneurysms: 3. Modalities of treatment","volume":"42","author":"Pasqualin","year":"1988","journal-title":"Acta Neurochir Suppl (Wien)"},{"key":"10.1016\/j.wneu.2019.10.085_bib37","doi-asserted-by":"crossref","first-page":"1191","DOI":"10.1161\/01.STR.32.5.1191","article-title":"Risk of aneurysm recurrence in patients with clipped cerebral aneurysms. Results of long-term follow-up cerebral angiography","volume":"32","author":"Tsutsumi","year":"2001","journal-title":"Stroke"},{"key":"10.1016\/j.wneu.2019.10.085_bib38","first-page":"556","article-title":"Regrowth of aneurysm sacs from residual neck following aneurysm clipping","volume":"70","author":"Lin","year":"1989","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib39","first-page":"1249","article-title":"Aneurysm remnant after clipping: the risk and consequences","volume":"125","author":"Jabbarli","year":"2016","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib40","first-page":"395","article-title":"Comparison of multislice computerized tomography angiography and digital subtraction angiography in the postoperative evaluation of patients with clipped aneurysms","volume":"104","author":"Dehdashti","year":"2006","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib41","doi-asserted-by":"crossref","first-page":"1362","DOI":"10.1016\/j.wneu.2015.06.027","article-title":"The utility of dual-energy computed tomographic angiography for the evaluation of brain aneurysms after surgical clipping: a prospective study","volume":"84","author":"Dolati","year":"2015","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib42","doi-asserted-by":"crossref","first-page":"606","DOI":"10.1227\/NEU.0000000000000326","article-title":"Contrast-enhanced angiographic computed tomography for detection of aneurysm remnants after clipping: a comparision with digital subtraction angiography in 112 clipped aneurysms","volume":"74","author":"G\u00f6litz","year":"2014","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib43","doi-asserted-by":"crossref","first-page":"219","DOI":"10.1136\/neurintsurg-2011-010025","article-title":"Computed tomographic angiography versus digital subtraction angiography for the postoperative detection of residual aneurysms: a single-institution series and meta-analysis","volume":"4","author":"Thaker","year":"2012","journal-title":"J\u00a0Neurointerv Surg"},{"issue":"6 suppl 3","key":"10.1016\/j.wneu.2019.10.085_bib44","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1227\/01.NEU.0000333798.67209.1F","article-title":"Giant intracranial aneurysms: endovascular challenges","volume":"62","author":"Parkinson","year":"2008","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib45","doi-asserted-by":"crossref","first-page":"546","DOI":"10.3174\/ajnr.A3696","article-title":"Coiling of large and giant aneurysms: complications and long-term results of 334 cases","volume":"35","author":"Chalouhi","year":"2014","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2019.10.085_bib46","doi-asserted-by":"crossref","first-page":"632","DOI":"10.1227\/01.NEU.0000339109.98070.65","article-title":"Curative endovascular reconstruction of cerebral aneurysms with the pipeline embolization device: the Buenos Aires experience","volume":"64","author":"Lylyk","year":"2009","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib47","doi-asserted-by":"crossref","first-page":"164","DOI":"10.3174\/ajnr.A2727","article-title":"Immediate and midterm results of following treatment of unruptured intracranial aneurysms with the pipeline embolization device","volume":"33","author":"McAuliffe","year":"2012","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2019.10.085_bib48","doi-asserted-by":"crossref","first-page":"381","DOI":"10.3174\/ajnr.A3224","article-title":"Canadian experience with the pipeline embolization device for repair of unruptured intracranial aneurysms","volume":"34","author":"O\u2019Kelly","year":"2013","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2019.10.085_bib49","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1136\/neurintsurg-2014-011111","article-title":"Thromboembolic complications with pipeline embolization device placement: impact of procedure time, number of stents and pre-procedure P2Y12 reaction unit (PRU) value","volume":"7","author":"Tan","year":"2015","journal-title":"J\u00a0Neurointerv Surg"},{"key":"10.1016\/j.wneu.2019.10.085_bib50","doi-asserted-by":"crossref","first-page":"167","DOI":"10.1136\/jnis.2010.002873","article-title":"Mural destabilization after aneurysm treatment with a flow-diverting device: a report of two cases","volume":"3","author":"Hampton","year":"2011","journal-title":"J\u00a0Neurointerv Surg"},{"key":"10.1016\/j.wneu.2019.10.085_bib51","first-page":"1","article-title":"Very late ischemic complications in flow diverter stents: a retrospective analysis of a single-center series","volume":"29","author":"Guedon","year":"2016","journal-title":"J\u00a0Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib52","doi-asserted-by":"crossref","first-page":"20","DOI":"10.3174\/ajnr.A2370","article-title":"Intra-aneurysmal thrombosis as possible cause of delayed aneurysm rupture after flow-diversion treatment","volume":"32","author":"Kulcsar","year":"2011","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2019.10.085_bib53","doi-asserted-by":"crossref","first-page":"603","DOI":"10.3174\/ajnr.A3065","article-title":"Delayed ipsilateral parenchymal hemorrhage following flow diversion for the treatment of anterior circulation aneurysms","volume":"33","author":"Cruz","year":"2012","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2019.10.085_bib54","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1007\/s00234-015-1615-4","article-title":"Delayed hemorrhagic complications after flow diversion for intracranial aneurysms: a literature overview","volume":"58","author":"Rouchaud","year":"2016","journal-title":"Neuroradiology"},{"key":"10.1016\/j.wneu.2019.10.085_bib55","doi-asserted-by":"crossref","first-page":"733","DOI":"10.1227\/NEU.0000000000000917","article-title":"Cost comparison of surgical and endovascular treatment of unruptured giant intracranial aneurysms","volume":"77","author":"Familiari","year":"2015","journal-title":"Neurosurgery"},{"key":"10.1016\/j.wneu.2019.10.085_bib56","doi-asserted-by":"crossref","first-page":"e802","DOI":"10.1016\/j.wneu.2018.08.169","article-title":"Intracranial aneurysm expansion might cause neurological deterioration after flow diverter treatment","volume":"120","author":"de Korte","year":"2018","journal-title":"World Neurosurg"},{"key":"10.1016\/j.wneu.2019.10.085_bib57","doi-asserted-by":"crossref","first-page":"1930","DOI":"10.3174\/ajnr.A2710","article-title":"Perianeurysmal brain inflammation after flow-diversion treatment","volume":"32","author":"Berge","year":"2011","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.wneu.2019.10.085_bib58","doi-asserted-by":"crossref","first-page":"38","DOI":"10.1159\/000489016","article-title":"Bailout strategies and complications associated with the use of flow-diverting stents for treating intracranial aneurysms","volume":"8","author":"Al-Mufti","year":"2019","journal-title":"Intervent Neurol"}],"container-title":["World Neurosurgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875019327044?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878875019327044?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T08:36:49Z","timestamp":1761813409000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878875019327044"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,2]]},"references-count":58,"alternative-id":["S1878875019327044"],"URL":"https:\/\/doi.org\/10.1016\/j.wneu.2019.10.085","relation":{},"ISSN":["1878-8750"],"issn-type":[{"type":"print","value":"1878-8750"}],"subject":[],"published":{"date-parts":[[2020,2]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"The Longest Angiographic and Clinical Follow-Up of Microsurgically Treated Giant Intracranial Aneurysms: Experience with 70 Cases","name":"articletitle","label":"Article Title"},{"value":"World Neurosurgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.wneu.2019.10.085","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2019 Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}