Wrapping of Solitary Ruptured Intracranial Aneurysms, Outcome at Five Years
| Autor: | N D Kitchen, G M McKhahn, B A Bell, S A Cudlip |
|---|---|
| Rok vydání: | 1998 |
| Předmět: |
Adult
Male Microsurgery medicine.medical_specialty medicine.medical_treatment macromolecular substances Aneurysm Ruptured Postoperative Complications Aneurysm Recurrence medicine Humans Glasgow Coma Scale cardiovascular diseases Aged Retrospective Studies Neuroradiology medicine.diagnostic_test business.industry technology industry and agriculture Intracranial Aneurysm Interventional radiology Retrospective cohort study Middle Aged medicine.disease Surgery biological sciences cardiovascular system Female Neurology (clinical) Neurosurgery Tomography X-Ray Computed Operating microscope business Follow-Up Studies |
| Zdroj: | Acta Neurochirurgica. 140:1167-1171 |
| ISSN: | 0942-0940 0001-6268 |
| DOI: | 10.1007/s007010050232 |
| Popis: | Previous follow up studies of patients who have had ruptured intracranial aneurysms treated by a wrapping technique have largely been in the pre-microsurgical era. Our objective was to ascertain whether wrapping aneurysms with the aid of the operating microscope provides protection against rebleeding in the short and long term. The study involved retrospective analysis of patients with ruptured aneurysms treated by wrapping over a six-year period. Twenty-nine patients were identified with wrapped aneurysms, of these 15 had wrapping of a solitary ruptured aneurysm, the remainder were excluded because of clip/wrap combination, multiple aneurysms, and unruptured aneurysms. Of the 15 patients who had a solitary ruptured aneurysm wrapped, none had rebled at one year follow up. One patient died of a myocardial infarction at 4 years, the remaining 14 patients had no episodes of rebleeding with all patients achieving Glasgow outcome scores of four or five at 5 years follow-up. Although surgical clipping of intracranial aneurysms is the definitive method of treatment, our findings suggest that wrapping of ruptured intracranial aneurysms with the aid of the operating microscope confers good protection against both early and late rebleeding in those cases considered 'unclippable'. |
| Databáze: | OpenAIRE |
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