Follow-up study on ruptured aneurysms treated by wrapping.

The authors experienced 1903 cases of ruptured aneurysm between 1961 and 1986. Most cases were treated by clipping or ligating the aneurysmal neck. However, these procedures were impossible in 52 cases (2.7%), for which wrapping alone (21 cases), aneurysmal body clipping and wrapping (11 cases), or body ligation and wrapping (20 cases) was performed. We studied the long-term results in 44 of these 52 cases. Rerupture occurred in only two cases with incomplete wrapping. We concluded that complete wrapping, and wrapping of residual portions following aneurysmal body clipping or body ligation produce favorable results.