Experience of minimally invasive treatment in 520 patients with intracranial aneurysms / 中国医学科学杂志(英文版)
Chin. med. sci. j
; Chin. med. sci. j;(4): 85-89, 2002.
Article
in En
| WPRIM
| ID: wpr-254048
Responsible library:
WPRO
ABSTRACT
<p><b>OBJECTIVE</b>To summarize the experience of minimally invasive treatment in 520 patients with intracranial aneurysms on a retrospective study.</p><p><b>METHODS</b>The measures used in the treatment of 520 patients were reviewed in terms of timing of surgery, induced-hypotensive anesthesia, brain protection combined with temporal occlusion of the feeding artery, external drainage of CSF, dynamic monitoring of intracranial pressure, blood flow velocity, serum osmolality and CT scanning, anti-vasospasm therapy as well as selected interventional endovascular embolization of aneurysms.</p><p><b>RESULTS</b>Of the 520 patients, 485 were treated with either direct clipping or endovascular embolization and 35 patients were treated non-surgically. In 449 patients undergoing direct clipping and 36 undergoing endovascular embolization, intraoperative rupture of aneurysm occurred in 27 (6.0%) and 0%, respectively. Death occurred in 13 (2.6%), hemiplegia in 8 (1.6%), and vegetative state in 2 (0.4%). The operative mortality of direct clipping was 3.8% in 210 patients before 1990 and 1.8% in 275 patients after 1990 (36 patients undergoing endovascular embolization, the operative mortality was 0%).</p><p><b>CONCLUSION</b>The outcome of patients with intacranial aneurysms can be markedly improved and the operative mortality can be lowered by minimally invasive treatment.</p>
Full text:
1
Index:
WPRIM
Main subject:
General Surgery
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Therapeutics
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Intracranial Aneurysm
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Survival Rate
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Retrospective Studies
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Follow-Up Studies
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Mortality
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Treatment Outcome
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Aneurysm, Ruptured
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Minimally Invasive Surgical Procedures
Type of study:
Observational_studies
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Prognostic_studies
Limits:
Adult
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Female
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Humans
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Male
Language:
En
Journal:
Chin. med. sci. j
Year:
2002
Type:
Article