Single-Center Experience of Surgical and Endovascular Treatment of Ruptured Intracranial Aneurysms
| Autor: | Stanley Oei, Jim Dings, Elisabeth G. Klompenhouwer, R. J. van Oostenbrugge, W.H. van Zwam, J. T. Wilmink |
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| Přispěvatelé: | Klinische Neurowetenschappen, Beeldvorming, Neurochirurgie, RS: CARIM School for Cardiovascular Diseases, RS: MHeNs School for Mental Health and Neuroscience |
| Jazyk: | angličtina |
| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Ruptured aneurysms medicine.medical_treatment Aneurysm Ruptured Single Center Risk Assessment Neurosurgical Procedures Young Adult Aneurysm Risk Factors Occlusion medicine Prevalence Humans Radiology Nuclear Medicine and imaging cardiovascular diseases Endovascular treatment Aged Netherlands Aged 80 and over Endovascular coiling medicine.diagnostic_test Interventional Vascular disease business.industry Intracranial Aneurysm Middle Aged medicine.disease Embolization Therapeutic Surgery Angiography cardiovascular system Female Stents Neurology (clinical) Radiology business |
| Zdroj: | AJNR Am J Neuroradiol American Journal of Neuroradiology, 32(3), 570-575. American Society of Neuroradiology |
| ISSN: | 1936-959X 0195-6108 |
| Popis: | BACKGROUND AND PURPOSE: ISAT provided valuable data on patient outcome after endovascular coiling and surgical clipping of ruptured aneurysms. The purpose of this study was to retrospectively review the >= 1-year outcome (in terms of survival, independence, and rebleeding) of patients who were treated in a routine clinical setting. MATERIALS AND METHODS: Records of patients presenting with an SAH from a ruptured aneurysm between 2000 and 2008 were reviewed. The 403 patients who met the inclusion criteria harbored 443 treated aneurysms; 173 were managed surgically and 230 by endovascular means. Mean clinical follow-up was 33.9 months (range, 12-106 months). RESULTS: The pretreatment clinical condition according to the HH was significantly better in the surgically treated patients (P = .018). Death occurred in 11.6% after surgery and in 17.4% after endovascular treatment (P = .104). Of the surviving patients in the surgical and endovascular groups, 80.3% and 87.2%, respectively, were able to live independently with grades 0-2 on the mRS (P = .084). Complete aneurysm occlusion was achieved significantly more often after surgical treatment (P |
| Databáze: | OpenAIRE |
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