Analysis of Mortality Cases of Transcranial Aneurysm Surgery / 대한뇌혈관외과학회지
Korean Journal of Cerebrovascular Surgery
;
: 43-47, 2003.
Artículo
en Coreano
| WPRIM
| ID: wpr-63700
ABSTRACT
OBJECTIVES:
The authors analyze the causes of mortality cases after transcranial aneurysm surgery for comparing the safety of the treating methods and for the improvement of treatment outcomes of transcranial surgery.METHODS:
Patients recordings and radiological studies were retrospectively reviewed. Causes of postoperative mortality were divided into death related to vasospasm, procedure-related, medical complications and preoperative poor neurological conditions.RESULTS:
Postoperative mortality cases were 61 (5.78%) of 1054 transcranial aneurysm surgery during a period of from Jul. 1996 to Nov. 2001. Delayed ischemia related to cerebral vasospasm was a leading cause of death following transcranial aneurysm surgery and accounts for 2% (n=21) of all transcranial surgery and 34.4% of all mortality cases. Procedure-related death were 1.23% (n=13) and were related to inadvertent major artery occlusion, vital perforator injury or intraoperative aneurysm rupture. Death related to medical complications (n=8, 0.75%) were mainly from pneumonia (n=6) in the old age (>65) patients. Patients of initial poor neurological grade (Hunt-Hess grade IV-V, n=19) were mainly from large intracranial hematoma (>30 cc) in temporal lobe or sylvian fissure or multiple aneurysmal bleeding before admission.CONCLUSION:
The procedure-related mortality of the transcranial aneurysm surgery is about 1% in this large transcranial aneurysm surgery series and transcranial surgery can be a safe mean of treating intracranial aneurysms compared with other tratment modalities.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Neumonía
/
Arterias
/
Rotura
/
Lóbulo Temporal
/
Aneurisma Intracraneal
/
Estudios Retrospectivos
/
Mortalidad
/
Causas de Muerte
/
Vasoespasmo Intracraneal
/
Hematoma
Tipo de estudio:
Estudio observacional
/
Estudio pronóstico
Límite:
Humanos
Idioma:
Coreano
Revista:
Korean Journal of Cerebrovascular Surgery
Año:
2003
Tipo del documento:
Artículo
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